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Biomedical subjects

T Kao

Publications and source records attributed to T Kao.

At least 19 recordsLinked to original sources

Evidence that intragenic recombination contributes to allelic diversity of the S-RNase gene at the self-incompatibility (S) locus in Petunia inflata.

For Solanaceae type self-incompatibility, discrimination between self and nonself pollen by the pistil is controlled by the highly polymorphic S-RNase gene. To date, the mechanism generating the allelic diversity of this gene is largely unknown. Natural populations offer a good opportunity to address this question because they likely contain different alleles that share recent common progenitors. We identified 19 S haplotypes from a natural population of Petunia inflata in Argentina, used reverse transcriptase-polymerase chain reaction to obtain cDNAs for 15 alleles of the S-RNase gene, and sequenced all the cDNAs. Phylogenetic studies revealed that five of these alleles and two previously identified alleles form a major clade, and that the 5' region of S(19) allele was derived from an ancestor allele closely related to S(2), whereas its 3' region was derived from an ancestor allele closely related to S(8). A similar evolutionary relationship was found among S(3), S(12), and S(15) alleles. These findings suggest that intragenic recombination contributed to the generation of the allelic diversity of the S-RNase gene. Two additional findings emerged from the sequence comparisons. First, the nucleotide sequence of the S(1) allele identified in this work is completely identical to that of the previously identified S(1) allele of a different origin. Second, in the two hypervariable regions HVa and HVb, thought to be involved in determining S allele specificity, S(6) and S(9) alleles differ only by four nucleotides, all in HVb, resulting in two amino acid differences. The implications of these findings are discussed.

Alleles↗

Isolation and characterization of kinase interacting protein 1, a pollen protein that interacts with the kinase domain of PRK1, a receptor-like kinase of petunia.

Many receptor-like kinases have been identified in plants and have been shown by genetic or transgenic knockouts to play diverse physiological roles; however, to date, the cytosolic interacting proteins of relatively few of these kinases have been identified. We have previously identified a predominantly pollen-expressed receptor-like kinase of petunia (Petunia inflata), named PRK1, and we have shown by the antisense RNA approach that it is required for microspores to progress from the unicellular to bicellular stage. To investigate the PRK1-mediated signal transduction pathway, PRK1-K cDNA, encoding most of the cytoplasmic domain of PRK1, was used as bait in yeast (Saccharomyces cerevisiae) two-hybrid screens of pollen/pollen tube cDNA libraries of petunia. A protein named kinase interacting protein 1 (KIP1) was found to interact very strongly with PRK1-K. This interaction was greatly reduced when lysine-462 of PRK1-K, believed to be essential for kinase activity, was replaced with arginine (the resulting protein is named PRK1-K462R). The amino acid sequence of KIP1 deduced from full-length cDNA contains an EF-hand Ca(2+)-binding motif and nine predicted coiled-coil regions. The yeast two-hybrid assay and affinity chromatography showed that KIP1 interacts with itself to form a dimer or higher multimer. KIP1 is present in a single copy in the genome, and is expressed predominantly in pollen with a similar temporal pattern to PRK1. In situ hybridization showed that PRK1 and KIP1 transcripts were localized in the cytoplasm of pollen. PRK1-K phosphorylated KIP1-NT (amino acids 1--716), whereas PRK1-K462R only weakly phosphorylated KIP1-NT in vitro.

Amino Acid Sequence↗

The relationship of late potentials to assessment of heart rate variability in post-infarction patients.

In order to investigate the relationship of late potential (LP) to assessment of heart rate variability (HRV) after acute myocardial infarction (AMI), we studied 101 Chinese patients with AMI (10+/-2.4 days) in Taiwan by collecting 24-h ECG from a Holter tape recorder and signal-averaged ECG from a high-resolution ECG cart. Of the 101 patients, 36 patients had LP (LP group) and 65 patients did not (NLP group). The mean heart rate was significantly lower in the LP group than in the NLP group (P<0.05). The LP group had a significantly increased high-frequency (HF) spectral component of HRV compared with the NLP group (P<0.005), but their low-frequency (LF) to HF ratio (LF/HF) was lower (P<0.05). Analysis of the circadian variation of HRV revealed significant difference of morning SDRR (standard deviation of normal RR intervals) compared with noon SDRR (P<0.05 in the LP group, P<0.005 in the NLP group) and evening SDRR (P<0.05 in the LP group, P<0.005 in the NLP group). In the NLP group, morning HF (normalized unit, nu) was 0.258+/-0.098 compared with noon HF (nu) of 0.219+/-0.83 (P<0.05) and evening HF (nu) of 0. 225+/-0.085 (P<0.05). Nine patients died during follow-up from cardiac causes, three (8.3%) in the LP group and six (9.2%) in the NLP group. In post-MI patients, there was higher vagal tone in patients with late potentials compared to those without late potentials. NLP patients had more circadian change in vagal tone compared with LP patients.

Adult↗

Constructing a 3-D mesh model for electrical cardiac activity simulation.

The 3-D ventricle model in this study was reconstructed from a series of MRI torso cross-section data. We used a 3-D voxel array to represent the ventricle. As in cardiac simulations proposed by previous studies, the activation sequence and body surface ECG were simulated in this model. But to reduce the amount of elements in the model, so that the amount of parameters in the model can be handled numerically, we propose another approach to simulate cardiac activity. A mesh model was constructed on the closed surface formed by epicardiac and endocardiac surfaces of the ventricle. We propose a method to simulate the activation sequence on the epicardiac and endocardiac surfaces of the mesh model. As with the uniform double layer theorem, body surface ECG can be estimated in terms of epicardiac and endocardiac surface current source. Consequently, we can also generate ECG waveforms corresponding to this mesh simulation. Both the depolarization sequence and ECG simulated by the mesh model resemble those generated by the 3-D voxel model. However, the mesh model greatly simplified the process of ECG simulation. Both the simulation of depolarization and ECG estimation were expressed in terms of clear and simple mathematical representations. Consequently, we can analytically investigate the effects of the mesh model's parameters on the cardiac activation sequence and ECG. It could be a useful tool to numerically study the relation of ECG waveforms and electrical activity of the heart.

Computer Simulation↗

Adaptive local contrast enhancement method for medical images displayed on a video monitor.

It is known that light-box luminance is an important factor in the detection of objects on radiographs. Existing methods for image contrast enhancement do not consider the luminance effect so that the enhancement may be inappropriate for the processed image displayed on a video monitor. Based on the properties of human visual system (HVS), an adaptive local contrast enhancement (ALCE) method was developed to enhance the medical image displayed on the video monitor by investigating the influence on human eyes of display luminance difference between a conventional light-box and a video monitor. The HVS model indicated parts of a radiograph unclear to human eyes at a given display luminance. By calculating the contrast of the image pixel by pixel, we found the parts of an image that are needed to be amplified at low display luminance and provided these parts with adequate enhancement. The processed image displayed on a video monitor was visually equivalent to the raw radiograph displayed on a light-box. A quantitative evaluation method of image quality assessment was used to compare the ALCE-processed image with others.

Biophysical Phenomena↗

Molecular recognition and response in pollen and pistil interactions.

Many bisexual flowering plants possess a reproductive strategy called self-incompatibility (SI) that enables the female tissue (the pistil) to reject self but accept non-self pollen for fertilization. Three different SI mechanisms are discussed, each controlled by two separate, highly polymorphic genes at the S-locus. For the Solanaceae and Papaveraceae types, the genes controlling female function in SI, the S-RNase gene and the S-gene, respectively, have been identified. For the Brassicaceae type, the gene controlling male function, SCR/SP11, and the gene controlling female function, SRK, have been identified. The S-RNase based mechanism involves degradation of RNA of self-pollen tubes; the S-protein based mechanism involves a signal transduction cascade in pollen, including a transient rise in [Ca(2+)]i and subsequent protein phosphorylation/dephosphorylation; and the SRK (a receptor kinase) based mechanism involves interaction of a pollen ligand, SCR/SP11, with SRK, followed by a signal transduction cascade in the stigmatic surface cell.

Brassicaceae↗

Construction of a binary bacterial artificial chromosome library of Petunia inflata and the isolation of large genomic fragments linked to the self-incompatibility (S-) locus.

The Solanaceae family of flowering plants possesses a type of self-incompatibility mechanism that enables the pistil to reject self pollen but accept non-self pollen for fertilization. The pistil function in this system has been shown to be controlled by a polymorphic gene at the S-locus, termed the S-RNase gene. The pollen function is believed to be controlled by another as yet unidentified polymorphic gene at the S-locus, termed the pollen S-gene. As a first step in using a functional genomic approach to identify the pollen S-gene, a genomic BAC (bacterial artificial chromosome) library of the S2S2 genotype of Petunia inflata, a self-incompatible solanaceous species, was constructed using a Ti-plasmid based BAC vector, BIBAC2. The average insert size was 136.4 kb and the entire library represented a 7.5-fold genome coverage. Screening of the library using cDNAs for the S2-RNase gene and 13 pollen-expressed genes that are linked to the S-locus yielded 51 positive clones, with at least one positive clone for each gene. Collectively, at least 2 Mb of the chromosomal region was spanned by these clones. Together, three clones that contained the S2-RNase gene spanned approximately 263 kb. How this BAC library and the clones identified could be used to identify the pollen S-gene and to study other aspects of self-incompatibility is discussed.

Chromosomes, Artificial, Bacterial↗

Hürthle cell carcinoma of the thyroid gland with extensive tumor necrosis: a case report.

Hürthle cell neoplasm of the thyroid gland is rarely associated with tumor necrosis. We report a case of Hürthle cell carcinoma of the thyroid gland with extensive necrosis. An 82-year-old man had had a right neck mass for more than 10 years. Approximately two to three weeks before he was hospitalized, this neck mass became progressively enlarged. An 131I scan could not demonstrate the right lobe of the thyroid gland, while the contralateral lobe was unremarkable. A 99mTc-sestamibi scan showed increased uptake on the lesion side. Fine needle aspiration cytology showed necrosis with macrophages in the initial aspirate, and the secondary aspirate appeared suspicious for a Hürthle cell tumor. The patient had a total thyroidectomy, and the pathology proved to be Hürthle cell carcinoma with tumor necrosis.

Adenocarcinoma↗

[Anatomy cadaver ceremonies in Taiwan].

The practice of holding annual ceremonies in honor of cadaver donors in Taiwan's medical schools has a history of nearly a hundred years. It originated in Japan, where such ceremonies have been widely held in medical schools since the practice was founded by Toyo Yamawaki, who was the first medical scholar in Japan to engage in dissection of the human body and was the author of the first anatomy book to appear in Japan, the Zoshi. The practice of holding donor ceremonies was introduced into Taiwan after the Jaiwu Sino - Japanese war, when the island became a Japanese colony. The tradition was upheld in the Viceroy's Medical School, the Viceroy's College of Medicine, and Taihoku (Taipei) Imperial University College of Medicine, and continued since the restoration of Chinese power to the present. The practice of holding cadaver donor ceremonies in institutions of medical education is intended to express respect for the donor as well as to encourage the practice of cadaver donation to the benefit of medical education.

Anatomy↗

Esophageal PP intervals for analysis of short-term heart rate variability in patients with atrioventricular block before and after insertion of a temporary ventricular inhibited pacemaker.

Heart rate variability (HRV) analysis is a useful method for assessment of the activities of autonomic nervous system. The RR intervals in ECG is measured for this purpose. However, RR intervals are not suitable for HRV analysis in atrioventricular block (AV) block patients with ventricular inhibited (VVI) pacemaker, as the intervals will be fixed by the ventricular pacemaker. Thus we used an esophageal lead to detect PP intervals for analysis of HRV. The aim of this study was to evaluate the short-term HRV by using an esophageal electrode to detect the atrial signal and PP intervals in AV block patients. Fifteen AV block patients before and after temporary VVI pacemaker and 15 subjects with normal AV conduction (control group) were enrolled in this study. The atrial signals from esophageal lead, ECG and intraatrial lead were recorded. The duration was 10 min. We compared correlation coefficient of PP intervals from different leads in AV block patients and the control group. We also compared the PP interval's variability parameters between the control group and AV block patients, before and after insertion of a temporary ventricular inhibited pacemaker. The esophageal PP intervals were excellently correlated with intraatrial AA intervals (r=0.98+/-0.01). The HRV using esophageal PP intervals with time domain demonstrated a significant decrease in patients with AV block (standard deviation of all PP intervals (SDNN) (s)=0.022+/-0.014; percentage difference between adjacent PP intervals that are greater than 50 ms (pNN-50) (%)=0.052+/-0.038; square root of the mean of squares of differences between duration of neighboring PP intervals (r-MSDD) (s)=0.322+/-0.082) but this returned to normal after insertion of a temporary ventricular inhibited pacemaker (SDNN (s)=0.035+/-0.009; pNN-50 (%)=2.540+/-1.682; r-MSDD (s)=0.542+/-0.190). However, the ratio of low frequency/high frequency (LF/HF) still increased (LF/HF=4.120+/-1.802). The result of this short-term HRV analysis suggested that withdrawal of vagal tone or increased sympathetic activity in AV block patients compared with the control group. This appearance was normalized after insertion of a temporary VVI pacemaker. however, abnormal sympathovagal balance still remained.

Aged↗

Heart rate variability in patients with atrioventricular block.

BACKGROUND: Heart rate variability (HRV) analysis has been an established method for assessment of the activities of autonomic nervous system. Conventionally, the RR intervals from the surface electrocardiogram (ECG) are used for HRV analysis, however, analysis of the RR intervals may not be suitable in patients with atrioventricular (AV) node dysfunction, particularly in patients with certain degree of AV block. We used an esophageal electrode to detect PP intervals for HRV analysis in these patients. METHODS: Seven AV block patients and 13 subjects with normal AV conduction (control group) were enrolled in this study. The signals from esophageal lead, surface lead and intraatrial lead were recorded. Correlation coefficient of heart beat intervals from different leads was analyzed. Then we compared the HRV parameter recorded by esophageal lead between AV block patients and the control group. RESULTS: The AA intervals in intraatrial ECG and the PP intervals in surface ECG were poorly correlated (r = 0.489) in the AV block patients. However, intraatrial ECG was correlated well with esophageal ECG (r = 0.968). HRV with time domain decreased significantly in patients with AV block. The standard deviation of NN intervals (SDNN), pNN-50 and r-MSSD in the control group and the AV block patients were 0.035 +/- 0.006 vs. 0.021 +/- 0.016 seconds (p = 0.002), 3.210 +/- 3.120 vs. 0.050 +/- 0.040% (p = 0.027) and 0.577 +/- 0.181 vs. 0.318 +/- 0.084 seconds (p = 0.009), respectively. CONCLUSIONS: The esophageal lead recording is a non-invasive, easy and safe method to detect HRV of AV block patients whose vagal activity is abnormal.

Electrocardiography↗

[Early missionary medicine in Taiwan].

Taiwan, as mainland China, first received modern medicine from Christian missionaries. Although Western medicine was introduced by the Dutch in the 17th century, it disappeared after their expulsion by Zheng Chenggong. It was not until 1865 when the British Presbyterian Church sent Dr. James Laidlow Maxwell to Taiwan to engage in medical and missionary work that Western medicine was able to take root in Taiwan. The last three decades of the 19th century were a key period in the development of modern medicine in Taiwan. This paper discusses three major figures in early missionary medicine in Taiwan, Dr. James Laidlow Maxwell, Rev. George Leslie Mackay, and Dr. David Landsborough and their contributions to the development of modern medicine in Taiwan.

History, 19th Century↗

S proteins control rejection of incompatible pollen in Petunia inflata.

Flowering plants have evolved various stratagems to prevent inbreeding and promote outcrosses. One such mechanism, gametophytic self-incompatibility, provides a genetic barrier to self-fertilization, and in the simplest cases is controlled by the highly polymorphic S locus. Growth of a pollen tube in the style is arrested when the S allele carried by the pollen matches one of the two S alleles carried by the pistil. Putative S allele proteins of the pistil have been identified in several solanaceous species based on their co-segregation with S alleles, and they have been shown to be ribonucleases. So far, there has been only correlative or indirect evidence for the claim that these S allele-associated proteins (S proteins) are involved in recognition and rejection of self pollen. Here we show that inhibition of synthesis of S3 and S2 proteins in Petunia inflata plants of S2S3 genotype by the antisense S3 gene resulted in failure of the transgenic plants to reject S3 and S2 pollen. We further show that expression of the transgene encoding S3 protein in P. inflata plants of S1S2 genotype confers on the transgenic plants the ability to reject S3 pollen. The self-incompatibility behaviour of the pollen was not affected by the transgene in either set of experiments. Taken together, these findings provide direct in vivo evidence that S proteins control the self-incompatibility behaviour of the pistil.

Base Sequence↗

Characterization of a pollen-expressed gene encoding a putative pectin esterase of Petunia inflata.

From a pollen tube cDNA library of Petunia inflata, we isolated cDNA clones encoding a protein, PPE1, which exhibits sequence similarity with plant, bacterial, and fungal pectin esterases. Genomic clones containing the PPE1 gene were isolated using cDNA for PPE1 as a probe, and comparison of the cDNA and genomic sequences revealed the presence of a single intron in the PPE1 gene. During pollen development, PPE1 mRNA was first detected in anthers containing uninucleate microspores; it reached the highest level in mature pollen and persisted at a high level in in vitro germinated pollen tubes. The observed expression pattern of the PPE1 gene suggests that its product may play a role in pollen germination and/or tube growth.

Amino Acid Sequence↗

Carbohydrate moiety of the Petunia inflata S3 protein is not required for self-incompatibility interactions between pollen and pistil.

For Petunia inflata and Nicotiana alata, which display gametophytic self-incompatibility, S proteins (the products of the multiallelic S gene in the pistil) have been shown to control the pistil's ability to recognize and reject self-pollen. The biochemical mechanism for rejection of self-pollen by S proteins has been shown to involve their ribonuclease activity; however, the molecular basis for self/non-self recognition by S proteins is not yet understood. Here, we addressed whether the glycan chain of the S3 protein of P. inflata is involved in self/non-self recognition by producing a nonglycosylated S3 protein in transgenic plants and examining the effect of deglycosylation on the ability of the S3 protein to reject S3 pollen. The S3 gene was mutagenized by replacing the codon for Asn-29, which is the only potential N-glycosylation site of the S3 protein, with a codon for Asp, and the mutant S3 gene was introduced into P. inflata plants of the S1S2 genotype. Six transgenic plants that produced a normal level of the nonglycosylated S3 protein acquired the ability to reject S3 pollen completely. These results suggest that the carbohydrate moiety of the S3 protein does not play a role in recognition or rejection of self-pollen and that the S allele specificity determinant of the S3 protein and those S proteins that contain a single glycan chain at the same site as the S3 protein must reside in the amino acid sequence itself.

Asparagine↗

Spectral analysis of radial pulse in patients with acute, uncomplicated myocardial infarction.

The aim of this study was to examine the frequency spectrum of arterial pulses in 17 patients with acute, uncomplicated myocardial infarction. Recordings of right radial pulses were taken from these patients immediately after their arrival at the emergency room. This information was considered as baseline data and was monitored at the same time each day for up to 7 days. These serial recordings of radial pulses were then analyzed together with recordings from 3 control groups of patients not suffering from myocardial infarction. These included subjects who underwent coronary arteriography (n = 24), coronary angioplasty (n = 18), and mitral valvuloplasty (n = 13). The method of analysis involved a discrete Fourier transformation of radial pulses recorded from an external pulsation transducer to obtain "power spectra" for pulse waves. There was no significant change in the power spectrum for each of the 3 control groups although significant clinical and hemodynamic improvement was observed in the coronary angioplasty and mitral valvuloplasty patients. In sharp contrast, the intensity of the frequency moduli C2 and C3 in the target group fell on arrival at the emergency room and then gradually increased while the average pulse energy (frequency modulus C0) decreased simultaneously with stable recovery from the acute myocardial infarction. In order to investigate the changes in C2 and C3 in the target group, the effective renal plasma flow (ERPF) was first determined for 10 of the 17 patients using intravenous I-131 labelled iodo-ortho-hippurate. A second reading was taken a week later. Eight of the 10 patients were found to have a relatively "higher" ERPF at the onset of acute myocardial infarction with an average reading of 450.1 +/- 168.9 ml/min, compared with the data obtained a week later (374.1 +/- 130.4 ml/min, p < 0.02). An inverse correlation existed between the percentage of "initial drop" in frequency moduli C2 and C3 in the power spectra of the radial pulses and the percentage of "initially higher" ERPF (r = -0.66 and -0.70, respectively, p < 0.05). It is concluded that there was a specific change in the power spectrum of the radial pulses which were recorded and analyzed noninvasively in patients with acute, uncomplicated myocardial infarction. Changes in the ERPF may exert an influence on the frequency moduli C2 and C3 of the power spectra of the radial pulses after heart attack, suggesting that the aorta and the closely organs may cause coupled oscillation. Theoretically this structure is equivalent to a resonance circuit.

Aged↗

The flanking regions of two Petunia inflata S alleles are heterogeneous and contain repetitive sequences.

Genomic clones representing S1 and S3 alleles of the self-incompatibility locus (S locus) in Petunia inflata have been isolated and characterized. Extensive lengths of the flanking regions as well as the coding regions contained in both clones have been sequenced. Both alleles have a single, relatively short intron located within a region of high interallelic variability. Transcription start sites of both alleles have been determined by S1 nuclease mapping, and putative TATA boxes have been identified. Nucleotide sequence comparison of the two alleles shows a high level of diversity in the regions immediately flanking the coding region. Southern analysis demonstrates that this sequence diversity extends beyond the regions which have been sequenced, such that the two clones appear to be completely heterogeneous except for conserved sites within the coding regions of the two alleles. These analyses also reveal the presence of repetitive sequences which are very closely associated with the coding regions of both alleles. The influence of these characteristics on genetic recombination and the maintenance of allelic independence, as well as the organization of the S locus, are discussed.

Alleles↗