1.Technology Advancement Enabling the Link of Gut Microbiota with Obesity and Metabolic Disorder
Hartini Yusof ; Mohamad Shafiq Aazmi ; Ili Ng Abdullah ; Teh Lay Kek ; Aminuddin Ahmad ; Mazlifah Omar ; Thuhairah Rahman ; Mohd Zaki Salleh
Malaysian Journal of Health Sciences 2015;13(1):77-91
Obesity is a growing epidemic due to an accelerated phase of industrialization and urbanization with the overfed people
now outnumbered the underfed. It is the major public health problem with a lot of research interest as it is associated
with many complicated chronic disorders such as type-2 diabetes, cardiovascular diseases (CVD) and cancers. A global
estimation of 2.8 million deaths per year is due to obesity and there are tremendous on-going efforts to identify hosts
and environmental factors that infl uence the cause and pathogenesis of obesity. Concerted efforts from different research
groups had successfully shown that obese subjects have altered composition of gut microbiota and transplantation of this
microbiota infl uences body weight in the germ-free recipient mice. The advancement of technology had made possible
the study of gut microbiota which was unculturable for better understanding of their impact to human health. Rapid
deep sequencing of DNA at reasonable cost through various options of platforms followed by data analysis using robust
bioinformatic tools are an important way of analysing the gut microbiome. Here we review the role of gut microbiota
which modulates host’s metabolic functions and gene expression, facilitating the extraction and storage of energy from the
ingested dietary substances and leading to body-weight gain. We will discuss on the different techniques used, focusing
on the high-defi nition technologies for the determination of the composition, function and ecology of gut microbiota. This
allows the appropriate selection of platform which becomes the key for success of subsequent research.
Obesity
2.Hepatitis B virus infection: Epidemiology and seroprevalence rate amongst Negrito tribe in Malaysia
Noraziah Sahlan ; Fadzilah Mohd Nor ; Azdayanti Muslim ; Syahrul Azlin Shaari ; Thuhairah Hasrah Abdul Rahman ; Hoh Boon Peng
The Medical Journal of Malaysia 2019;74(4):320-325
Introduction: Prevalence of Hepatitis B virus (HBV) infection
among the non-indigenous people in Malaysia has been well
established and range between 3% and 5%. However, data
from the indigenous (Orang Asli) people is still lacking. The
Negrito population is the most remotely located Orang Asli
tribe with limited access to health care facilities. This study
was undertaken to determine the epidemiology and
seroprevalence of HBV infection among the Negrito.
Methods: Surveys were conducted in five Negrito
settlements in Kelantan and Perak states in Malaysia. A total
of 150 participants were recruited. Clinical history was taken
and physical examination was performed. Five millilitres of
whole blood were collected and tested for hepatitis B
surface antigen (HBsAg) using electrochemiluminescence
immunoassay.
Results: Participants were mainly from the Bateq (49.3%)
and Mendriq (29.4%) sub-tribes. Overall, 13 subjects (8.7 %);
nine males and four females were HBsAg positive. Nine of
the HBsAg positive subjects were ≥35 years old. All of them
had history of home deliver without evidence of antenatal
record. Six (46%) of the HBsAg positive subjects had tattoo
and body piercing in the past.
Conclusion: The prevalence of HBV infection rate amongst
the Negrito tribe is almost three-fold compared to the
national rates. The reason for this finding remains unclear.
Tattooing, body piercing and vertical transmission could be
the main possible routes of transmission of HBV among the
Negrito population in Malaysia.