Malaria eradication: the Taiwan experience

In November 1965, the World Health Organization (WHO) certified Taiwan as an area where malaria had been eradicated. Malaria eradication in Taiwan resulted from government initiatives and involvement, careful planning and organization, the development of basic health structure and community support, as well as the cooperation and assistance of international agencies. The Japanese colonial government of Taiwan had contributed to the antimalarial efforts through the establishment of a rudimentary health infrastructure and introduction of measures to combat malaria and other diseases during their occupation of the island from 1895 to 1945. The Chinese government regained control of the island after Japan's surrender in 1945, and with the support of the Rockefeller Foundation, established a research institute to investigate the malaria problem. Political instability in 1949, however, caused the Foundation to end its support. After the Nationalist government moved to Taiwan, it continued antimalarial efforts which received the support of WHO and other international agencies. While Taiwan followed closely WHO's guidelines and plan of attack, the development of the program illustrates the importance of local factors in shaping its actual implementation and eventual success. Malaria eradication in Taiwan went through the following phases: preparatory (1946-1951); attack (1952-1957); consolidation (1958-1964); and maintenance (after 1965).     

Structural and morphological characterization of ultralente insulin crystals by atomic force microscopy: evidence of hydrophobically driven assembly.

Although x-ray crystal structures exist for many forms of insulin, the hormone involved in glucose metabolism and used in the treatment of diabetes, x-ray structural characterization of therapeutically important long-acting crystalline ultralente insulin forms has been elusive because of small crystal size and poor diffraction characteristics. We describe tapping-mode atomic force microscopy (TMAFM) studies, performed directly in crystallization liquor, of ultralente crystals prepared from bovine, human, and porcine insulins. Lattice images obtained from direct imaging of crystal planes are consistent with R3 space group symmetry for each insulin type, but the morphology of the human and porcine crystals observed by AFM differs substantially from that of the bovine insulin crystals. Human and porcine ultralente crystals exhibited large, molecularly flat (001) faces consisting of hexagonal arrays of close packed hexamers. In contrast, bovine ultralente crystals predominantly exhibited faces with cylindrical features assignable to close-packed stacks of insulin hexamers laying in-plane, consistent with the packing motif of the (010) and (011) planes. This behavior is attributed to a twofold increase in the hydrophobic character of the upper and lower surfaces of the donut-shaped insulin hexamer in bovine insulin compared to its human and porcine counterparts that results from minor sequence differences between these insulins. The increased hydrophobicity of these surfaces can promote hexamer-hexamer stacking in precrystalline aggregates or enhance attachment of single hexamers along the c axis at the crystal surface during crystal growth. Both events lead to enhanced growth of ¿hk0¿ planes instead of (001). The insulin hexamers on the (010) and (110) faces are exposed "edge-on" to the aqueous medium, such that solvent access to the center of the hexamer and to solvent channels is reduced compared to the (001) surface, consistent with the slower dissolution and reputed unique basal activity of bovine ultralente insulin. These observations demonstrate that subtle variations in amino acid sequence can dramatically affect the interfacial structure of crystalline proteins.     

Retinal Microvascular Abnormalities and Risk of Renal Failure in Asian Populations

BackgroundRetinal microvascular signs may provide insights into the structure and function of small vessels that are associated with renal disease. We examined the relationship of retinal microvascular signs with both prevalent and incident end-stage renal disease (ESRD) in a multi-ethnic Asian population.MethodsA total of 5763 subjects (aged ≥40 years) from two prospective population-based studies (the Singapore Malay Eye Study and the Singapore Prospective Study) were included for the current analysis. Retinopathy was graded using the modified Airlie House classification system. Retinal vascular parameters were measured using computer-assisted programs to quantify the retinal vessel widths (arteriolar and venular caliber) and retinal vascular network (fractal dimension). Data on ESRD was obtained by record linkage with the ESRD cases registered by National Registry of Diseases Office, Singapore. Multi-variable adjusted regression analyses were performed to assess the associations of baseline retinal vascular parameters and prevalent and incident ESRD.ResultsAt baseline, 21(0.36%) persons had prevalent ESRD. During a median follow-up of 4.3 years, 33 (0.57%) subjects developed ESRD. In our analyses, retinopathy was associated with prevalent ESRD (multi-variable adjusted odds ratio [OR], 3.21, 95% confidence interval [CI]: 1.28–8.05) and incident ESRD (multi-variable adjusted hazard ratio [HR], 2.51, 95%CI: 1.14–5.54). This association was largely seen in person with diabetes (HR, 2.60, 95%CI: 1.01–6.66) and not present in persons without diabetes (HR, 1.65, 95%CI: 0.14–18.98). Retinal arteriolar caliber, retinal venular caliber and retinal vascular fractal dimension were not associated with ESRD.ConclusionRetinopathy signs in persons with diabetes are related to an increased risk of ESRD; however, other microvascular changes in the retina are not associated with ESRD.     

Personalized Oncogenomics: Clinical Experience with Malignant Peritoneal Mesothelioma Using Whole Genome Sequencing

Peritoneal mesothelioma is a rare and sometimes lethal malignancy that presents a clinical challenge for both diagnosis and management. Recent studies have led to a better understanding of the molecular biology of peritoneal mesothelioma. Translation of the emerging data into better treatments and outcome is needed. From two patients with peritoneal mesothelioma, we derived whole genome sequences, RNA expression profiles, and targeted deep sequencing data. Molecular data were made available for translation into a clinical treatment plan. Treatment responses and outcomes were later examined in the context of molecular findings. Molecular studies presented here provide the first reported whole genome sequences of peritoneal mesothelioma. Mutations in known mesothelioma-related genes NF2, CDKN2A, LATS2, amongst others, were identified. Activation of MET-related signaling pathways was demonstrated in both cases. A hypermutated phenotype was observed in one case (434 vs. 18 single nucleotide variants) and was associated with a favourable outcome despite sarcomatoid histology and multifocal disease. This study represents the first report of whole genome analyses of peritoneal mesothelioma, a key step in the understanding and treatment of this disease.     

Novel Antimicrobial Peptides with High Anticancer Activity and Selectivity

We describe a strategy to boost anticancer activity and reduce normal cell toxicity of short antimicrobial peptides by adding positive charge amino acids and non-nature bulky amino acid β-naphthylalanine residues to their termini. Among the designed peptides, K4R2-Nal2-S1 displayed better salt resistance and less toxicity to hRBCs and human fibroblast than Nal2-S1 and K6-Nal2-S1. Fluorescence microscopic studies indicated that the FITC-labeled K4R2-Nal2-S1 preferentially binds cancer cells and causes apoptotic cell death. Moreover, a significant inhibition in human lung tumor growth was observed in the xenograft mice treated with K4R2-Nal2-S1. Our strategy provides new opportunities in the development of highly effective and selective antimicrobial and anticancer peptide-based therapeutics.     

Chemotherapy-Related Amenorrhea and Menopause in Young Chinese Breast Cancer Patients: Analysis on Incidence,Risk Factors and Serum Hormone Profiles

Purpose

In this prospective cross-sectional study on young premenopausal breast cancer patients, the objectives were to: determine the incidences of chemotherapy-related amenorrhea (CRA) and menopause (CRM); identify associated factors; and assess plasma levels of estradiol (E2) and follicular stimulating hormone (FSH) among patients who developed menopause.

Methods

Eligibility criteria include Chinese stage I-III breast cancer patients, premenopausal, age ≤45 at breast cancer diagnosis, having received adjuvant chemotherapy, within 3–10 years after breast cancer diagnosis. Detailed menstrual history prior to and after adjuvant treatment was taken at study entry. Patients’ background demographics, tumor characteristics and anti-cancer treatments were collected. The rates of CRA and CRM were determined. Analysis was conducted to identify factors associated with CRM. For postmenopausal patients, levels of E2 and FSH were analyzed.

Results

286 patients were recruited; the median time from breast cancer diagnosis to study entry was 5.0 years. 255 patients (91.1%) developed CRA. Of these, 66.7% regained menstruation. At the time of study entry, 137 (48.9%) had developed CRM, amongst whom 84 were age ≤45. On multivariate analysis, age was the only associated factor. Among patients with CRM, the median FSH was 41.0 IU/L; this was significantly lower in those who were taking tamoxifen compared to those who were not (20.1 vs. 59.7 IU/L, p<0.0001). The E2 level was <40 pmol/L; there was no difference between those who were still on tamoxifen or not.

Conclusion

After adjuvant chemotherapy, the majority of young Chinese breast cancer patients developed CRA; ~50% developed CRM, with 61% at age ≤45. Age at diagnosis is the only factor associated with CRM. FSH level may be affected by tamoxifen intake.     

Extensive in vivo metabolite-protein interactions revealed by large-scale systematic analyses

Natural small compounds comprise most cellular molecules and bind proteins as substrates, products, cofactors, and ligands. However, a large-scale investigation of in?vivo protein-small metabolite interactions has not been performed. We developed a mass spectrometry assay for the large-scale identification of in?vivo protein-hydrophobic small metabolite interactions in yeast and analyzed compounds that bind ergosterol biosynthetic proteins and protein kinases. Many of these proteins bind small metabolites; a few interactions were previously known, but the vast majority are new. Importantly, many key regulatory proteins such as protein kinases bind metabolites. Ergosterol was found to bind many proteins and may function as a general regulator. It is required for the activity of Ypk1, a mammalian AKT/SGK kinase homolog. Our study defines potential key regulatory steps in lipid biosynthetic pathways and suggests that small metabolites may play a more general role as regulators of protein activity and function than previously appreciated.     

Biochemical Characterization of the Cell-Biomaterial Interface by Quantitative Proteomics

Surface topography and texture of cell culture substrata can affect the differentiation and growth of adherent cells. The biochemical basis of the transduction of the physical and mechanical signals to cellular responses is not well understood. The lack of a systematic characterization of cell-biomaterial interaction is the major bottleneck. This study demonstrated the use of a novel subcellular fractionation method combined with quantitative MS-based proteomics to enable the robust and high-throughput analysis of proteins at the adherence interface of Madin-Darby canine kidney cells. This method revealed the enrichment of extracellular matrix proteins and membrane and stress fibers proteins at the adherence surface, whereas it shows depletion of extracellular matrix belonging to the cytoplasmic, nucleus, and lateral and apical membranes. The asymmetric distribution of proteins between apical and adherence sides was also profiled. Apart from classical proteins with clear involvement in cell-material interactions, proteins previously not known to be involved in cell attachment were also discovered.The growth and differentiation of cells in multicellular organisms are regulated by the complex interplay of biochemical and mechanical signals. In the past decades, a plethora of data on the roles of mechanical and structural cues in modulating cellular behaviors has emerged (1–5). It is increasingly evident that cell fates can be changed by engineering the physical properties of the microenvironment to which the cells are exposed (6–8). These observations have inspired the development of functionalized biomaterials that can directly and specifically interact with tissue components, and support or even direct the appropriate cellular activities (9, 10). Although promising progress has been observed in the past few years, several gaps in knowledge in this field have hindered the development of such ”intelligent” biomaterials. In particular, the understanding of the mechanism in which the cell orchestrates physiological and morphological changes by translating mechanical and structural information into biochemical signals is still very limited.As a standard experimental model, cell lines cultured in vitro as a monolayer over solid substrata are usually used to study the effects of biomaterial surfaces on cellular phenotypes. With this simple model system, ingenious experiments have shown that physical forces applied through the extracellular matrix (ECM)1 can induce changes in cell adhesion molecules and stress-induced ion channels, which then lead to changes in the cytoskeleton and gene expressions (11–13). We term the biochemical structure present at the interface between the substratum and the cellular interior the adherence surface (AS), which is composed of the basal plasma membrane with associated structures such as the ECM on one side and the focal adherence complexes on the other. In monolayer cell culture systems, the AS is the only part of the cells in direct contact with the substratum, and is therefore responsible for the first line of communication between the cells and the biomaterial. It is likely that the AS is the organelle that mediates the communication of mechanical and tectonic signals from the substratum to biochemical transducers in the cells. Given the complexity of this process, it is clear that the understanding of this phenomenon cannot be achieved merely by studying individual biological parts in isolation. It is necessary, therefore, to systematically characterize the biochemical factors that mediate the interactions between cells and materials to yield insights into intracellular signaling processes that are responsible for such cellular responses. Toward this goal, we seek to investigate the biochemical basis of how different biomaterials may impose changes in the composition of the AS of adherent cells.MS-based proteomics have recently emerged as a standard technique in modern cell biology. Various techniques based on the chemical conjugation of isotopically labeled reporters to proteins or peptides, such as the isobaric tag for relative and absolute quantitation (iTRAQ) and the isotope-coded affinity tags, enable MS-based proteomics to quantify and compare proteome changes between biological samples. As an attractive alternative, stable isotope labeling with amino acids in cell culture (SILAC) is a metabolic labeling technique that enables isotopically encoded cells to be mixed before lysis and fractionation, thus eliminating inherent quantification biases in these steps, and also enables a simpler procedure and more accurate quantitation (14). SILAC MS-based proteomics have recently contributed to organellar proteomes (15, 16), accurate measurement of protein-protein interactions (17), and the characterization of proteome dynamics during cell differentiation (18). The use of MS-based proteomics has enabled the systematic evaluation of proteome changes on the adhesion of cells to substrata of interest. Kantawong et al. (19) applied DIGE and LC-MS/MS to identify proteome changes in cells on surface with nanotopography. Xu et al. (20) investigated proteome differences of human osteoblasts on various nano-sized hydroxyapatite powders with different shapes and chemical compositions using iTRAQ-based two-dimensional LC-MS/MS.One advantage of proteomics is that it can effectively be combined with subcellular fractionation and allow the comprehensive characterization of the proteins enriched in targeted cellular structures. To yield new insight in molecular interactions in cell-biomaterial interfaces, we aimed to develop a robust protocol for the proteomic characterization of the AS of adherent cells on a biomaterial surface and use it for discovering new cell-biomaterial interface specific biomarkers. Our approach was to develop an isolation technique for AS with high yields and purity for proteomic analysis. The isolated AS on substratum was analyzed by confocal microscopy and Western blotting. SILAC was then used to characterize the fold-enrichment of proteins in the purified AS compared with whole cells and to discover new biomolecules in the cell-biomaterial interface. This study introduces a novel cell-biomaterial interface proteomic procedure, which can be used to identify the AS specific proteome in a high throughput manner and provide a simple and robust method to systematically analyze cell-biomaterial interactions at a molecular level.     

Cortical Overexpression of Neuronal Calcium Sensor-1 Induces Functional Plasticity in Spinal Cord Following Unilateral Pyramidal Tract Injury in Rat

Following trauma of the adult brain or spinal cord the injured axons of central neurons fail to regenerate or if intact display only limited anatomical plasticity through sprouting. Adult cortical neurons forming the corticospinal tract (CST) normally have low levels of the neuronal calcium sensor-1 (NCS1) protein. In primary cultured adult cortical neurons, the lentivector-induced overexpression of NCS1 induces neurite sprouting associated with increased phospho-Akt levels. When the PI3K/Akt signalling pathway was pharmacologically inhibited the NCS1-induced neurite sprouting was abolished. The overexpression of NCS1 in uninjured corticospinal neurons exhibited axonal sprouting across the midline into the CST-denervated side of the spinal cord following unilateral pyramidotomy. Improved forelimb function was demonstrated behaviourally and electrophysiologically. In injured corticospinal neurons, overexpression of NCS1 induced axonal sprouting and regeneration and also neuroprotection. These findings demonstrate that increasing the levels of intracellular NCS1 in injured and uninjured central neurons enhances their intrinsic anatomical plasticity within the injured adult central nervous system.