15 results on '"R Tejaswi"'
Search Results
2. Design and Development of Modular Customised Ration Storage System Silo for Service Specific Applications during Peak Winters at High Altitude Area
- Author
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Yadav, Dev Kumar, primary, Sharma, Rakesh Kumar, primary, Wadikar, D. D., primary, R., Tejaswi, primary, and Semwal, A. D., primary
- Published
- 2022
- Full Text
- View/download PDF
3. Genotypic evaluation of crossandra (Crossandra infundibuliformis L.) under coastal region conditions of Andhra Pradesh
- Author
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G Aditya, R Tejaswi, and Z. Salma
- Subjects
Spike length ,Horticulture ,Crossandra infundibuliformis ,biology ,Dry weight ,Crossandra ,Fresh weight ,Genotype ,Randomized block design ,biology.organism_classification - Abstract
The present research work was carried out during the year 2017-18 at College of Horticulture, Dr. Y.S.R Horticultural University, Venkataramannagudem, West Godavari district of Andhra Pradesh. The experiment consisted of 10 crossandra genotypes, laid out in randomized block design with three replications under open conditions. The observations were recorded on various parameters in which the genotype Arka Shravya exhibited superiority in parameters like plant spread (1407.53 cm2), number of leaves (241.24), Fresh weight of plant (80.83 g), Dry weight of plant (20.21 g), flowering duration of spike (26.33 days), rachis length (12.77 cm) and flower yield per sq. meter (1448.01) whereas, Arka kanaka showed the more spike length (20.90 cm) and longevity of flowers on plants 4.33 days while, Arka Shreeya found to be largest in flower size (8.87 cm) as compared to check and other genotypes.
- Published
- 2020
- Full Text
- View/download PDF
4. Quad-LED Complex Modulation (QCM) for Visible Light Wireless Communication.
- Author
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R. Tejaswi, T. Lakshmi Narasimhan, and A. Chockalingam
- Published
- 2015
5. Case Study on Management of T.B Meningitis
- Author
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D.R, Brahma Reddy, primary, V, Satyanarayana, additional, M, Bhavani, additional, M, Suresh Kumar, additional, R, Tejaswi, additional, and S, Sharon, additional
- Published
- 2018
- Full Text
- View/download PDF
6. Prevalence of KRAS mutations in metastatic colorectal cancer: A retrospective observational study from India
- Author
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BS Kumar, H P Shashidhara, Rao, A Gangoli, Shivanand Patil, Ravi B Diwakar, Shilpa Prabhudesai, C T Satheesh, J Dixit, Diganta Hazarika, R Tejaswi, S Kakara, Vidya H Veldore, N Krishnamoorthy, KS Gopinath, Shamir Rahman, Radheshyam Naik, Subhrendu K. Pattanayak, and Tejaswini Bn
- Subjects
Neuroblastoma RAS viral oncogene homolog ,Adult ,Male ,Pathology ,medicine.medical_specialty ,Mutation rate ,Colorectal cancer ,India ,medicine.disease_cause ,Proto-Oncogene Proteins p21(ras) ,Mutation Rate ,medicine ,Panitumumab ,Humans ,Molecular Targeted Therapy ,Codon ,Aged ,Retrospective Studies ,Cetuximab ,business.industry ,Point mutation ,Exons ,Middle Aged ,medicine.disease ,digestive system diseases ,Genes, ras ,Oncology ,Tumor progression ,Cancer research ,Female ,KRAS ,business ,Colorectal Neoplasms ,medicine.drug - Abstract
Background: One of the genetic alterations implicated in tumor progression in colorectal cancers (CRCs) are abnormalities in Kristen Rat Sarcoma (KRAS) gene. Evaluation of KRAS mutation status is an important prognostic factor and has predictive value in deciding first line therapy based on monoclonal antibodies such as Cetuximab and Panitumumab in metastatic CRCs. Materials And Methods: In this retrospective study, we analyzed 7 different somatic mutations in Exon 2 of KRAS gene in 299 unselected incidental CRC patients who visited the hospital for clinical management during the period 2009–2013. Most of the tumors were primarily originating from colon and rectum; nevertheless, there were a few from rectosigmoid, sigmoid, ceacum and anal canal in the study group. Genomic DNA extracted from paraffin embedded tumor tissues was screened for 7 point mutations located in Codons 12 and 13 of KRAS gene, using Scorpions amplified refractory mutation system real time polymerase chain reaction technology. Statistical analysis was performed to assess bivariate relationship between different variables that includes: mutation status, mutation type, tumor location, tumor morphology, age and sex. Results: Prevalence of mutation in Codons 12 and 13 was 42.8% in the study group. Well-differentiated tumors had significantly more mutation positivity than moderately and poorly differentiated tumors ( P = 0.001). 92% of the mutations were from Codon 12 and 8% in Codon 13. Glycine to Arginine was relatively more common in rectosigmoid followed by ceacum, while Glycine to Alanine mutation was relatively more prevalent in sigmoid, followed by rectum and rectosigmoid. CONCLUSION: The results suggest a prevalence of KRAS mutation at 42.8% in Indian population indicating that this testing is very crucial for targeted therapy management in metastatic CRC in India. Further analysis on mutation status of other homologues such as NRAS and downstream partner, v-raf murine sarcoma viral oncogene homolog B1, would add value to understanding the role of anti-epidermal growth factor receptor therapy in CRC management.
- Published
- 2016
7. Targeted Therapy Management in NSCLC Patients Using Cytology: Experience from a Tertiary Care Cancer Center
- Author
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H P Shashidhara, Radheshyam Naik, Diganta Hazarika, Raghavendra M Rao, Ankita Prabhudev, Shilpa Prabhudesai, C T Satheesh, Naveen Krishnamoorthy, R Tejaswi, S. Patil, Vidya H Veldore, and B S Ajai Kumar
- Subjects
Male ,medicine.medical_specialty ,Lung Neoplasms ,medicine.medical_treatment ,Biopsy, Fine-Needle ,DNA Mutational Analysis ,Medical laboratory ,Bioinformatics ,Targeted therapy ,03 medical and health sciences ,0302 clinical medicine ,Pharmacotherapy ,Cytology ,Carcinoma, Non-Small-Cell Lung ,Biopsy ,Genetics ,medicine ,Humans ,030212 general & internal medicine ,Molecular Targeted Therapy ,Cervix ,Pharmacology ,medicine.diagnostic_test ,business.industry ,Tertiary Healthcare ,Gold standard ,Cancer ,General Medicine ,Exons ,medicine.disease ,ErbB Receptors ,Gene Expression Regulation, Neoplastic ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Mutation ,Molecular Medicine ,Female ,Radiology ,business - Abstract
Although biopsy is the gold standard for diagnosis, cytological material has often been used to assist in making a pathologic diagnosis as well as for molecular testing in certain cancers such as in the lung, cervix, and head/neck.Our objective is to share experience from our institution in the use of cytological material in screening for epidermal growth factor receptor (EGFR) mutations in a subset of patients with non-small cell lung cancer (NSCLC).Fine needle aspirates, pleural effusion, cell blocks of 223 NSCLC patients, where cytology suggested malignancy were screened for EGFR mutation in exons 18-21 using Scorpion(®) ARMS real-time polymerase chain reaction (PCR) technology.Overall, EGFR mutation was seen in 43.5 % of study samples. Deletions were highest in exon 19 (27.2 %), followed by exon 21 (15.5 %), exon 18 (5.3 %), and exon 20 (1.9 %). Chi-squared analysis revealed a significant correlation for mutation status in women compared with men (χ (2) = 5.88, p = 0.02), with exon 19 mutation predominating (χ (2) = 5.66, p = 0.02).Our results demonstrate the successful use of cytology material for molecular testing in a subset of NSCLC patients to direct their treatment.
- Published
- 2016
8. Quad-LED Complex Modulation (QCM) for Visible Light Wireless Communication
- Author
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Ananthanarayanan Chockalingam, T. Lakshmi Narasimhan, and R. Tejaswi
- Subjects
Orthogonal frequency-division multiplexing ,business.industry ,Computer science ,Detector ,02 engineering and technology ,QAM ,Electrical Communication Engineering ,020210 optoelectronics & photonics ,Modulation ,Hermitian function ,0202 electrical engineering, electronic engineering, information engineering ,Electronic engineering ,Wireless ,business ,Telecommunications ,Quadrature amplitude modulation ,Block (data storage) - Abstract
In this paper, we propose a simple and novel complex modulation scheme for multiple-LED wireless communication, termed as quad-LED complex modulation (QCM). The proposed QCM scheme uses four LEDs (hence the name ‘quad-LED’), one LED each to map positive real, negative real, positive imaginary, and negative imaginary parts of complex modulation symbols like QAM symbols. The QCM scheme does not need Hermitian symmetry operation to generate LED compatible positive real transmit signals. Instead it exploits spatial indexing of LEDs to convey sign information. The proposed QCM module can serve as a basic building block to bring in the benefits of complex modulation to VLC. For example, QCM with phase rotation (QAM-PR) where the complex modulation symbols are rotated in phase before mapping the signals to the LEDs achieves improved bit error performance. We also find that the proposed QCM when used along with OFDM, termed as QCM-OFDM, achieves very good performance.
- Published
- 2016
9. Epidermal growth factor receptor mutation in non-small-cell lung carcinomas: a retrospective analysis of 1036 lung cancer specimens from a network of tertiary cancer care centers in India
- Author
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S A Gangoli, R Tejaswi, Shamir Rahman, Shilpa Prabhudesai, C T Satheesh, S Patil, Raghavendra M Rao, Diganta Hazarika, Radheshyam Naik, Tejaswini Bn, Ravi B Diwakar, S Kakara, Rashmita Sahoo, Vidya H Veldore, Subhrendu K. Pattanayak, S P Shashidhar, E Venkataswamy, N Krishnamoorthy, and B S Ajai Kumar
- Subjects
Oncology ,Adult ,Male ,Pathology ,medicine.medical_specialty ,Biopsy, Fine-Needle ,India ,Adenocarcinoma ,Tertiary Care Centers ,T790M ,Exon ,Internal medicine ,Carcinoma, Non-Small-Cell Lung ,medicine ,Carcinoma ,Humans ,Lung cancer ,Aged ,Neoplasm Staging ,Aged, 80 and over ,business.industry ,Cancer ,Middle Aged ,medicine.disease ,Resistance mutation ,ErbB Receptors ,Gene Expression Regulation, Neoplastic ,Mutation (genetic algorithm) ,Mutation ,Female ,business - Abstract
Background: Epidermal growth factor receptor (EGFR) mutation plays a vital role in the prognosis of patients with lung cancer. However, there is a dearth of studies on EGFR mutation in Indian population. In this retrospective study conducted at a network of tertiary cancer care centers across India, we evaluated the proportion of EGFR mutation in patients with non-small-cell lung carcinomas (NSCLC). Materials and Methods: A total of 1036 cases of non-small lung cancer were assessed for EGFR mutation status using Scorpion amplified refractory mutation system real time polymerase chain reaction method from fine needle aspiration cytology core biopsy, pleural fluid and cell blocks. For a few cases, macro dissection of tumor from H and E slides was also performed for EGFR analysis. EGFR Status was assessed for the most commonly known driver mutations in Exons 18, 19, 20 and 21, which contributes to a total of 29 somatic mutations including the resistance mutation T790M. Results: Around 39% of the cohort was female and 61% were male. Mutation was positive in 40.3% and negative (wild type) in 59.7%. There was 1.8% mutation in exon 18, 24.6% in exon 19, 1.6% in exon 20 and 12.8% in exon 21. 38.2% had a mutation in a single site and 1.1% had a mutation in two sites. Overall mutation was significant in females (50.5% vs. 33.9%) compared with males (χ2 = 28.3, P < 0.001). Mutation was significant in exon 21 (16.8% vs. 10.3%, χ2 = 9.44, P = 0.002) and exon 19 (30.7% vs. 20.7%, χ2 = 13.2, P < 0.001) in females compared with males. Conclusion: EGFR is expressed differentially/mutated in patients with NSCLC. Further studies to unravel the predictors for acquired genetic alterations of EGFR are needed.
- Published
- 2013
10. A rate equation method for the sequential double ionisation, including autoionising state excitation, of a noble gas
- Author
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Damien P. W. Middleton, L. A. A. Nikolopoulos, and Katravulapally N. R. Tejaswi
- Subjects
Physics ,Density matrix ,noble gas ,QC1-999 ,Bandwidth (signal processing) ,General Physics and Astronomy ,chemistry.chemical_element ,Rate equation ,Photon energy ,analytical equation ,Ion ,Neon ,chemistry ,Ionization ,autoionising state ,rate equation ,neon ,Atomic physics ,Excitation - Abstract
A set of rate equations have been tested against a more robust set of Time-Dependent Density Matrix (TDDM) equations [D. P. W. Middleton, L. A. A. Nikolopoulos, J. Mod. Opti. 59, 1650 (2012)] by using them to determine the populations of ion species and autoionising states (AIS) in noble gas atoms when interacting with a strong external field. Two field shapes were tested here — sinusoidal and square — and a variety of pulse characteristics were examined, i.e. intensity, duration and photon energy, for the neon atomic system. It was found that the rate equations were sufficiently accurate only when the external field is way off-resonant with the AIS. Moreover, analytical solutions of the rate equations in the square pulse case agree with the numerical solutions for a time-dependent pulse containing many cycles. An attempt to model a stochastic field was also made and it was found that the use of such a field diminished and broadened the ion yield ratio due to the presence of an added bandwidth.
- Published
- 2013
- Full Text
- View/download PDF
11. Genomic profiling in a homogeneous molecular subtype of non-small cell lung cancer: An effort to explore new drug targets
- Author
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B S Ajai Kumar, Diganta Hazarika, Vidya H Veldore, H P Shashidhara, Ramadas Naik, Raghavendra M Rao, N Krishnamoorthy, Shivanand Patil, Shilpa Prabhudesai, R Tejaswi, and C T Satheesh
- Subjects
Male ,Oncogene Proteins, Fusion ,Class I Phosphatidylinositol 3-Kinases ,medicine.drug_class ,medicine.medical_treatment ,Biology ,medicine.disease_cause ,Bioinformatics ,Polymorphism, Single Nucleotide ,Tyrosine-kinase inhibitor ,Targeted therapy ,Phosphatidylinositol 3-Kinases ,Carcinoma, Non-Small-Cell Lung ,medicine ,Humans ,Molecular Targeted Therapy ,Epidermal growth factor receptor ,Receptor, Fibroblast Growth Factor, Type 2 ,Lung cancer ,Protein Kinase Inhibitors ,Genome, Human ,Fibroblast growth factor receptor 2 ,Proto-Oncogene Proteins c-ret ,High-Throughput Nucleotide Sequencing ,Kinase insert domain receptor ,medicine.disease ,Vascular Endothelial Growth Factor Receptor-2 ,ErbB Receptors ,Oncology ,Mutation ,Cancer research ,biology.protein ,Female ,KRAS - Abstract
Background: Patients' who are positive for kinase domain activating mutations in epidermal growth factor receptor (EGFR) gene, constitute 30–40% of non-small cell lung cancer (NSCLC), and are suitable candidates for Tyrosine Kinase Inhibitor based targeted/personalized therapy. In EGFR non-mutated subset, 8–10% that show molecular abnormalities such as EML4-ALK, ROS1-ALK, KIP4-ALK, may also derive the benefit of targeted therapy. However, 40% of NSCLC belong to a grey zone of tumours that are negative for the clinically approved biomarkers for personalized therapy. This pilot study aims to identify and classify molecular subtypes of this group to address the un-met need for new drug targets in this category. Here we screened for known/novel oncogenic driver mutations using a 46 gene Ampliseq Panel V1.0 that includes Ser/Thr/Tyr kinases, transcription factors and tumor suppressors. Methods: NSCLC with tumor burden of at least 40% on histopathology were screened for 29 somatic mutations in the EGFR kinase domain by real-time polymerase chain reaction methods. 20 cases which were EGFR non-mutated for TK domain mutations were included in this study. DNA Quality was verified from each of the 20 cases by fluorimeter, pooled and subjected to targeted re-sequencing in the Ion Torrent platform. Torrent Suite software was used for next generation sequencing raw data processing and variant calling. Results: The clinical relevance and pathological role of all the mutations/variants that include SNPs and Indels was assessed using polyphen-2/SIFT/PROVEAN/mutation assessor structure function prediction programs. There were 10 pathogenic mutations in six different oncogenes for which annotation was available in the COSMIC database; C420R mutation in PIK3CA, Q472H mutation in vascular endothelial growth factor receptor 2 (VEGFR2) (KDR), C630W and C634R in RET, K367M mutation in fibroblast growth factor receptor 2 (FGFR2), G12C in KRAS and 4 pathogenic mutations in TP53 in the DNA binding domain (E285K, R213L, R175H, V173G). Conclusion: Results suggest, a potential role for PIK3CA, VEGFR2, RET and FGFR2 as therapeutic targets in EGFR non-mutated NSCLC that requires further clinical validation.
- Published
- 2015
- Full Text
- View/download PDF
12. Targeted Therapy Management in NSCLC Patients Using Cytology: Experience from a Tertiary Care Cancer Center.
- Author
-
Veldore VH, Patil S, Prabhudesai S, Satheesh CT, Shashidhara HP, Krishnamoorthy N, Hazarika D, Tejaswi R, Prabhudev A, Naik R, Rao RM, and Kumar BS
- Subjects
- Biopsy, Fine-Needle, Carcinoma, Non-Small-Cell Lung drug therapy, Exons, Female, Gene Expression Regulation, Neoplastic, Humans, Lung Neoplasms drug therapy, Male, Molecular Targeted Therapy, Tertiary Healthcare, Carcinoma, Non-Small-Cell Lung genetics, DNA Mutational Analysis methods, ErbB Receptors genetics, Lung Neoplasms genetics, Mutation
- Abstract
Background: Although biopsy is the gold standard for diagnosis, cytological material has often been used to assist in making a pathologic diagnosis as well as for molecular testing in certain cancers such as in the lung, cervix, and head/neck., Objective: Our objective is to share experience from our institution in the use of cytological material in screening for epidermal growth factor receptor (EGFR) mutations in a subset of patients with non-small cell lung cancer (NSCLC)., Methods: Fine needle aspirates, pleural effusion, cell blocks of 223 NSCLC patients, where cytology suggested malignancy were screened for EGFR mutation in exons 18-21 using Scorpion(®) ARMS real-time polymerase chain reaction (PCR) technology., Results: Overall, EGFR mutation was seen in 43.5 % of study samples. Deletions were highest in exon 19 (27.2 %), followed by exon 21 (15.5 %), exon 18 (5.3 %), and exon 20 (1.9 %). Chi-squared analysis revealed a significant correlation for mutation status in women compared with men (χ (2) = 5.88, p = 0.02), with exon 19 mutation predominating (χ (2) = 5.66, p = 0.02)., Conclusion: Our results demonstrate the successful use of cytology material for molecular testing in a subset of NSCLC patients to direct their treatment.
- Published
- 2016
- Full Text
- View/download PDF
13. Genomic profiling in a homogeneous molecular subtype of non-small cell lung cancer: An effort to explore new drug targets.
- Author
-
Veldore VH, Patil S, Satheesh CT, Shashidhara HP, Tejaswi R, Prabhudesai SA, Krishnamoorthy N, Hazarika D, Naik R, Rao RM, and Ajai Kumar BS
- Subjects
- Carcinoma, Non-Small-Cell Lung pathology, Carcinoma, Non-Small-Cell Lung therapy, Class I Phosphatidylinositol 3-Kinases, Female, Genome, Human, High-Throughput Nucleotide Sequencing, Humans, Male, Molecular Targeted Therapy, Mutation, Oncogene Proteins, Fusion genetics, Polymorphism, Single Nucleotide, Protein Kinase Inhibitors therapeutic use, Carcinoma, Non-Small-Cell Lung genetics, ErbB Receptors genetics, Phosphatidylinositol 3-Kinases genetics, Proto-Oncogene Proteins c-ret genetics, Receptor, Fibroblast Growth Factor, Type 2 genetics, Vascular Endothelial Growth Factor Receptor-2 genetics
- Abstract
Background: Patients' who are positive for kinase domain activating mutations in epidermal growth factor receptor (EGFR) gene, constitute 30-40% of non-small cell lung cancer (NSCLC), and are suitable candidates for Tyrosine Kinase Inhibitor based targeted/personalized therapy. In EGFR non-mutated subset, 8-10% that show molecular abnormalities such as EML4-ALK, ROS1-ALK, KIP4-ALK, may also derive the benefit of targeted therapy. However, 40% of NSCLC belong to a grey zone of tumours that are negative for the clinically approved biomarkers for personalized therapy. This pilot study aims to identify and classify molecular subtypes of this group to address the un-met need for new drug targets in this category. Here we screened for known/novel oncogenic driver mutations using a 46 gene Ampliseq Panel V1.0 that includes Ser/Thr/Tyr kinases, transcription factors and tumor suppressors., Methods: NSCLC with tumor burden of at least 40% on histopathology were screened for 29 somatic mutations in the EGFR kinase domain by real-time polymerase chain reaction methods. 20 cases which were EGFR non-mutated for TK domain mutations were included in this study. DNA Quality was verified from each of the 20 cases by fluorimeter, pooled and subjected to targeted re-sequencing in the Ion Torrent platform. Torrent Suite software was used for next generation sequencing raw data processing and variant calling., Results: The clinical relevance and pathological role of all the mutations/variants that include SNPs and Indels was assessed using polyphen-2/SIFT/PROVEAN/mutation assessor structure function prediction programs. There were 10 pathogenic mutations in six different oncogenes for which annotation was available in the COSMIC database; C420R mutation in PIK3CA, Q472H mutation in vascular endothelial growth factor receptor 2 (VEGFR2) (KDR), C630W and C634R in RET, K367M mutation in fibroblast growth factor receptor 2 (FGFR2), G12C in KRAS and 4 pathogenic mutations in TP53 in the DNA binding domain (E285K, R213L, R175H, V173G)., Conclusion: Results suggest, a potential role for PIK3CA, VEGFR2, RET and FGFR2 as therapeutic targets in EGFR non-mutated NSCLC that requires further clinical validation.
- Published
- 2015
- Full Text
- View/download PDF
14. Prevalence of KRAS mutations in metastatic colorectal cancer: A retrospective observational study from India.
- Author
-
Veldore VH, Rao MR, Prabhudesai SA, Tejaswi R, Kakara S, Pattanayak S, Krishnamoorthy N, Tejaswini BN, Hazarika D, Gangoli A, Rahman SM, Dixit J, Naik R, Diwakar RB, Satheesh CT, Shashidhara HP, Patil S, Gopinath KS, and Kumar BS
- Subjects
- Adult, Aged, Codon, Colorectal Neoplasms drug therapy, Exons, Female, Humans, India, Male, Middle Aged, Molecular Targeted Therapy, Retrospective Studies, Colorectal Neoplasms genetics, Colorectal Neoplasms pathology, Genes, ras genetics, Mutation Rate, Proto-Oncogene Proteins p21(ras) genetics
- Abstract
Background: One of the genetic alterations implicated in tumor progression in colorectal cancers (CRCs) are abnormalities in Kristen Rat Sarcoma (KRAS) gene. Evaluation of KRAS mutation status is an important prognostic factor and has predictive value in deciding first line therapy based on monoclonal antibodies such as Cetuximab and Panitumumab in metastatic CRCs., Materials and Methods: In this retrospective study, we analyzed 7 different somatic mutations in Exon 2 of KRAS gene in 299 unselected incidental CRC patients who visited the hospital for clinical management during the period 2009-2013. Most of the tumors were primarily originating from colon and rectum; nevertheless, there were a few from rectosigmoid, sigmoid, ceacum and anal canal in the study group. Genomic DNA extracted from paraffin embedded tumor tissues was screened for 7 point mutations located in Codons 12 and 13 of KRAS gene, using Scorpions amplified refractory mutation system real time polymerase chain reaction technology. Statistical analysis was performed to assess bivariate relationship between different variables that includes: mutation status, mutation type, tumor location, tumor morphology, age and sex., Results: Prevalence of mutation in Codons 12 and 13 was 42.8% in the study group. Well-differentiated tumors had significantly more mutation positivity than moderately and poorly differentiated tumors (P = 0.001). 92% of the mutations were from Codon 12 and 8% in Codon 13. Glycine to Arginine was relatively more common in rectosigmoid followed by ceacum, while Glycine to Alanine mutation was relatively more prevalent in sigmoid, followed by rectum and rectosigmoid., Conclusion: The results suggest a prevalence of KRAS mutation at 42.8% in Indian population indicating that this testing is very crucial for targeted therapy management in metastatic CRC in India. Further analysis on mutation status of other homologues such as NRAS and downstream partner, v-raf murine sarcoma viral oncogene homolog B1, would add value to understanding the role of anti-epidermal growth factor receptor therapy in CRC management.
- Published
- 2014
- Full Text
- View/download PDF
15. Epidermal growth factor receptor mutation in non-small-cell lung carcinomas: a retrospective analysis of 1036 lung cancer specimens from a network of tertiary cancer care centers in India.
- Author
-
Veldore VH, Rao RM, Kakara S, Pattanayak S, Tejaswi R, Sahoo R, Venkataswamy E, Prabhudesai SA, Krishnamoorthy N, Tejaswini BN, Hazarika D, Gangoli SA, Rahman SM, Naik R, Diwakar RB, Satheesh CT, Shashidhar SP, Patil SG, and Ajai Kumar BS
- Subjects
- Adenocarcinoma pathology, Adult, Aged, Aged, 80 and over, Biopsy, Fine-Needle, Carcinoma, Non-Small-Cell Lung pathology, Female, Humans, India, Male, Middle Aged, Mutation, Neoplasm Staging, Tertiary Care Centers, Adenocarcinoma genetics, Carcinoma, Non-Small-Cell Lung genetics, ErbB Receptors genetics, Gene Expression Regulation, Neoplastic
- Abstract
Background: Epidermal growth factor receptor (EGFR) mutation plays a vital role in the prognosis of patients with lung cancer. However, there is a dearth of studies on EGFR mutation in Indian population. In this retrospective study conducted at a network of tertiary cancer care centers across India, we evaluated the proportion of EGFR mutation in patients with non-small-cell lung carcinomas (NSCLC)., Materials and Methods: A total of 1036 cases of non-small lung cancer were assessed for EGFR mutation status using Scorpion amplified refractory mutation system real time polymerase chain reaction method from fine needle aspiration cytology core biopsy, pleural fluid and cell blocks. For a few cases, macro dissection of tumor from H and E slides was also performed for EGFR analysis. EGFR Status was assessed for the most commonly known driver mutations in Exons 18, 19, 20 and 21, which contributes to a total of 29 somatic mutations including the resistance mutation T790M., Results: Around 39% of the cohort was female and 61% were male. Mutation was positive in 40.3% and negative (wild type) in 59.7%. There was 1.8% mutation in exon 18, 24.6% in exon 19, 1.6% in exon 20 and 12.8% in exon 21. 38.2% had a mutation in a single site and 1.1% had a mutation in two sites. Overall mutation was significant in females (50.5% vs. 33.9%) compared with males (χ2 = 28.3, P < 0.001). Mutation was significant in exon 21 (16.8% vs. 10.3%, χ2 = 9.44, P = 0.002) and exon 19 (30.7% vs. 20.7%, χ2 = 13.2, P < 0.001) in females compared with males., Conclusion: EGFR is expressed differentially/mutated in patients with NSCLC. Further studies to unravel the predictors for acquired genetic alterations of EGFR are needed.
- Published
- 2013
- Full Text
- View/download PDF
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