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Biomedical subjects

C S Tan

Publications and source records attributed to C S Tan.

At least 19 recordsLinked to original sources

The lipoprotein lipase S447X polymorphism and plasma lipids: interactions with APOE polymorphisms, smoking, and alcohol consumption.

We studied 4,058 subjects from a representative sample of the Singapore population 1) to determine the association between the S447X polymorphism at the LPL locus and serum lipid concentration in Chinese, Malays, and Asian Indians living in Singapore and 2) to explore any interactions with apolipoprotein E (APOE) genotype, exercise, obesity, cigarette smoking, and alcohol intake. Information on obesity, lifestyle factors (including smoking, alcohol consumption, and exercise frequency), glucose tolerance, and fasting lipids was obtained. Male and female carriers of the X447 allele had lower serum triglyceride concentrations and higher HDL cholesterol (HDL-C) concentrations. The association between the X447 allele and serum HDL-C concentration was modulated by APOE genotype in males and cigarette smoking and alcohol intake in females. The effect of the X447 allele was greatest in men who carried the E4 allele and women who smoked or consumed alcohol. The X447 allele at the LPL locus is common and associated with a less atherogenic lipid profile in Asian populations. Interactions with APOE genotype, cigarette smoking, and alcohol intake reinforce the importance of examining genetic associations, such as this one, in the context of the population of interest.

Adult↗

APOE polymorphism and lipid profile in three ethnic groups in the Singapore population.

BACKGROUND: Serum lipid concentrations are modulated by environmental factors such as exercise, alcohol intake, smoking, obesity and dietary intake and genetic factors. Polymorphisms at the Apolipoprotein E (APOE) locus have consistently shown a significant association with total and LDL-cholesterol (LDL-C). However, their impact on HDL-cholesterol (HDL-C) may be population dependent. Having three major ethnic groups within a similar social environment allows us to study the role of genetics and their interactions with lifestyle factors on the serum lipid profile and coronary risk in Asians. METHODS: This study included 1740 males (1146 Chinese, 327 Malays and 267 Asian Indians) and 1950 females (1329 Chinese, 360 Malays and 261 Asian Indians) with complete data on anthropometric indices, fasting lipids, smoking status, alcohol consumption, exercise frequency and genotype at the APOE locus. RESULTS: Malays and Asian Indians were more obese compared with the Chinese. Smoking was uncommon in all females but Malay males had significantly higher prevalence of smokers. Malays had the highest LDL-C whilst Indians had the lowest HDL-C, The epsilon 3 allele was the most frequent allele in all three ethnic groups. Malays had the highest frequency of epsilon 4 (0.180 and 0.152) compared with Chinese (0.085 and 0.087) and Indians (0.108 and 0.075) in males and females, respectively. The epsilon 2 allele was the least common in Asian Indians. Total cholesterol (TC) and LDL-C was highest in epsilon 4 carriers and lowest in epsilon 2 carriers. The reverse was seen in HDL-C with the highest levels seen in epsilon 2 subjects. The association between ethnic group and HDL-C differed according to APOE genotype and gender. Asian Indians had the lowest HDL-C for each APOE genotype except in Asian Indian males with epsilon 2, where HDL-C concentrations were intermediate between Chinese and Malays. CONCLUSION: Ethnic differences in lipid profile could be explained in part by the higher prevalence of epsilon 4 in the Malays. Ethnicity may influence the association between APOE genotypes and HDL-C. APOE genotype showed no correlation with HDL-C in Malay males whereas the association in Asian Indians was particularly marked. Further studies of interactions between genes and environmental factors will contribute to the understanding of differences of coronary risk amongst ethnic groups.

Alcohol Drinking↗

Effect of soil moisture on seed germination, plant growth and root rot severity of navy bean in Fusarium solani infested soil.

The development of root rot and its severity were affected by numerous factors which through their interaction could distort results. In this study, a single factor, soil moisture was considered. Using Fusarium solani infested root rot soil we investigated the effect of three available soil moisture (ASM) levels (i.e. 100%, 70% and 25%) on seed rot, germination, plant growth and root rot severity of navy bean in the greenhouse. Percent germination differed strikingly averaging of 58.5, 89.5 and 87.0% respectively to ASM levels. Apparently, high soil moisture promoted seed rot and impeded seed germination. Root rot incidence and severity were examined two months later. Percent plant with root rot averaged 89.5, 89.0 and 69.8% while root rot severity was 3.01, 2.3 and 1.1 (on a 0-9 scale), respectively to ASM levels. Plant growth was moderate, good and poor with respect to ASM levels. It was apparent that the final plant growth was a sum of seed rot, root rot incidence, disease severity and soil moisture adequacy. However, seed rot appeared to be the largest contributing factor to final plant yield.

Crops, Agricultural↗

Evaluation of different promoters driving the GFP reporter gene and selected target tissues for particle bombardment of Dendrobium Sonia 17.

Three different morphological callus types, identified as type A, B and C, and tips of in vitro inflorescences were used as target tissues for genetic transformation. Five different DNA plasmids carrying a synthetic green fluorescent protein (gfp) gene driven by different promoters, CaMV 35S, HBT, and Ubi1 were tested for the genetic transformation of Dendrobium Sonia 17. 35S-sgfp-TYG-nos (p35S) with the CaMV 35S promoter showed the highest GFP transient expression rate, while the HBT and Ubi1 promoters showed a relatively lower expression rate in all of the target tissues tested. The highest number of GFP-expressing cells was observed on day 2 post-bombardment, and the number declined gradually over the course of the next 2 weeks. Type A and B callus were found to be the best potential target tissues for genetic transformation.

Culture Techniques↗

Two case reports on incessant left ventricular tachycardia: curative therapy with radiofrequency ablation.

INTRODUCTION: Incessant ventricular tachycardia is a rare arrhythmia which can be life threatening. Treatment with anti-arrhythmic agents may occasionally fail. CLINICAL PICTURE: We report 2 cases of incessant ventricular tachycardia. The first case was a young man with idiopathic left ventricular tachycardia who was in incessant ventricular tachycardia despite treatment with multiple anti-arrhythmic drugs and developed dilated cardiomyopathy. The second case was an asymptomatic girl with the incidental finding of an incessant ventricular tachycardia which originated from the left ventricular outflow tract. TREATMENT AND OUTCOME: Both patients underwent electrophysiologic study and radiofrequency ablation with complete termination of the tachycardia. CONCLUSION: Radiofrequency catheter ablation in experienced centres should be the first-line therapy for incessant ventricular tachycardia.

Adolescent↗

Effect of long-term conventional tillage and no-tillage systems on soil and water quality at the field scale.

No-tillage (NT) is becoming increasingly attractive to farmers because it clearly reduces soil erosion and production costs relative to conventional tillage (CT). However, the impacts of no-tillage on the quantity and quality of tile drainage water are less well known. Accordingly, two adjacent field scale on-farm CT and NT sites were established to compare the impacts of the two tillage systems on tile drainage and NO3-N loss in tile drainage water. The effect of the two tillage systems on soil structure, hydraulic conductivity, and earthworm population were also investigated. The total NO3-N loss in tile drainage water over the 5-yr period (1995-1999) was 82.3 kg N ha(-1) for the long-term NT site and 63.7 kg N ha(-1) for the long-term CT site. The long-term NT site had 48% more tile drainage (6,975 kL ha(-1)) than the long-term CT site (4,716 kL ha(-1)). The average flow weighted mean (FWM) NO3-N concentration in tile drainage water over the 5-yr period was 11.8 mg N L(-1) for the NT site and 13.5 mg N L(-1) for the CT site. For both tillage systems, approximately 80% of tile drainage and NO3-N loss in tile drainage water occurred during the November to April non-growing season. Long-term NT improved wet aggregate stability, increased near-surface hydraulic conductivity and increased both the number and mass of earthworms relative to long-term CT. The greater tile drainage and NO3-N loss under NT were attributed to an increase in continuous soil macropores, as implied by greater hydraulic conductivity and greater numbers of earthworms.

Agriculture↗

Water table management reduces tile nitrate loss in continuous corn and in a soybean-corn rotation.

Water table management systems can be designed to alleviate soil water excesses and deficits, as well as reduce nitrate leaching losses in tile discharge. With this in mind, a standard tile drainage (DR) system was compared over 8 years (1991 to 1999) to a controlled tile drainage/subirrigation (CDS) system on a low-slope (0.05 to 0.1%) Brookston clay loam soil (Typic Argiaquoll) in southwestern Ontario, Canada. In the CDS system, tile discharge was controlled to prevent excessive drainage, and water was pumped back up the tile lines (subirrigation) to replenish the crop root zone during water deficit periods. In the first phase of the study (1991 to 1994), continuous corn (Zea mays, L.) was grown with annual nitrogen (N) fertilizer inputs as per local soil test recommendations. In the second phase (1995 to 1999), a soybean (Glycine max L., Merr.)-corn rotation was used with N fertilizer added only during the two corn years. In Phase 1 when continuous corn was grown, CDS reduced total tile discharge by 26% and total nitrate loss in tile discharge by 55%, compared to DR. In addition, the 4-year flow weighted mean (FWM) nitrate concentration in tile discharge exceeded the Canadian drinking water guideline (10 mg N l(-1)) under DR (11.4 mg N l(-1)), but not under CDS (7.0 mg N l(-1)). In Phase 2 during the soybean-corn rotation, CDS reduced total tile discharge by 38% and total nitrate loss in tile discharge by 66%, relative to DR. The 4-year FWM nitrate concentration during Phase 2 in tile discharge was below the drinking water guideline for both DR (7.3 mg N l(-1)) and CDS (4.0 mg N l(-1)). During both phases of the experiment, the CDS treatment caused only minor increases in nitrate loss in surface runoff relative to DR. Hence CDS decreased FWM nitrate concentrations, total drainage water loss, and total nitrate loss in tile discharge relative to DR. In addition, soybean-corn rotation reduced FWM nitrate concentrations and total nitrate loss in tile discharge relative to continuous corn. CDS and crop rotations with reduced N fertilizer inputs can thus improve the quality of tile discharge water substantially.

Agriculture↗

Toward the differentiation of trust in supervisor and trust in organization.

Trust in supervisor and trust in organization are argued to be distinct but related constructs, each with its own set of antecedents and outcomes. Empirical field results supported the proposition. Although trust in supervisor and trust in organization were positively and significantly correlated, trust in supervisor was more strongly associated with proximal variables (ability, benevolence, and integrity of supervisor), whereas trust in organization was more strongly correlated with global variables (perceived organizational support and justice). This conclusion held despite the inclusion of proximal variables in the regression on trust in organization and the inclusion of global variables in the regression on trust in supervisor. In addition to the differential antecedents of trust in supervisor and trust in organization, the outcomes for both variables were different. Trust in supervisor was related to increased innovative behavior and satisfaction with supervisor, and trust in organization was related to higher organizational commitment and lower intention to leave. Therefore, the authors provide clear preliminary data on the distinctiveness of trust in supervisor and trust in organization. One implication of this set of results is that organizations should adopt a more holistic approach in building trust, which can be achieved by focusing on the various constituents of the organization and the various levels (e.g., the supervisor level and the organizational level).

Humans↗

Initial experience with an autocapture pacemaker system.

INTRODUCTION: Autocapture management aims to extend pacemaker longevity without compromising on patient safety by automatically monitoring the pacing threshold and adjusting the pacemaker output for consistent capture. This paper describes our initial experience with the Pacesetter Regency pacemaker with autocapture management. MATERIALS AND METHODS: Nineteen patients were implanted with single chamber pacemakers with autocapture management. Autocapture was programmed "ON" the day after implantation if Evoked Response (ER) amplitude was at least 2.8 mV. The patients were followed up at 2 weeks, 2 months and 6 months. At each visit, pacing threshold and lead impedance were measured. Autocapture was turned "ON" during follow-up if it had not been done previously. RESULTS: In 16 out of 19 patients, autocapture could be turned "ON" the day after implantation. One patient had an ER signal that was less than 2.8 mV and 2 patients were in fast atrial fibrillation of more than 120 beats per minute which precluded ER signal testing. These patients could not have autocapture programmed "ON". CONCLUSION: The benefits of autocapture management can only be realised if an ER signal of at least 2.8 mV is obtained. This requires intraoperative testing of the ER signal. Since there is no commercially available pacing system analyser presently that can measure this, modification of the standard implantation procedure with some prolongation of procedure time is needed.

Aged↗

Reassessing the organization of the UL42-UL43 region of the human cytomegalovirus strain AD169 genome.

A polymorphism in the UL42-UL43 region of the human cytomegalovirus genome has been characterized by nucleotide sequence analysis, revealing a 929-bp insertion following nt 54,612 relative to the published strain AD169-UK genome sequence (M.S. Chee et al., 1990, Curr. Top. Microbiol Immunol. 154, 125-170). Although AD169-UK exhibited polymorphism in this genomic region, other CMV strains (Towne, Toledo, and AD169-ATCC) carried only the newly characterized longer form. The additional sequence altered the assignment of UL42 and UL43 open reading frames. UL42 decreased in size from 157 to 125 codons, retaining 76 of the previously reported carboxyl terminal codons, and UL43 increased in size from 187 to 423 codons, retaining 185 of the previously reported amino terminal codons. This additional sequence makes UL43 a more conserved betaherpesvirus US22 family member. Only AD169-UK exhibited restriction fragment length polymorphism in this region, suggesting that a deletion occurred during the propagation of this strain in cell culture. The additional sequence should be considered a bona fide part of the cytomegalovirus genome and the AD169 genome size should be corrected to 230,283 bp.

Amino Acid Sequence↗

[Fungi and yeasts isolated in mycological studies in skin and nail infections in The Netherlands, 1992-1993].

OBJECTIVE: To describe fungi and yeasts isolated from skin and nail infections in the Netherlands. DESIGN: Retrospective. SETTING: Centraalbureau voor Schimmelcultures (CBS), Baarn, the Netherlands. METHOD: Results of mycological investigation of skin and nail samples in the period 1992-1993 were analysed. After a clinical diagnosis of mycosis, performed by dermatologists and general practitioners, material was sent to the CBS for mycological research. RESULTS: The clinical diagnosis of onychomycosis was rather accurate, especially if made performed by dermatologists. Mycoses of the skin were sometimes confused with other skin diseases. When microscopical observation showed a positive result, 93% of the cultures were positive as well. The main agent of onychomycosis was Trichophyton rubrum; T. mentagrophytes was more frequently isolated from tinea manuum/pedis and T. tonsurans from tinea corporis/cruris. Epidermophyton floccosum was only isolated from skin lesions and Microsporum canis, T. soudanense and T. verrucosum only from tinea corporis/cruris. The most important yeasts isolated were Trichosporon mucoides, Candida guilliermondii, C. parapsilosis, C. famata and Malassezia furfur. Other fungi isolated were either pigmented (melanin, carotene), thermophilic or belonged to the order of the Onygenales. CONCLUSION: Mycological research to confirm the clinical diagnosis of a skin mycosis is advisable. Species isolated differed in their predilection for different parts of the human body. Yeasts were mainly isolated as double infections. Apart from the dermatophytes there is a special group of fungi which can cause mycoses.

Dermatomycoses↗

Structural and functional properties of human and mouse apolipoprotein A-I.

Mouse and human plasma apolipoprotein A-I (apo A-Im and apo A-Ih, respectively) were investigated to compare their molecular properties in solution, their incorporation into palmitoyloleoylphosphatidylcholine-apo A-I (POPC-apo A-I) discoidal complexes; their structural stability in discoidal complexes and high-density lipoproteins (HDL), and their effect on structural rearrangement of discoidal complexes upon interaction with low-density lipoproteins (LDL). Unlike apo A-Ih, only minimal concentration-dependent self-association was observed for apo A-Im. While both apo A-Im and apo A-Ih formed discoidal complexes of distinct composition and size that reflected reassembly molar ratios of POPC/apo A-I, apo A-Im demonstrated specific deficiencies in formation of larger-sized complexes. Denaturation of both apo A-Im- or apo A-Ih-containing complexes and HDL with guanidine hydrochloride (GuHCl) indicated significantly reduced stabilization of apo A-Im by lipid in these particles. Interaction of apo A-Im- or apo A-Ih-containing discoidal complexes with human plasma LDL revealed a more extensive conversion of apo A-Im-complexes to smaller species. Mean hydrophobicities and mean hydrophobic moments of amphipathic helical segments in apo A-Im and apo A-Ih were compared; differences potentially contributing to differential lipid-binding properties between apo A-Im and apo A-Ih were identified. Our results demonstrate differences between apo A-Im and apo A-Ih that may contribute to the major changes in plasma HDL distribution and function observed in apo A-Ih transgenic mice.

Animals↗

[Shifts in the species spectrum of mycoses in The Netherlands from 1970-1990].

A review is presented of yeast and mould infections occurring in humans in the Netherlands. The occurrence of the dermatophytes Trichophyton rubrum and T. mentagrophytes tends to increase, while Microsporum canis and particularly Epidermophyton floccosum have become less common. The yeast Candida glabrata is particularly often involved in infections of the urinary tract. Candida krusei, C. parapsilosis and C. tropicalis have become less significant. Remarkable differences are found between the spectra of Aspergillus species causing infections in lungs and in ears; an entirely different pathogenesis is to be presumed. The number of systemic mycoses in the Netherlands is underestimated. The possibility of hundreds of cases each year cannot be excluded.

Dermatomycoses↗

[Little known mycoses caused by dematiaceous opportunists].

The mycoses caused by melanized hyphomycetes are reviewed. Agents of superficial, (sub)cutaneous, paranasal, and systemic mycoses are listed, putting the emphasis on species isolated in Germany. Adaptations to survive in extreme environments may be considered as virulence factors of these fungi. Survival inside human tissue is more or less successful depending on the immune status of the host. Several neurotropic fungi are possibly real pathogens in that they are capable of invading immunocompetent individuals.

Brain Diseases↗

Fractionation of Sumatran pit viper (Trimeresurus sumatranus sumatranus) venom by DEAE-Sephacel ion exchange chromatography and some biological properties of the fractions.

Sumatran pit viper (Trimeresurus sumatranus sumatranus) venom was fractionated by DEAE-Sephacel ion exchange chromatography into seven fractions. Fractions 4, 5 and 6 were lethal to mice and exhibited strong hemorrhagic activity, as well as some enzymatic activities. Fraction 6 also exhibited potent anticoagulant and thrombin-like activities. Analysis of the biological and enzymatic properties of the three lethal fractions suggests that the major lethal component of fractions 4 and 5 may be the hemorrhagic principle, and that the lethality of fraction 6 may be due to the hemorrhagic principle and/or the anticoagulant principle.

Chromatography, Ion Exchange↗

The lethal and biochemical properties of Bungarus candidus (Malayan krait) venom and venom fractions.

Bungarus candidus venom exhibited high hyaluronidase, acetylcholinesterase and phospholipase A activities; low proteinase, 5'-nucleotidase, alkaline phosphomonoesterase and phosphodiesterase activities and moderately high L-amino acid oxidase activity. SP-Sephadex C-50 ion exchange chromatographic fractionation of the venom and Sephadex G-50 chromatography of the major lethal venom fractions indicate that the venom contains at least two highly lethal, basic phospholipases A with LD50 (i.v.) values of 0.02 micrograms/g (F6A) and 0.18 micrograms/g (F4A), respectively; as well as two polypeptide toxins with LD50 (i.v.) values of 0.17 micrograms/g and 0.83 micrograms/g, respectively. The major lethal toxin is the basic lethal phospholipase A, F6A, which accounts for approximately 13% of the venom protein and has a mol. wt of 21,000.

Animals↗

The enzymatic activities and lethal toxins of Trimeresurus wagleri (speckled pit viper) venom.

Trimeresurus wagleri (speckled pit viper) venom exhibited the usual set of enzyme activities occurring in pit viper venoms but the content of alkaline phosphomonoesterase was unusually high, whereas the proportions of protease and arginine ester hydrolase were very low. The venom also exhibited weak thrombin-like activity but did not exhibit hemorrhagic or anticoagulant activity. Analysis of the Sephadex G-200 gel filtration fractions of the venom indicated that the lethal fraction was a low mol.wt protein, and that fractions exhibiting phosphodiesterase, phosphomonoesterase, arginine ester hydrolase, thrombin-like enzyme, L-amino acid oxidase and phospholipase A activities were not lethal. Two lethal toxins, designated as wagleri toxins 1 and 2, were isolated from the venom using Sephadex G-50 gel filtration chromatography followed by SP-Sephadex C-25 ion exchange chromatography. The mol.wts of the two toxins were 8900 by gel filtration. The LD50 (i.v.) values in mice for wagleri toxins 1 and 2 are 0.17 microgram/g and 0.19 microgram/g, respectively.

Animals↗