1.Expression Trend of Selected Ribosomal Protein Genes in Nasopharyngeal Carcinoma
Xiang-Ru Ma ; Edmund Ui-Hang Sim ; Teck-Yee Ling ; Thung-Sing Tiong ; Selva Kumar Subramaniam ; Alan Soo-Beng Khoo
Malaysian Journal of Medical Sciences 2012;19(4):23-30
Background: Ribosomal proteins are traditionally associated with protein biosynthesis until recent studies that implicated their extraribosomal functions in human diseases and cancers. Our previous studies using GeneFishingTM DEG method and microarray revealed underexpression of three ribosomal protein genes, RPS26, RPS27, and RPL32 in cancer of the nasopharynx. Herein, we investigated the expression pattern and nucleotide sequence integrity of these genes in nasopharyngeal carcinoma to further delineate their involvement in tumourigenesis. The relationship of expression level with clinicopathologic factors was also statistically studied.
Methods: Quantitative Polymerase Chain Reaction was performed on nasopharyngeal carcinoma and their paired normal tissues. Expression and sequence of these three genes were analysed.
Results: All three ribosomal protein genes showed no significant difference in transcript expressions and no association could be established with clinicopathologic factors studied. No nucleotide aberrancy was detected in the coding regions of these genes.
Conclusion: There is no early evidence to substantiate possible involvement of RPS26, RPS27, and RPL32 genes in NPC tumourigenesis.
2.Not all unexplained hypoxia is pulmonary embolism.
Mui Teng CHUA ; Tiong Beng SIM ; Irwani IBRAHIM
Singapore medical journal 2015;56(2):e32-5
Acute myocardial infarction is one of the conditions frequently managed in the emergency department. There are many complications associated with right ventricular infarction, and the incidence of right ventricular infarction associated with inferior myocardial infarction is as high as 51% based on electrocardiographic findings. We herein report the case of a 45-year-old Chinese man with inferior myocardial infarction complicated by right ventricular failure. He had hypoxaemia refractory to supplemental oxygen due to an acute right-to-left shunting through a patent foramen ovale (PFO). He underwent coronary angioplasty and closure of the PFO. It is crucial for the attending physician to consider the presence of a right-to-left shunt when there is persistent uncorrectable hypoxaemia despite maximal oxygen supplementation in the setting of right ventricular infarction, as there are clinical implications and certain clinical managing principles that should be applied.
Angioplasty, Balloon, Coronary
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Electrocardiography
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Foramen Ovale, Patent
;
complications
;
diagnosis
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Heart Failure
;
complications
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Humans
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Hypoxia
;
diagnosis
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Male
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Middle Aged
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Myocardial Infarction
;
complications
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Oxygen
;
therapeutic use
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Pulmonary Embolism
;
complications
;
diagnosis
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Ventricular Dysfunction, Right
;
complications