385 results on '"K. Muralidharan"'
Search Results
352. Atypical Neuropsychiatric Presentation of Addison's Disease: A Case Report.
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Narayan V, Narayanaswamy JC, Krishnakanth M, and Muralidharan K
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- 2008
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353. Baclofen in the management of inhalant withdrawal: a case series.
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Muralidharan K, Rajkumar RP, Mulla U, Nayak RB, and Benegal V
- Abstract
Introduction: Abuse of inhalants and solvents is a significant public health problem. There is no specific treatment for inhalant withdrawal., Objective: To study the effect of baclofen in treating craving and withdrawal symptoms in patients with inhalant dependence., Case Reports: Case studies of 3 young male patients with DSM-IV diagnoses of inhalant dependence treated in an inpatient setting with baclofen are presented. All patients had nonspecific withdrawal symptoms in the form of irritability, insomnia, and craving. Baclofen was given in doses up to 50 mg/day and was continued throughout the period of hospitalization., Discussion: All patients reported significant reduction in withdrawal symptoms within 48 hours of treatment and were free of symptoms for the duration of their hospital stay. One patient continued the medication as an outpatient and has remained abstinent to date. Baclofen was well tolerated by all patients. Our results suggest that baclofen may be an effective treatment modality in this patient population. These effects are possibly due to the agonistic action of baclofen at gamma-aminobutyric acid B receptors in the ventral tegmental area.
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- 2008
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354. Consensus characterization of 16 FMR1 reference materials: a consortium study.
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Amos Wilson J, Pratt VM, Phansalkar A, Muralidharan K, Highsmith WE Jr, Beck JC, Bridgeman S, Courtney EM, Epp L, Ferreira-Gonzalez A, Hjelm NL, Holtegaard LM, Jama MA, Jakupciak JP, Johnson MA, Labrousse P, Lyon E, Prior TW, Richards CS, Richie KL, Roa BB, Rohlfs EM, Sellers T, Sherman SL, Siegrist KA, Silverman LM, Wiszniewska J, and Kalman LV
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- Alleles, Base Sequence, Biological Assay, Blotting, Southern, Cell Line, Female, Humans, Male, Molecular Sequence Data, Reference Standards, Sequence Analysis, DNA, Trinucleotide Repeat Expansion genetics, Consensus, Fragile X Mental Retardation Protein genetics
- Abstract
Fragile X syndrome, which is caused by expansion of a (CGG)(n) repeat in the FMR1 gene, occurs in approximately 1:3500 males and causes mental retardation/behavioral problems. Smaller (CGG)(n) repeat expansions in FMR1, premutations, are associated with premature ovarian failure and fragile X-associated tremor/ataxia syndrome. An FMR1-sizing assay is technically challenging because of high GC content of the (CGG)(n) repeat, the size limitations of conventional PCR, and a lack of reference materials available for test development/validation and routine quality control. The Centers for Disease Control and Prevention and the Association for Molecular Pathology, together with the genetic testing community, have addressed the need for characterized fragile X mutation reference materials by developing characterized DNA samples from 16 cell lines with repeat lengths representing important phenotypic classes and diagnostic cutoffs. The alleles in these materials were characterized by consensus analysis in nine clinical laboratories. The information generated from this study is available on the Centers for Disease Control and Prevention and Coriell Cell Repositories websites. DNA purified from these cell lines is available to the genetics community through the Coriell Cell Repositories. The public availability of these reference materials should help support accurate clinical fragile X syndrome testing.
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- 2008
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355. Development of genomic reference materials for Huntington disease genetic testing.
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Kalman L, Johnson MA, Beck J, Berry-Kravis E, Buller A, Casey B, Feldman GL, Handsfield J, Jakupciak JP, Maragh S, Matteson K, Muralidharan K, Richie KL, Rohlfs EM, Schaefer F, Sellers T, Spector E, and Richards CS
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- Cell Line, Humans, Huntingtin Protein, Nerve Tissue Proteins genetics, Nuclear Proteins genetics, Reference Standards, Repetitive Sequences, Nucleic Acid, Genetic Testing standards, Genome, Human, Huntington Disease diagnosis
- Abstract
Purpose: Diagnostic and predictive testing for Huntington disease requires an accurate measurement of CAG repeats in the HD (IT15) gene. However, precise repeat sizing can be technically challenging, and is complicated by the lack of quality control and reference materials (RM). The aim of this study was to characterize genomic DNA from 14 Huntington cell lines available from the National Institute of General Medical Sciences Human Genetic Cell Repository at the Coriell Cell Repositories for use as reference materials for CAG repeat sizing., Methods: Fourteen Huntington cell lines were selected for study. The alleles in these materials represent a large range of sizes that include important diagnostic cutoffs and allele combinations. The allele measurement study was conducted by ten volunteer laboratories using a variety of polymerase chain reaction-based in-house developed methods and by DNA sequence analysis., Results: The Huntington alleles in the 14 genomic DNA samples range in size from 15 to 100 CAG repeats. There was good agreement among the ten laboratories, and thus, the 95% confidence interval was small for each measurement. The allele size determined by DNA sequence analysis agreed with the laboratory developed tests., Conclusion: These DNA materials, which are available from Coriell Cell Repositories, will facilitate accurate and reliable Huntington genetic testing.
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- 2007
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356. A multicenter study of the frequency and distribution of GJB2 and GJB6 mutations in a large North American cohort.
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Putcha GV, Bejjani BA, Bleoo S, Booker JK, Carey JC, Carson N, Das S, Dempsey MA, Gastier-Foster JM, Greinwald JH Jr, Hoffmann ML, Jeng LJ, Kenna MA, Khababa I, Lilley M, Mao R, Muralidharan K, Otani IM, Rehm HL, Schaefer F, Seltzer WK, Spector EB, Springer MA, Weck KE, Wenstrup RJ, Withrow S, Wu BL, Zariwala MA, and Schrijver I
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- Canada, Connexin 26, Connexin 30, Female, Genetic Diseases, Inborn diagnosis, Genetic Diseases, Inborn ethnology, Hearing Loss diagnosis, Hearing Loss ethnology, Heterozygote, Homozygote, Humans, Infant, Newborn, Longitudinal Studies, Male, Quantitative Trait Loci, United States, Connexins genetics, Gene Frequency, Genetic Diseases, Inborn genetics, Hearing Loss genetics, Mutation
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Purpose: The aim of the study was to determine the actual GJB2 and GJB6 mutation frequencies in North America after several years of generalized testing for autosomal recessive nonsyndromic sensorineural hearing loss to help guide diagnostic testing algorithms, especially in light of molecular diagnostic follow-up to universal newborn hearing screening., Methods: Mutation types, frequencies, ethnic distributions, and genotype-phenotype correlations for GJB2 and GJB6 were assessed in a very large North American cohort., Results: GJB2 variants were identified in 1796 (24.3%) of the 7401 individuals examined, with 399 (5.4%) homozygous and 429 (5.8%) compound heterozygous. GJB6 deletion testing was performed in 12.0% (888/7401) of all cases. The >300-kb deletion was identified in only nine individuals (1.0%), all of whom were compound heterozygous for mutations in GJB2 and GJB6. Among a total of 139 GJB2 variants identified, 53 (38.1%) were previously unreported, presumably representing novel pathogenic or benign variants., Conclusions: The frequency and distribution of sequence changes in GJB2 and GJB6 in North America differ from those previously reported, suggesting a considerable role for loci other than GJB2 and GJB6 in the etiology of autosomal recessive nonsyndromic sensorineural hearing loss, with minimal prevalence of the GJB6 deletion.
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- 2007
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357. Topiramate-induced psychosis in an individual with alcohol dependence: a case report.
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Muralidharan K, Rajkumar RP, Rao SA, and Benegal V
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- 2007
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358. Catatonia as a presenting feature of alcohol withdrawal: a case report.
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Muralidharan K, Rajkumar RP, Ananthapadmanabha Rao S, and Benegal V
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- 2007
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359. Missing in action: teacher and health worker absence in developing countries.
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Chaudhury N, Hammer J, Kremer M, Muralidharan K, and Rogers FH
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- Developing Countries, Humans, Income statistics & numerical data, Observation methods, Randomized Controlled Trials as Topic, Absenteeism, Faculty statistics & numerical data, Health Personnel statistics & numerical data
- Abstract
In this paper, we report results from surveys in which enumerators make unannounced visits to primary schools and health clinics in Bangladesh, Ecuador, India, Indonesia, Peru and Uganda and recorded whether they found teachers and health workers in the facilities.
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- 2006
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360. Molecular diagnosis of Beckwith-Wiedemann syndrome using quantitative methylation-sensitive polymerase chain reaction.
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Coffee B, Muralidharan K, Highsmith WE Jr, Lapunzina P, and Warren ST
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- Chromosomes, Human, Pair 11 chemistry, DNA analysis, Female, Gene Duplication, Humans, Male, Beckwith-Wiedemann Syndrome diagnosis, DNA Methylation, Polymerase Chain Reaction methods
- Abstract
Purpose: Beckwith-Wiedemann Syndrome is caused by defects in imprinted gene expression at 11p15. Currently, quantitative Southern analysis using DNA methylation-sensitive restriction enzymes is used in molecular diagnosis of this syndrome., Methods: We describe a rapid and highly quantitative test for assessing DNA methylation at 11p15 using sodium bisulfite treatment of genomic DNA coupled with quantitative TaqMan methylation-sensitive polymerase chain reaction., Results: TaqMan MSP can assess DNA methylation at both differentially methylated region (DMR)1 and DMR2 at 11p15. In addition, by using TaqMan MSP we were able to determine the parent of origin of a duplication of 11p15 by quantification of both DMR1 and DMR2 DNA methylation., Conclusion: TaqMan MSP method is a robust and rapid method for detecting changes in DNA methylation that compares favorably to the current standard of Southern blot for DNA methylation analysis. Assessment of DMR1 and DMR2 provides the most comprehensive assay for methylation defects in Beckwith Wiedemann Syndrome, accounting for more than 70% of the cases. The advantages of TaqMan MSP are that it requires less DNA and that it is rapid, less labor-intensive, and amenable to high-throughput analysis. Moreover, this approach can be modified to assess DNA methylation changes anywhere in the genome.
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- 2006
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361. Characterization of an unusual deletion of the galactose-1-phosphate uridyl transferase (GALT) gene.
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Coffee B, Hjelm LN, DeLorenzo A, Courtney EM, Yu C, and Muralidharan K
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- Base Sequence, DNA analysis, DNA Breaks, Double-Stranded, DNA Mutational Analysis, Galactosemias enzymology, Gene Frequency, Genotype, Humans, Molecular Sequence Data, Phenotype, Polymerase Chain Reaction, Galactosemias genetics, Gene Deletion, UTP-Hexose-1-Phosphate Uridylyltransferase genetics
- Abstract
Purpose: We previously reported a deletion of the Galactose-1-Phosphate Uridyl Transferase (GALT) gene. This deletion can cause apparent homozygosity for variants located on the opposite allele, potentially resulting in a discrepancy between the biochemical phenotype and the apparent genotype in an individual. The purpose of this study was to determine the deletion breakpoints, allowing the development of a rapid and reliable molecular test for the mutation., Methods: A Polymerase Chain Reaction walking strategy was used to map the 5' and 3' breakpoints. The junction fragment was amplified and sequenced to precisely characterize the deletion breakpoints., Results: The deletion has a bipartite structure involving two large segments of the GALT gene, while retaining a short internal segment of the gene. Molecular characterization allowed the development of a deletion specific Polymerase Chain Reaction-based assay. In 25 individuals who had a biochemical carrier galactosemia phenotype, but tested negative for 8 common GALT gene variants, 3 carried this deletion., Conclusion: This deletion occurs at an appreciable frequency and should be considered when there is a discrepancy between the genotype and biochemical phenotype. Many of the individuals carrying the allele were of Ashkenazi Jewish ancestry suggesting that the deletion may be a common cause of galactosemia in that population.
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- 2006
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362. High energy density materials from azido cyclophosphazenes.
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Muralidharan K, Omotowa BA, Twamley B, Piekarski C, and Shreeve JN
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- Heterocyclic Compounds, 1-Ring chemical synthesis, Hydrogen Bonding, Models, Chemical, Models, Molecular, Molecular Structure, Organophosphorus Compounds chemical synthesis, Azides chemistry, Heterocyclic Compounds, 1-Ring chemistry, Organophosphorus Compounds chemistry, Thermodynamics
- Abstract
Azido substituted cyclophosphazenes were prepared and their standard heats of formation were calculated based on experimentally determined heats of combustion.
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- 2005
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363. Genetically characterized positive control cell lines derived from residual clinical blood samples.
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Bernacki SH, Beck JC, Stankovic AK, Williams LO, Amos J, Snow-Bailey K, Farkas DH, Friez MJ, Hantash FM, Matteson KJ, Monaghan KG, Muralidharan K, Pratt VM, Prior TW, Richie KL, Levin BC, Rohlfs EM, Schaefer FV, Shrimpton AE, Spector EB, Stolle CA, Strom CM, Thibodeau SN, Cole EC, Goodman BK, and Stenzel TT
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- Genetic Diseases, Inborn diagnosis, Humans, Laboratories, Molecular Biology, Mutation, Point Mutation, Sequence Deletion, Blood Specimen Collection, Cell Line, Transformed, Genetic Testing methods, Herpesvirus 4, Human, Lymphocytes cytology
- Abstract
Background: Positive control materials for clinical diagnostic molecular genetic testing are in critically short supply. High-quality DNA that closely resembles DNA isolated from patient specimens can be obtained from Epstein-Barr virus (EBV)-transformed peripheral blood lymphocyte cell lines. Here we report the development of a process to (a) recover residual blood samples with clinically important mutations detected during routine medical care, (b) select samples likely to provide viable lymphocytes for EBV transformation, (c) establish stable cell lines and confirm the reported mutation(s), and (d) validate the cell lines for use as positive controls in clinical molecular genetic testing applications., Methods: A network of 32 genetic testing laboratories was established to obtain anonymous, residual clinical samples for transformation and to validate resulting cell lines for use as positive controls. Three panel meetings with experts in molecular genetic testing were held to evaluate results and formulate a process that could function in the context of current common practices in molecular diagnostic testing., Results: Thirteen laboratories submitted a total of 113 residual clinical blood samples with mutations for 14 genetic disorders. Forty-one EBV-transformed cell lines were established. Thirty-five individual point and deletion mutations were shown to be stable after 20 population doublings in culture. Thirty-three cell lines were characterized for specific mutations and validated for use as positive controls in clinical diagnostic applications., Conclusions: A process for producing and validating positive control cell lines from residual clinical blood samples has been developed. Sustainable implementation of the process could help alleviate the current shortage of positive control materials.
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- 2005
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364. Characterization of publicly available lymphoblastoid cell lines for disease-associated mutations in 11 genes.
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Bernacki SH, Beck JC, Muralidharan K, Schaefer FV, Shrimpton AE, Richie KL, Levin BC, Pont-Kingdon G, and Stenzel TT
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- Biological Specimen Banks, Herpesvirus 4, Human genetics, Humans, Lymphocytes cytology, National Institutes of Health (U.S.), Reference Standards, United States, Cell Line, Transformed, Genetic Diseases, Inborn genetics, Lymphocytes metabolism, Mutation
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- 2005
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365. Preparation of the first examples of ansa-spiro substituted fluorophosphazenes and their structural studies: analysis of C-H...F-P weak interactions in substituted fluorophosphazenes.
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Muralidharan K and Elias AJ
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The reactions of fluorophosphazenes, endo ansa FcCH(2)P(S)(CH(2)O)(2)[P(F)N](2)(F(2)PN) (1) (Fc = ferrocenyl) and spiro [RCH(2)P(S)(CH(2)O)(2)PN](F(2)PN)(2) (R = Fc (2), C(6)H(5) (3)], with dilithiated diols have been explored. The study resulted in the formation of the first examples of ansa-spiro substituted fluorinated cyclophosphazenes as well as a bisansa substituted fluorophosphazene. The bisansa compound [1,3-[FcCH(2)P(S)(CH(2)O)(2)]][1,5-[CH(2)(CH(2)O)(2)]]N(3)P(3)F(2) (4) was found to be nongeminaly substituted with both the ansa rings in cis configuration, which is in stark contrast to the observations on cyclic chlorophosphazenes where geminal bisansa formation has been observed. The ansa-spiro compounds (5-7) underwent the ansa to spiro transformation leading to dispiro compounds in the presence of catalytic amounts of CsF at room temperature. Two of the ansa-spiro compounds, endo-[3,5-[FcCH(2)P(S)(CH(2)O)(2)]][1,1-[CH(2)(CH(2)O)(2)]]N(3)P(3)F(2) (5) and endo-[3,5-[FcCH(2)P(S)(CH(2)O)(2)]][1,1-[FcCH(2)P(S)(CH(2)O)(2)]]N(3)P(3)F(2) (6), were structurally characterized, and the crystal structures indicate boat-chair conformation as well as crown conformation for the eight-membered ansa rings. Weak C-H.F-P interactions observed in the crystal structures of the ansa-spiro substituted fluorophosphazene derivatives have been analyzed and compared with C-H.F-P interactions of other fluorinated phosphazenes and thionyl phosphazenes.
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- 2003
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366. Ansa versus spiro substitution of cyclophosphazenes: is fluorination essential for ansa to spiro transformation of cyclophosphazenes?
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Muralidharan K, Venugopalan P, and Elias AJ
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Fluorinated ansa substituted cyclophosphazenes endo-FcCH(2)P(S)(CH(2)O)(2)[P(F)N](2)(F(2)PN) [Fc = ferrocenyl] (1) and exo-FcCH(2)P(S)(CH(2)O)(2)[P(F)N](2)(F(2)PN) (2) readily transform to the spirocyclic compound [FcCH(2)P(S)(CH(2)O)(2)PN](F(2)PN)(2) (3) not only in the presence of CsF but also with non-fluorinated bases such as Cs(2)CO(3), K(2)CO(3), KOBu(t), Et(3)N, DABCO, DBN, and DBU. The analogous tetrachloro ansa compound exo-FcCH(2)P(S)(CH(2)O)(2)[P(Cl)N](2)(Cl(2)PN) (5), however, did not transform to the chlorinated spiro compound (6) in the presence of these bases. With excess of CsF, P-Cl bonds of 5 were found to undergo fluorination leading to the formation of 2, which transformed to spirocyclic compound 3. Time dependent (31)P NMR spectroscopy was used to monitor this transformation. Crystal structure studies on the ansa substituted compounds 4 and 5 have shown weak bonding interactions involving C-H...Cl, C-H...O, and C-H...S interactions.
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- 2003
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367. Molecular detection of galactosemia mutations by PCR-ELISA.
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Muralidharan K and Zhang W
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- Amino Acid Substitution, Base Sequence, Enzyme-Linked Immunosorbent Assay methods, Humans, Oligonucleotide Probes, Polymerase Chain Reaction methods, Galactosemias diagnosis, Galactosemias genetics, Mutation, UTP-Hexose-1-Phosphate Uridylyltransferase genetics
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- 2003
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368. Detection of mitochondrial DNA mutations associated with leber hereditary optic neuropathy.
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Muralidharan K
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- DNA blood, DNA genetics, DNA isolation & purification, Electrophoresis, Agar Gel methods, Female, Genomic Imprinting, Humans, Indicators and Reagents, Polymerase Chain Reaction methods, Restriction Mapping methods, DNA, Mitochondrial genetics, Mutation, Optic Atrophy, Hereditary, Leber genetics
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- 2003
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369. Phylogeography of the asian elephant (Elephas maximus) based on mitochondrial DNA.
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Fleischer RC, Perry EA, Muralidharan K, Stevens EE, and Wemmer CM
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- Animals, Asia, Calibration, Cytochrome b Group genetics, Evolution, Molecular, Geography, Reproducibility of Results, DNA, Mitochondrial genetics, Elephants classification, Elephants genetics, Phylogeny
- Abstract
Populations of the Asian elephant (Elephas maximus) have been reduced in size and become highly fragmented during the past 3,000 to 4,000 years. Historical records reveal elephant dispersal by humans via trade and war. How have these anthropogenic impacts affected genetic variation and structure of Asian elephant populations? We sequenced mitochondrial DNA (mtDNA) to assay genetic variation and phylogeography across much of the Asian elephant's range. Initially we compare cytochrome b sequences (cyt b) between nine Asian and five African elephants and use the fossil-based age of their separation (approximately 5 million years ago) to obtain a rate of about 0.013 (95% CI = 0.011-0.018) corrected sequence divergence per million years. We also assess variation in part of the mtDNA control region (CR) and adjacent tRNA genes in 57 Asian elephants from seven countries (Sri Lanka, India, Nepal, Myanmar, Thailand, Malaysia, and Indonesia). Asian elephants have typical levels of mtDNA variation, and coalescence analyses suggest their populations were growing in the late Pleistocene. Reconstructed phylogenies reveal two major clades (A and B) differing on average by HKY85/gamma-corrected distances of 0.020 for cyt b and 0.050 for the CR segment (corresponding to a coalescence time based on our cyt b rate of approximately 1.2 million years). Individuals of both major clades exist in all locations but Indonesia and Malaysia. Most elephants from Malaysia and all from Indonesia are in well-supported, basal clades within clade A. thus supporting their status as evolutionarily significant units (ESUs). The proportion of clade A individuals decreases to the north, which could result from retention and subsequent loss of ancient lineages in long-term stable populations or, perhaps more likely, via recent mixing of two expanding populations that were isolated in the mid-Pleistocene. The distribution of clade A individuals appears to have been impacted by human trade in elephants among Myanmar, Sri Lanka, and India, and the subspecies and ESU statuses of Sri Lankan elephants are not supported by molecular data.
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- 2001
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370. Syntheses of novel exo and endo isomers of ansa-substituted fluorophosphazenes and their facile transformations into spiro isomers in the presence of fluoride ions.
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Muralidharan K, Reddy ND, and Elias AJ
- Abstract
Reactions of the dilithiated diols RCH2P(S)(CH2OLi)2 [R = Fc (1), Ph (2) (Fc = ferrocenyl)] with N3P3F6 in equimolar ratios at -80 degrees C result exclusively in the formation of two structural isomers of ansa-substituted compounds, endo-RCH2P(S)(CH2O)2[P(F)N]2(F2PN) [R = Fc (3a), Ph (4a)] and exo-RCH2P(S)(CH2O)2[P(F)N]2(F2PN) [R = Fc (3b), Ph (4b)], which are separated by column chromatography. Increasing the reaction temperature to -40 degrees C results in more of the exo isomers 3b and 4b at the expense of the endo isomers. The formation of the ansa-substituted compounds is found to depend on the dilithiation of the diols, as a reaction of the silylated phosphine sulfide FcCH2P(S)(CH2OSiMe3)2 (5) with N3P3F6 in the presence of CsF does not yield either 3a or 3b but instead gives the spiro isomer [FcCH2P(S)(CH2O)2 PN](F2PN)2 (6) as the disubstitution product of N3P3F6. The ansa isomers 3a and 3b are transformed into the spiro compound 6 in the presence of catalytic amounts of CsF at room temperature in THF, while 4a and 4b are transformed into the spiro compound [PhCH2P(S)(CH2O)2PN](F2PN)2 (7) under similar conditions. The novel conversions of ansa-substituted phosphazenes into spirocyclic phosphazenes were monitored by time-dependent 31P NMR spectroscopy. The effect of temperature on a transformation was studied by carrying out reactions at various temperatures in the range from -60 to +33 degrees C for 3b. In addition, compounds 3a, 3b, 4a, and 6 were structurally characterized. In the case of the ansa compounds, the nitrogen atom flanked by the bridging phosphorus sites was found to deviate significantly from the plane defined by the five remaining atoms of the phosphazene ring.
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- 2000
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371. Urine and plasma galactitol in patients with galactose-1-phosphate uridyltransferase deficiency galactosemia.
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Palmieri M, Mazur A, Berry GT, Ning C, Wehrli S, Yager C, Reynolds R, Singh R, Muralidharan K, Langley S, Elsas L 2nd, and Segal S
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- Adolescent, Age Factors, Amino Acid Substitution, Black People, Child, Child, Preschool, Codon, Terminator, Galactitol urine, Galactosemias blood, Galactosemias urine, Genotype, Humans, Infant, Infant, Newborn, Reference Values, UTP-Hexose-1-Phosphate Uridylyltransferase deficiency, United States, White People, Black or African American, Galactitol blood, Galactosemias genetics, Point Mutation, Sequence Deletion, UTP-Hexose-1-Phosphate Uridylyltransferase genetics
- Abstract
Urinary excretion of galactitol was determined in 95 normals (N/N), 67 galactosemic (G/G), and 39 compound heterozygotes for the Duarte and galactosemia genotype (D/G). Galactitol excretion is age-dependent in both normal individuals and patients with classic galactosemia on lactose-restricted diets. In galactosemic patients who are homozygous for the Q188R mutation, urinary galactitol levels were fivefold to 10-fold higher than those of normal subjects of comparable age. All but a few patients with classic galactosemia with the Q188R mutation and another mutant G allele had urinary excretion comparable to the Q188R homozygous patients. African-American galactosemic patients with the S135L mutation of the galactose-1-phosphate uridyltransferase (GALT) gene also excreted abnormal quantities of galactitol. Most subjects with a Duarte allele and a G allele excrete normal amounts of the sugar alcohol. There is a correlation between galactitol excretion and red blood cell (RBC) galactose-1-phosphate (gal-1-P). Plasma galactitol was also elevated in galactosemic patients (3.4 to 23.2 micromol/L; undetectable in normal individuals). In contrast to the decrease in urinary galactitol with age, plasma levels remain in a narrow concentration range with no significant difference with age. Urine and plasma galactitol distinguish galactosemic patients from normals. In addition, urinary galactitol excretion may be an important parameter for the assessment of steady-state galactose metabolism in galactosemia.
- Published
- 1999
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372. Evidence that microdeletions in the alpha globin gene protect against the development of sickle cell glomerulopathy in humans.
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Guasch A, Zayas CF, Eckman JR, Muralidharan K, Zhang W, and Elsas LJ
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- Adult, Albuminuria epidemiology, Albuminuria etiology, Anemia, Sickle Cell blood, Erythrocyte Indices, Female, Genetic Markers, Haplotypes physiology, Humans, Male, Middle Aged, Multigene Family genetics, Prevalence, Anemia, Sickle Cell complications, Gene Deletion, Globins genetics, Kidney Diseases genetics, Kidney Diseases prevention & control, Kidney Glomerulus
- Abstract
There is a large variability in the severity of the clinical manifestations of sickle cell anemia (SSA), including renal involvement. Haplotypes in the beta-globin gene cluster associated with the geographical origin of the sickle mutation, as well as microdeletions in the alpha-globin genes, could provide an epigenetic influence on the heterogeneous outcome in SSA. It has been determined that the cause of progressive renal insufficiency in SSA is a glomerulopathy, clinically detected by the presence of macroalbuminuria (albumin excretion rate >300 mg/g creatinine). To investigate the role of the alpha-globin gene microdeletion and beta-globin gene cluster haplotypes on the degree of glomerular involvement, 76 adult SSA patients (hemoglobin SS) were studied to determine the relationship between these genetic markers and the development of sickle cell glomerulopathy. Macroalbuminuria was present in 22 (29%) of 76 adult SSA patients. The coinheritance of microdeletions in one or two of the four alpha-globin genes (alpha-thalassemia) was associated with a lower prevalence of macroalbuminuria (13%) versus patients with intact alpha-globin genes (40%, P = 0.01). By contrast, there was no association between albuminuria and beta-globin gene haplotypes (Central African Republic [CAR] versus non-CAR haplotypes). Patients with alpha-globin gene microdeletions had lower mean corpuscular volumes and mean corpuscular hemoglobin concentration than patients with all four alpha genes (86+/-2 versus 99+/-3 fl, and 33.9+/-0.2 versus 34.9+/-0.2%, respectively, P<0.05). There were no such hematologic differences between CAR and non-CAR beta-globin haplotypes. There were no differences in duration of disease (age), hemoglobin levels, reticulocyte index, and lactate dehydrogenase levels between those with and without glomerulopathy, but the mean arterial pressure was higher (87+/-1 mm Hg) in patients with intact alpha gene locus versus those with microdeletions (80+/-2 mm Hg, P<0.05). It is concluded that the coinheritance of microdeletions in the alpha-globin gene locus in SSA patients confers "renoprotection" by mechanisms not related to the degree of anemia or the severity of hemolysis, but could be related to a reduced mean corpuscular volume or to a lower erythrocyte hemoglobin concentration.
- Published
- 1999
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373. Gender verification at the centennial Olympic games.
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Elsas LJ, Hayes RP, and Muralidharan K
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- Female, Georgia, Humans, International Cooperation, Male, Sex Determination Analysis, Sports
- Published
- 1997
374. Production of congenic mouse strains carrying NOD-derived diabetogenic genetic intervals: an approach for the genetic dissection of complex traits.
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Yui MA, Muralidharan K, Moreno-Altamirano B, Perrin G, Chestnut K, and Wakeland EK
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- Animals, Chromosome Mapping, Disease Susceptibility, Female, Male, Mice, Mice, Inbred C57BL, Pancreas pathology, Phenotype, Crosses, Genetic, Diabetes Mellitus, Type 1 genetics, Disease Models, Animal, Mice, Inbred NOD genetics
- Abstract
Insulin-dependent (Type 1) diabetes (IDD) in the NOD mouse is inherited as a complex polygenic trait making the identification of susceptibility genes difficult. Currently none of the non-MHC IDD susceptibility genes in NOD have been identified. In this paper we describe the congenic mouse approach that we are using for the dissection of complex traits, such as IDD. We produced a series of six congenic strains carrying NOD-derived diabetogenic genomic intervals, which were previously identified by linkage analysis, on a resistant background. These congenic strains were produced for the purpose of characterizing the function of each of these genes, alone and in combinations, in IDD pathogenesis and to allow fine mapping of the NOD IDD susceptibility genes. Histological examination of pancreata from 6 to 8-month-old congenic mice reveals that intervals on Chromosomes (Chrs) 1 and 17, but not 3, 6, and 11, contain NOD-derived genes that can increase the trafficking of mononuclear cells into the pancreas. Insulitis was observed only very rarely, even in older congenic mice, indicating that multiple genes are required for this phenotype. These results demonstrate the utility of this congenic approach for the study of complex genetic traits.
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- 1996
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375. Unique mosaicism of tetraploidy and trisomy 8: clinical, cytogenetic, and molecular findings in a live-born infant.
- Author
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Roberts HE, Saxe DF, Muralidharan K, Coleman KB, Zacharias JF, and Fernhoff PM
- Subjects
- Adult, Face abnormalities, Female, Humans, Infant, Male, Trisomy, Abnormalities, Multiple genetics, Chromosomes, Human, Pair 8, Mosaicism, Polyploidy
- Abstract
We report on a live-born infant with mosaicism of tetraploidy and trisomy 8 who had craniofacial abnormalities, cardiac and genitourinary defects, agenesis of the corpus callosum, and anomalies of limbs. The infant died at age 14 weeks. Molecular studies were done on peripheral blood lymphocytes and cultured amniocytes to determine the origin of the cytogenetic abnormalities. On the basis of the results, we describe a possible mechanism to explain these abnormalities. To our knowledge, this infant represents the first reported case of mosaic trisomy 8 with a tetraploid cell line.
- Published
- 1996
- Full Text
- View/download PDF
376. Asplenia syndrome in a child with a balanced reciprocal translocation of chromosomes 11 and 20 [46,XX,t(11;20)(q13.1;q13.13)].
- Author
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Freeman SB, Muralidharan K, Pettay D, Blackston RD, and May KM
- Subjects
- Adult, Child, Female, Humans, Male, Pedigree, Syndrome, Abnormalities, Multiple genetics, Chromosomes, Human, Pair 11, Chromosomes, Human, Pair 20, Translocation, Genetic
- Abstract
We present a 6-year-old girl with a balanced 11;20 translocation [46,XX,t(11;20)(q13.1;q13.13)pat], asplenia, pulmonic stenosis, Hirschsprung disease, minor anomalies, and mental retardation. This case represents the second report of an individual with situs abnormalities and a balanced chromosome rearrangement involving a breakpoint at 11q13. Polymerase chain reaction (PCR) analysis of microsatellite markers excluded uniparental disomy for chromosomes 11 and 20. Segregation analysis of markers in the 11q13 region in the proposita and her phenotypically normal carrier sibs did not show a unique combination of maternal and paternal alleles in the patient. We discuss several possible explanations for the simultaneous occurrence of situs abnormalities and a balanced 11;20 translocation. These include (1) chance, (2) a further chromosome rearrangement in the patient, (3) gene disruption and random situs determination, and (4) gene disruption plus transmission of a recessive or imprinted allele from the mother.
- Published
- 1996
- Full Text
- View/download PDF
377. Transporting and storing field-collected specimens for DNA without refrigeration for subsequent DNA extraction and analysis.
- Author
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Muralidharan K and Wemmer C
- Subjects
- Blood Preservation, Humans, Polymerase Chain Reaction, Refrigeration, Tissue Preservation, Transportation, DNA isolation & purification
- Published
- 1994
378. Concentration of primer and template qualitatively affects products in random-amplified polymorphic DNA PCR.
- Author
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Muralidharan K and Wakeland EK
- Subjects
- Animals, Biotechnology, DNA isolation & purification, Gene Amplification, Mice, Mice, Inbred C57BL, Mice, Inbred NOD, Polymorphism, Genetic, DNA genetics, Polymerase Chain Reaction methods
- Published
- 1993
379. Characterizations of candidate genes for IDD susceptibility from the diabetes-prone NOD mouse strain.
- Author
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Chesnut K, She JX, Cheng I, Muralidharan K, and Wakeland EK
- Subjects
- Alleles, Amino Acid Sequence, Animals, Base Sequence, Chromosome Mapping, Crosses, Genetic, DNA, Exons, Genetic Predisposition to Disease, Genetic Variation, Mice, Mice, Inbred C57BL, Mice, Inbred NOD, Molecular Sequence Data, Polymorphism, Genetic, Diabetes Mellitus, Type 1 genetics
- Abstract
The nucleotide sequences of the NOD and C57BL/6J alleles of Glut-2, Sod-2, and Il-2 were determined by RT-PCR sequencing. Each of these loci is located in intervals that strongly correlated with susceptibility to diabetes in an (NOD/Uf x C57BL/6J)F1 x NOD/Uf backcross. No significant variations in the alleles of Glut-2 at 16 cM on Chromosome (Chr) 3 or Sod-2 at 8 cM on Chr 17 were detected. However, the Il-2 allele in NOD at 20 cM on Chr 3 was found to differ from that in C57BL/6J by a complex mutation involving the contraction of a simple sequence repeat (SSR). Il-2 in NOD differs from the allele in C57BL/6J via a complex mutation involving a deletion of four CAG codons from the SSR together with a length-compensatory four-codon duplication of a segment 5' from the SSR. Two nonsynonymous mutations in the coding region 5' to the SSR were also detected. Only these two allelic forms of Il-2 were detected in a survey of 13 standard inbred lines and 4 wild mouse strains. We propose to designate these alleles as Il-2a (for alleles such as C57BL/6J that contain 12 CAG repeats) and Il-2b (for alleles such as NOD), which occurred in a variety of standard inbred strains and in all four wild Mus musculus domesticus tested. The distribution of these Il-2 alleles among inbred strains correlated with the detection of Chr 3 as an interval effecting diabetes susceptibility in three separate genetic crosses.(ABSTRACT TRUNCATED AT 250 WORDS)
- Published
- 1993
- Full Text
- View/download PDF
380. Differences in synthesis of membrane proteins by leukemic cells from spleen and peripheral blood indicate distinct subsets of malignant cells in a patient with prolymphocytic leukemia.
- Author
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Spiro RC, Ansell J, Katayama I, Muralidharan K, Sullivan JL, and Humphreys RE
- Subjects
- Aged, Blood Cells ultrastructure, Cells, Cultured, Electrophoresis, Polyacrylamide Gel, Humans, Immunoglobulin M, Leukemia, Lymphoid blood, Leukemia, Lymphoid immunology, Lymph Nodes immunology, Male, Molecular Weight, Blood Cells cytology, Cell Transformation, Neoplastic classification, Membrane Proteins biosynthesis, Spleen cytology
- Abstract
Morphological and biochemical differences were demonstrated between prolymphocytic leukemia cells obtained from the spleen and peripheral blood of one patient. Peripheral blood prolymphocytes had consistently smaller nuclear-cytoplasmic ratios than did splenic prolymphocytes. Percoll gradient-purified prolymphocytes from the spleen synthesized abundant amounts of some membrane proteins which were hardly expressed by peripheral blood prolymphocytes. Peripheral blood prolymphocytes did not change their expression of membrane proteins during three days in culture. These findings are consistent with the view that prolymphocytic leukemia cells from the spleen exist, on the average, at an earlier stage of differentiation than do circulating leukemic cells, and that peripheral blood leukemic cells are frozen at a specific phase of differentiation.
- Published
- 1981
- Full Text
- View/download PDF
381. Diverse familial malignant tumors and Epstein-Barr virus.
- Author
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Purtilo DT, Liao SA, Sakamoto K, Snyder LM, DeFlorio D Jr, Bhawan J, Paquin L, Yang JP, Hutt-Fletcher LM, Muralidharan K, Raffa P, Saemundsen AK, and Klein G
- Subjects
- Adenocarcinoma genetics, Adenoma genetics, Adolescent, Adult, Animals, Child, Female, Glioblastoma genetics, Glioblastoma microbiology, Humans, Lymphoma genetics, Male, Middle Aged, Neoplasms microbiology, Pedigree, Recurrence, Thymoma genetics, Tumor Virus Infections immunology, Antibodies, Viral analysis, Herpesvirus 4, Human immunology, IgA Deficiency, Neoplasms genetics
- Abstract
Continued monitoring of a family for new malignant tumors has revealed diverse immunological and neoplastic disorders during a 15-year period. In 1966, the proband developed lymphoma. In 1975, his antibody titers to Epstein-Barr virus (EBV) became elevated, and again, he developed a malignant lymphoma. He also had borderline hypo-immunoglobulin A, died of glioblastoma multiforme in 1977, and at autopsy, had adenomatous colonic polyps. His eldest brother has normal immunoglobulin levels, but developed immune thrombocytopenia in 1973 and had elevated EBV antibody titers in 1980. Another brother had hypo-immunoglobulin A, thymoma in 1965, and adenomas and adenocarcinoma of the colon. Two other brothers succumbed to glioblastoma in 1968 and 1969. The father of the proband had bronchiectasis in 1952, hypo-immunoglobulin M documented in 1972, and elevated EBV antibody titers 5 years preceding development of a malignant lymphoma. The latter contained 10 EBV genome equivalents/cell by EBV viral DNA/DNA reassociation kinetics analysis. The proband's grandmother had died of an immunoglobulin G-secreting myeloma in 1977, and his grandfather had borderline low immunoglobulin M, elevated EBV antibody titers, and hypopharyngeal carcinoma in 1980. Predisposition to oncogenesis in this family was probably inherited.
- Published
- 1981
382. The control mechanism of opacity protein expression in the pathogenic Neisseriae.
- Author
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Muralidharan K, Stern A, and Meyer TF
- Subjects
- Base Sequence, DNA, Bacterial genetics, Molecular Sequence Data, Nucleic Acid Hybridization, Protein Biosynthesis, Protein Sorting Signals genetics, RNA, Messenger genetics, Repetitive Sequences, Nucleic Acid, Transcription, Genetic, Antigens, Bacterial genetics, Bacterial Outer Membrane Proteins genetics, Gene Expression Regulation, Genes, Bacterial, Neisseria gonorrhoeae genetics
- Abstract
The expression of Neisseria gonorrhoeae opacity protein shows frequent phase transitions. The genome contains at least twelve copies of the opa gene. Each copy is complete and different from most of the others in certain hypervariable regions. All opa genes are constitutively transcribed. Part of the leader peptide of all Op's is encoded by repetitive CTTCT pentameric units, the so-called coding repeat (CR). The number of repeat units found in the genes and mRNA is subject to frequent and precise changes. Such changes affect the expression of individual opa genes at the translational level. This control mechanism is common also to the class 5 proteins of N. meningitidis and the Op-related proteins of N. lactamica.
- Published
- 1987
- Full Text
- View/download PDF
383. Surface proteins of pathogenic "Neisseria": antigenic variation and conserved epitopes.
- Author
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Meyer TF, Haas R, Stern A, Fiedler H, Frosch M, Jähnig F, Muralidharan K, and Veit S
- Subjects
- Antigenic Variation, Antigens, Surface immunology, Bacterial Proteins immunology, Epitopes immunology, Neisseria genetics, Neisseria gonorrhoeae immunology, Neisseria meningitidis immunology, Antigens, Bacterial immunology, Neisseria immunology
- Published
- 1986
384. Evidence from mitochondrial DNA that African honey bees spread as continuous maternal lineages.
- Author
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Hall HG and Muralidharan K
- Subjects
- Animals, Breeding, Polymorphism, Restriction Fragment Length, Bees genetics, DNA, Mitochondrial, Gene Frequency
- Abstract
African honey bees have populated much of South and Central America and will soon enter the United States. The mechanism by which they have spread is controversial. Africanization may be largely the result of paternal gene flow into extant European populations or, alternatively, of maternal migration of feral swarms that have maintained an African genetic integrity. We have been using both mitochondrial and nuclear DNA restriction fragment length polymorphisms to follow the population dynamics between European and African bees. In earlier reports, we suggested that if African honey bees had distinctive mitochondrial (mt) DNA, then it could potentially distinguish the relative contributions of swarming and mating to the Africanization process. Because mtDNA is maternally inherited, it would not be transmitted by mating drones and only transported by queens accompanying swarms. Furthermore, the presence of African mtDNA would reflect unbroken maternal lineages from the original bees introduced from Africa. The value of mtDNA for population studies in general has been reviewed recently. Here we report that 19 feral swarms, randomly caught in Mexico, all carried African mtDNA. Thus, the migrating force of the African honey bee in the American tropics consists of continuous African maternal lineages spreading as swarms. The mating of African drones to European queens seems to contribute little to African bee migration.
- Published
- 1989
- Full Text
- View/download PDF
385. Disseminated aspergillosis (a case report).
- Author
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Sankaran K, Muralidharan K, Gupta GD, and Sankaran V
- Subjects
- Aspergillosis etiology, Humans, Liver Abscess, Amebic complications, Liver Abscess, Amebic etiology, Liver Diseases, Alcoholic complications, Male, Middle Aged, Aspergillosis pathology, Liver Abscess, Amebic pathology
- Published
- 1981
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