34 results on '"Shehnaz Khan"'
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2. Assessment of level of Burnout among Health Professionals in Lahore, Pakistan
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Shehnaz Khan, Noor Shahid, and Mehrunnisa Hassan
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burnout, healthcare, stress, risk factor ,Dentistry ,RK1-715 ,Medicine (General) ,R5-920 - Abstract
Objectives: The prime objective of this study is to access the level of burnout among healthcare professionals using BAT tool. Also, the association of job satisfaction and workload factors is tested with burnout. Study Design and setting: A cross-sectional multi-centered study in Lahore during the month of August 2022 to Jan 2023. The data was collected from healthcare professionals in three tertiary care hospitals in Lahore. Methodology: The data was collected from clinicians and staff nurses. The required sample size was calculated as 172. Data was collected using Burnout Assessment Tool (BAT) proposed by Schaufeli (2020). BAT was initially proposed with 33 items. BAT-S was the proposed 33-item version with four core dimensions and two secondary dimensions. The average score for each dimension was calculated and interpreted as given by Schaufeli in user manual for BAT-S. Results: Exhaustion was high among 55.8% of the participants. Mental distance was high among 34.3% of the participants whereas it was normal among 46.5%. Nearly 90% of the participants were satisfied from their jobs, committed to their jobs and accept responsibilities. Job satisfaction was significantly associated with burnout level. Lack of organizational influence and poor internal communication were statistically significantly related with level of burnout. Conclusion: The study was conducted to highlight the level of burnout among healthcare professionals. We found that very high level of burnout was observed in cognitive impairment followed by emotional impairment. The average level of burnout was more common among participants with job satisfaction and good internal communication.
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- 2024
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3. Factors Associated with Congestive Heart Failure among Patients Presenting with Acute Cardiac Emergencies in Northern Lahore
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Kamran Baber, Ammad Javed, Umair Asim, Tahseen Kazmi, Saira Farhat, and Shehnaz Khan
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Angina Pectoris, Coronary Artery Disease, Coronary Care Units, Congestive Heart Failure ,Dentistry ,RK1-715 ,Medicine (General) ,R5-920 - Abstract
Objective: This study sought to assess the prevalence of congestive heart failure (CHF) and identify the key risk factors associated with its occurrence in patients, already have existing cardiac conditions in Lahore, Pakistan. Study Design and setting: A cross sectional study was conducted at Shalamar Hospital, Lahore. Methodology: The study was conducted from October 2021 to March 2022 on a sample of 891 patients who were admitted in the coronary care unit from the emergency room and OPD and underwent cardiac catheterization. Convenience sampling was employed due to the unavailability of a large pool of patients. The questionnaire utilized socio-demographic variables, assessed the classification of congestive heart failure in relation to various comorbidities including thyroid diseases, diabetes mellitus, hypertension, chronic liver disease, peripheral vascular disease and hyperlipidemia as well as the risk factors associated with CHF. Results: The rate of CHF prevalence was found to be 12.68%. CHF was found to have a statistically significant relationship with smoking, ambulatory ability, and a history of organ transplantation. According to the New York Heart Association, a significant proportion of patients were classified as Class II, whereas the Canadian Cardiovascular Society reported that approximately 42.20% of patients had Class II angina. Conclusion: The prevalence of CHF was discovered to be extremely high. The most common comorbid ailment was discovered as hypertension, followed by diabetes. Many patients reported being able to perform daily activities but becoming fatigued during effort. When changing healthcare policies, it is critical to include preventive measures and interventions.
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- 2024
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4. Role of Physical activity in abating Non-Communicable Diseases: A survey of residents of Central Park Housing Society, Lahore
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Shehnaz Khan, Mehrunisa Hassan, Mamoona Shafique, Saira Farhat, Saba Iftkhar, and Shamim Akhter
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Diabetes, Hypertension, Basal Metabolic Index , Physical Activity ,Dentistry ,RK1-715 - Abstract
Objective: Regular physical activity is beneficial to both physical and emotional well-being. The present study goal is to observe how lack of physical exercise leads to various noncommunicable diseases. Methodology:A study was conducted at Central Park Housing Society, Lahore using cross sectional study design. Data was collected from 250 residents of Lahore, Pakistan’s Central Park Housing Society using the structured tool IPAQ-LF. Structured tool used in this study was applicable on age group between 15-69 years, therefore we included participants aged between 15-69 years in this study. While children, adolescences having age between 10-14 years, adults > 69 years old, pregnant women and those with existing non- communicable diseases were excluded from the study. The Kruskal-Wallis ANOVA test was used to determine whether there was a significant relationship between physical activity and non-communicable diseases. Results: About 20.8% participants had family history of hypertension. Greater physical activity is linked to reduce hypertension risk. Lower physical activity is associated with a higher diabetes risk (18%) compared to the higher activity levels (14%). BMI (p-value=0.00) and random blood sugar level (p-value=0.03) is associated with physical activity. Conclusion: Most of the participants were not involved in moderate physical activity. People who participated in physical activities are at a lower risk of developing diabetes and hypertension. In general, physical activity aids in mitigating harmful chronic diseases.
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- 2024
5. Role of Physical activity in abating Non-Communicable Diseases: A survey of residents of Central Park Housing Society, Lahore
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Shehnaz Khan, Mehrunisa Hassan, Mamoona Shafique, Saira Farhat, Saba Iftkhar, and Shamim Akhter
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Diabetes, Hypertension, Basal Metabolic Index , Physical Activity ,Dentistry ,RK1-715 - Abstract
Objective: Regular physical activity is beneficial to both physical and emotional well-being. The present study goal is to observe how lack of physical exercise leads to various noncommunicable diseases. Methodology:A study was conducted at Central Park Housing Society, Lahore using cross sectional study design. Data was collected from 250 residents of Lahore, Pakistan’s Central Park Housing Society using the structured tool IPAQ-LF. Structured tool used in this study was applicable on age group between 15-69 years, therefore we included participants aged between 15-69 years in this study. While children, adolescences having age between 10-14 years, adults > 69 years old, pregnant women and those with existing non- communicable diseases were excluded from the study. The Kruskal-Wallis ANOVA test was used to determine whether there was a significant relationship between physical activity and non-communicable diseases. Results: About 20.8% participants had family history of hypertension. Greater physical activity is linked to reduce hypertension risk. Lower physical activity is associated with a higher diabetes risk (18%) compared to the higher activity levels (14%). BMI (p-value=0.00) and random blood sugar level (p-value=0.03) is associated with physical activity. Conclusion: Most of the participants were not involved in moderate physical activity. People who participated in physical activities are at a lower risk of developing diabetes and hypertension. In general, physical activity aids in mitigating harmful chronic diseases.
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- 2023
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6. Appraisal of Eating Disorders in Females of Reproductive Age by Using Scoff Questionnaire
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Shamaila Hassnain, Tahseen Kazmi, Noor Shahid, and Shehnaz Khan
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Eating disorders ,obesity ,SCOFF ,Screening ,Nursing ,RT1-120 - Abstract
Background: Unhealthy, jumbled eating habits and irregular eating behavior, often associated with body image and weight concerns, are known as abnormal eating behaviors. Anorexia nervosa, bulimia nervosa, and binge eating disorders are common disordered eating behaviors. Females are more likely than males to experience eating disorders. Objective: The research was conducted to determine the frequency of eating disorders in women of reproductive age group and identify the factors associated with it. Methods: It was a cross-sectional study carried out at Central Park Medical College, Lahore. Non-probability convenient sampling technique was used to collect data from 196 females of the reproductive age group (15-49 years) using the Scoff Questionnaire. Binary logistic regression was applied to observe the association of eating disorders with non-communicable diseases (NCDs). SPSS version 26 was used for data analysis. Results: About 82.8% of the females belonged to urban areas and out of those 44.5% had an eating disorder. Binary logistic regression analysis indicated that the odds of developing eating disorders were 85% high for obese women. Approximately 12.6% of the females agreed or strongly agreed that they overeat. Overeating was observed as a statistically significant associated factor with eating disorder (p value=0.048). Conclusion: Approximately 45.5% of the females were identified as either having anorexia nervosa or bulimia. Females living in cities and nuclear family systems had a higher percentage of eating disorders.
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- 2023
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7. Perception of Telemedicine in Health Care Workers of a Tertiary Care Hospital
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Shehnaz Khan, Tahseen Haider Kazmi, Noor Shahid, and Shamaila Hassnain
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challenges, digital health, healthcare, telemedicine. ,Dentistry ,RK1-715 ,Medicine (General) ,R5-920 - Abstract
Objective: This investigation aimed to determine the feasibility of using telemedicine for screening and to observe healthcare provider’s opinion about telemedicine. In addition to that, explore the barriers in use of telemedicine Study Design and setting: A cross-sectional study was carried out at Central Park Medical College and Teaching Hospital. Methodology: The study was conducted between November, 2020 to April,2021 from 176 doctors and nurses working at Central Park Teaching Hospital using a convenience sampling technique. Convenience sampling was used because there is always a high probability of non-response or unavailability of clinical doctors and nurses. The minimum sample size was calculated as 88 for the group of doctors. The minimum sample size was doubled to collect the data from two cadres. The questionnaire was based on demographic information, general opinion about telemedicine such as reliability, comparison with standard examination procedure, nature, popularity, knowledge requirement, cost-effectiveness, designed frame and barriers for telemedicine. Results: Nearly, 80.1% of the participants were doctors with clinical experience while the remaining were nurses. Approximately 72.5% of the doctors and 58.5% of the sampled participants said that telemedicine does not fulfill the need for standard examination procedures. Conclusion: The findings of our study showed that the general opinion of healthcare professionals about telemedicine was unfavorable. Doctors had negative views but the nursing staff was optimistic. There was a mixed response about convenience. The main barrier to telemedicine was the poor communication skills of patients and availability and knowledge for using infrastructure
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- 2023
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8. Burden of Obesity and Diabetes Mellitus in Low Income Area of Lahore.
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Shehnaz Khan, Tahseen Kazmi, Muhammad Muneeb, Saira Farhat, and Noor Shahid
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Diabetes ,Non-communicable diseases ,Basal Metabolic Index ,Hypertension ,Obesity ,Dentistry ,RK1-715 - Abstract
Objective: To find prevalence of obesity, diabetes and pre-diabetes and its association with non-communicable diseases in a local community of Mughalpura, Lahore. Methodology: A cross-sectional study was conducted at Mughalpura Division, Lahore, Pakistan from January to June, 2021. The demographic details and data on blood sugar levels were collected from 380 participants using cluster sampling. Blood sugar ratio level was obtained as a key factor for observing diabetes and pre-diabetes. A test of association was used to observe the significant relation between diabetes with Basal Metabolic Index. Results: The average age of the participants was 46.0 + 12.6 SD (in years). Almost two-third of the participants were female and majority of participants were Punjabi. Among the total participants, 293 (77.1%) had normal blood sugar level, whereas 25 (6.6%) were pre-diabetic and 62 (16.3%) were diabetic. The under-weight participants were 10 (2.6%), 86 (22.6%) were normal, 143 (37.6%) were over-weight and 141 (37.1%) were obese. Conclusion: High prevalence of diabetes among obese individuals was found in a poor community of Mughalpura. Most of them were obese females. Significant association was found between systolic hypertension, diabetes and obesity.
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- 2022
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9. Effectiveness of the cell block technique in diagnostic cytopathology
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Shehnaz Khan, Tanvier Omar, and Pamela Michelow
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Cell block ,FNA smears ,immunocytochemistry ,Cytology ,QH573-671 - Abstract
Background: One of the constraints of the conventional FNA smear is the limited material available for adjuvant diagnostic investigations including immunocytochemistry. The cell block technique employs the retrieval of small tissue fragments from a FNA specimen which are processed to form a paraffin block. It is widely accepted that cell block technique increases the cellular yield and improves diagnostic accuracy. The ability to obtain numerous tissue sections allows for multiple immunostains and other studies to be performed akin to paraffin sections produced in histopathology. Aims: To determine the effectiveness of the cell block technique by comparing cytomorphological preservation and immunocytochemistry (ICC) stains on paired cell block and conventional fine needle aspiration (FNA) samples. Materials and Methods: In this prospective study, material for both glass slides and cell blocks were collected simultaneously during fine needle aspirates from 47 samples comprising lung and liver masses. Grading of cellularity, morphological preservation, architectural preservation, immunocytochemical staining intensity and presence of background staining on paired FNA smears and cell block samples were compared. Each arm of the paired analysis was performed blindly without knowledge of the grading outcome of the other. The Kappa statistic (κ) was used to measure inter-rater agreement. Results: The 47 samples evaluated included FNAs from the lung, 24/47 (51%) and liver, 23/47 (49%). The immunocytochemistry stains consisted of 44/47 (94%) CK7; 44/47 (94%) CK20; 18/47 (38%) TTF1; 10/47 (21%) synaptophysin; 10/47 (21%) Hepar-1 and 7/47 (15%) AE1/3. There was no overall agreement in preservation of cytomorphological detail and ICC staining between the two methods. The Papanicolaou-stained conventional FNA smears fared better than the cell block for the evaluation of nuclear and morphologic characteristics. The ICC stains worked better on the cell block samples due to lack of background and aberrant staining. Conclusion: Direct FNA smears and cell blocks complement each other and our results indicate that both are needed in the diagnostic work-up of patients. The cost implications of performing both techniques on all FNA material warrants further evaluation.
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- 2012
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10. The epigenetic regulator CXXC finger protein 1 is essential for murine hematopoiesis.
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Kristin T Chun, Binghui Li, Erika Dobrota, Courtney Tate, Jeong-Heon Lee, Shehnaz Khan, Laura Haneline, Harm HogenEsch, and David G Skalnik
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Medicine ,Science - Abstract
CXXC finger protein 1 (Cfp1), encoded by the Cxxc1 gene, binds to DNA sequences containing an unmethylated CpG dinucleotide and is an epigenetic regulator of both cytosine and histone methylation. Cxxc1-null mouse embryos fail to gastrulate, and Cxxc1-null embryonic stem cells are viable but cannot differentiate, suggesting that Cfp1 is required for chromatin remodeling associated with stem cell differentiation and embryogenesis. Mice homozygous for a conditional Cxxc1 deletion allele and carrying the inducible Mx1-Cre transgene were generated to assess Cfp1 function in adult animals. Induction of Cre expression in adult animals led to Cfp1 depletion in hematopoietic cells, a failure of hematopoiesis with a nearly complete loss of lineage-committed progenitors and mature cells, elevated levels of apoptosis, and death within two weeks. A similar pathology resulted following transplantation of conditional Cxxc1 bone marrow cells into wild type recipients, demonstrating this phenotype is intrinsic to Cfp1 function within bone marrow cells. Remarkably, the Lin- Sca-1+ c-Kit+ population of cells in the bone marrow, which is enriched for hematopoietic stem cells and multi-potential progenitor cells, persists and expands in the absence of Cfp1 during this time frame. Thus, Cfp1 is necessary for hematopoietic stem and multi-potential progenitor cell function and for the developmental potential of differentiating hematopoietic cells.
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- 2014
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11. Assessment of Physical and Emotional Wellbeing of Medical Students using SF-36 Questionnaire
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Shehnaz Khan, Zain Iftikhar, Zahra Shehzad, Umama Rehman, Sawera Ayub, and Urooj Zulfiqar
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Background: The pressures of medical school can be extremely difficult for personal wellness and contribute to anxiety, burnout and depression. High demands for academic performance and restraints of extracurricular activities all add to distress of a medical student. Methodology: A cross sectional study using convenient sampling was carried out in medical students of CPMC, Lahore. A sample size of 208 was taken. The data was collected using the SF-36 questionnaire. Data was presented as percentages, frequencies, mean and standard deviation. Results: The mean score of physical activity was 61.35+27.02 SD. The average score of restraints due to physical health and hindrance due to emotional health was 38.58+37.49 SD and 34.26+15.37 SD. The mean score of discomfort was 59.57+27.70 SD. The Mean+SD of the score for vitality or tiredness was 46.47+16.69 SD. The average score of emotional health, social relationships and general fitness was 51.10+16.64 SD, 52.82+21.57 SD and 54.04+18.76 SD. Practical implication of the study is to observe the physical and emotional health of students enrolled in MBBS program. Conclusion: The questionnaire SF-36 has been used in the past literature for the assessment of physical and emotional well-being of patients suffering from any particular disease. We observed that the female participants had poor physical and emotional health compared to male participants. Keywords: Mental, physical, medical students, assessment.
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- 2023
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12. Mental Health Issues in Covid 19 Recovered Patients of Lahore, Pakistan
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Shehnaz Khan, Noor ul Ain Khalid, Noor Shahid, and Noor ul Ain
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Background: Corona virus belongs to the coronaviridea family. Its variant, the severe acute respiratory coronavirus-2 (SARS-COV-2) is a beta coronavirus causing the current Covid-19 outbreak in humans. This virus not only has pathological effects, but it also affects psychologically. Our study aims to find out the mental changes affecting the COVID recovered patients. Methodology: A cross-sectional study was carried at Central Park Medical College from July 2021- August 2021 to assess the psychological stress and anxiety among COVID-19 recovered patients. Data was collected from 96 COVID-19 recovered patients through a self-designed questionnaire using convenient sampling design. Results: The mean age of the participants was 28.07 + 12.45 SD in years. About 44.8% of the participants were female. Approximately 79% participants were graduated or above. About 52.4% of the participants who were infected from COVID-19 mentioned that they lost their appetite during illness. Nearly 71.4% of the participants mentioned that they were more anxious during the illness. Conclusion: Nearly two third participants had sad feelings. A high percentage of respondents had some level of anxiety. Most of the participants reported sudden and panic attacks after COVID. Many respondents said that they were trying to overcome these mental after affects of COVID.
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- 2021
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13. Existential Crisis, Sexuality and Immutable Plight of Women in the Plays 'Sakharam Binder' and ‘Silence the Court is in Session'
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Shehnaz Khan
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Silence ,Psychoanalysis ,Existential crisis ,medicine ,Human sexuality ,Session (computer science) ,Psychology ,medicine.disease - Abstract
“It's a men's world women are here only to assist, serve and please men. It’s the way the world has always been.” In the world there is only one supreme culture prevailing universally in all the societies is the men-centric culture, which is all powerful and all pervasive. This patriarchal culture and its norms are so deeply engrained in the soul of people that they relegate women into fringe or secondary position. Women's rights talk about equality in each aspects of life but in India where patriarchy has solid roots in society, it appears to be extremely hard to acquire concordance and equality in power structures. Patriarchy has clasped Indian middle class society in its stereotyped shackles and its hold on society is unbending and heavy which adversely affects the lives of women. The torture born by women is the result of brutal dominating tendency of males and Tendulkar in general, spotlights on the patriarchal society in both of his plays. He indicated how a men centric society and women's liberation are interconnected and how male domination transforms into maltreatment of women. All the power in Indian society is in the hands of the males which at last prompts the pathetic state of females. Power, when gets discordant, without a doubt results into persecution and domination whether it is mastery of man over women or the other way around. Indian middle class has the same imbalanced power structure and consequently male domination exists because of male dominated society. The ruling idea of males tosses women into a well of persecution of each sort. Such state of females is exhibited by Tendulkar in ‘Sakharam Binder' and in ‘Silence the Court is in Session' caused by the patriarchal system of culture wherein the women have to struggle hard and pass through severe plight to establish their place in society. As we see in case of these three women Miss Benare, Laxmi and Champa. All these three are discarded women who strive hard for their existence in society and have to pass through so many inextricable difficulties. But the plight goes immutable, and unending.
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- 2020
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14. Relationship Between Physical Inactivity and Obesity in the Urban Slums of Lahore
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Tahseen Kazmi, Luqman F Nagi, Saleem P Iqbal, Shama Razzak, Shamaila Hassnain, Shehnaz Khan, and Noor Shahid
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General Engineering - Abstract
Introduction There are several factors such as physical inactivity, sedentary lifestyle, and diet that can be responsible for weight gain or obesity. Regular physical activity is important for better physical and emotional well-being. The objective of the study is to observe the prevalence of obesity or over-weight and how lack of physical activity contributes to weight gain and other health issues. Methods This cross-sectional study was conducted in Shalamar Town, Lahore on 646 participants. Data was collected using the WHO STEPS instrument. The inclusion criteria were a minimum age of 30 years and residents of Shalimar Town, Lahore for more than five years. The exclusion criteria were participants with comorbid conditions like HIV, TB, and terminal stage of cancer. Test of association and binary logistic regression analysis was performed to observe a significant association between demographic variables and non-communicable diseases among the participants involved in performing physical exercise. Results About 22.1% of the participants had normal BMI, 5.3% were underweight whereas 34.2% of the participants were overweight and 32.4% obese. Male participants were found to be more physically active compared to females. Hypertension and diabetes were statistically significantly associated with physical activity. BMI and waist-hip ratio were found to be associated with moderate physical exercise. Conclusion Most of the participants were not involved in moderate physical activity. Overall, an alarming 66.6% of the participants were either overweight or obese. In general, males were found to participate more in intense physical activity.
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- 2022
15. VEGFR3 tyrosine kinase inhibition aggravates cisplatin nephrotoxicity
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Anupam Agarwal, Daria Barwinska, Tarek M. El-Achkar, Malgorzata M. Kamocka, Shehnaz Khan, Grace Whipple, Amie M. Traylor, Abolfazl Zarjou, Anna A. Zmijewska, Laurence M. Black, Gunars Osis, Seth Winfree, Elisa R Farrell, Daryll R Spangler, Stephanie K Esman, and Subhashini Bolisetty
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Male ,Indoles ,Physiology ,medicine.medical_treatment ,Apoptosis ,Naphthalenes ,urologic and male genital diseases ,Kidney ,Nephrotoxicity ,medicine ,Animals ,Lymphangiogenesis ,Phosphorylation ,Protein Kinase Inhibitors ,Lymphatic Vessels ,Cisplatin ,Chemotherapy ,urogenital system ,business.industry ,Interleukin-6 ,Acute kidney injury ,JNK Mitogen-Activated Protein Kinases ,NF-kappa B ,medicine.disease ,Vascular Endothelial Growth Factor Receptor-3 ,Mice, Inbred C57BL ,Disease Models, Animal ,medicine.anatomical_structure ,Lymphatic system ,Cancer research ,Kidney Diseases ,Inflammation Mediators ,business ,Tyrosine kinase ,medicine.drug ,Research Article ,Signal Transduction - Abstract
Expansion of renal lymphatic networks, or lymphangiogenesis (LA), is well recognized during development and is now being implicated in kidney diseases. Although LA is associated with multiple pathological conditions, very little is known about its role in acute kidney injury. The purpose of this study was to evaluate the role of LA in a model of cisplatin-induced nephrotoxicity. LA is predominately regulated by vascular endothelial growth factor (VEGF)-C and VEGF-D, ligands that exert their function through their cognate receptor VEGF receptor 3 (VEGFR3). We demonstrated that use of MAZ51, a selective VEGFR3 inhibitor, caused significantly worse structural and functional kidney damage in cisplatin nephrotoxicity. Apoptotic cell death and inflammation were also increased in MAZ51-treated animals compared with vehicle-treated animals following cisplatin administration. Notably, MAZ51 caused significant upregulation of intrarenal phospho-NF-κB, phospho-JNK, and IL-6. Cisplatin nephrotoxicity is associated with vascular congestion due to endothelial dysfunction. Using three-dimensional tissue cytometry, a novel approach to explore lymphatics in the kidney, we detected significant vascular autofluorescence attributed to erythrocytes in cisplatin alone-treated animals. Interestingly, no such congestion was detected in MAZ51-treated animals. We found increased renal vascular damage in MAZ51-treated animals, whereby MAZ51 caused a modest decrease in the endothelial markers endomucin and von Willebrand factor, with a modest increase in VEGFR2. Our findings identify a protective role for de novo LA in cisplatin nephrotoxicity and provide a rationale for the development of therapeutic approaches targeting LA. Our study also suggests off-target effects of MAZ51 on the vasculature in the setting of cisplatin nephrotoxicity. NEW & NOTEWORTHY Little is known about injury-associated LA in the kidney and its role in the pathophysiology of acute kidney injury (AKI). Observed exacerbation of cisplatin-induced AKI after LA inhibition was accompanied by increased medullary damage and cell death in the kidney. LA inhibition also upregulated compensatory expression of LA regulatory proteins, including JNK and NF-κB. These data support the premise that LA is induced during AKI and lymphatic expansion is a protective mechanism in cisplatin nephrotoxicity.
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- 2021
16. Dipping of pear fruit (Pyrus communis L.) in Calcium Chloride may help in prolonging its storability
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Muhammad Azhar Shah, Zawar Hussain, Arshad Jalal, Islam Zeb, Mehboob Alam, Ahmad Siyab, Shehnaz Khan, Muhammad Asif, Jawad Khan, and Omer Mumtaz
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PEAR ,Horticulture ,chemistry ,biology ,chemistry.chemical_element ,General Medicine ,Calcium ,biology.organism_classification ,Pyrus communis - Published
- 2019
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17. The kidney protects against sepsis by producing systemic uromodulin
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Xue-Ru Wu, Tarek M. El-Achkar, Shehnaz Khan, Ranjani N. Moorthi, Radmila Micanovic, Seth Winfree, Kaice A. LaFavers, Chadi A. Hage, Homer L. Twigg, Takashi Hato, Simit Doshi, Edward F. Srour, Varun Gaur, and Pierre C. Dagher
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ARDS ,Kidney ,Tamm–Horsfall protein ,biology ,Physiology ,business.industry ,Phagocytosis ,Acute kidney injury ,Acute Kidney Injury ,medicine.disease ,Sepsis ,Disease Models, Animal ,medicine.anatomical_structure ,Uromodulin ,Immunology ,Knockout mouse ,medicine ,biology.protein ,Animals ,Macrophage ,business - Abstract
Sepsis is a significant cause of mortality in hospitalized patients. Concomitant development of acute kidney injury (AKI) increases sepsis mortality through unclear mechanisms. While electrolyte disturbances and toxic metabolite buildup during AKI could be important, it is possible that the kidney produces a protective molecule lost during sepsis with AKI. We previously demonstrated that systemic Tamm-Horsfall Protein (THP, uromodulin), a kidney-derived protein with immunomodulatory properties, falls in AKI. Using a mouse sepsis model without severe kidney injury, we show that the kidney increases circulating THP by enhancing basolateral release of THP from medullary thick ascending limb cells. In sepsis patients, changes in circulating THP are positively associated with critical illness. THP is also found de novo in injured lungs. Genetic ablation of THP in mice leads to increased mortality and bacterial burden during sepsis. Consistent with the increased bacterial burden, the presence of THP in vitro and in vivo leads macrophages and monocytes to upregulate a transcriptional program promoting cell migration, phagocytosis and chemotaxis and treatment of macrophages with purified THP increases phagocytosis. Rescue of septic THP-/- mice with exogenous systemic THP improves survival. Together, these findings suggest that through releasing THP, the kidney modulates the immune response in sepsis by enhancing mononuclear phagocyte function and systemic THP has therapeutic potential in sepsis.Significance StatementSepsis is a significant contributor to kidney injury as well as morbidity and mortality worldwide. Specific therapies to improve outcomes in sepsis with kidney injury have largely been limited to symptom management and infectious agent control, in part because it is unclear how kidney injury increases sepsis mortality. This paper describes the identification of Tamm-Horsfall protein, previously known to protect in ischemic models of AKI, as protective in preclinical models of sepsis. It demonstrates how the loss of THP leads to decreased mononuclear phagocyte function and diversity, increased pathogen burden and decreased survival. THP also increases in sepsis without severe kidney injury and concentrates in injured organs. Further study of THP in sepsis could lead to novel sepsis therapeutics.
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- 2021
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18. Bioaccumulation of potentially toxic elements in spinach grown on contaminated soils amended with organic fertilizers and their subsequent human health risk
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Shehnaz Khan, Mehboob Alam, Muhammad Asif, Muhammad Azhar Shah, Zawar Hussain, Javed Nawab, Sardar Khan, and Muhammad Amjad Khan
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010504 meteorology & atmospheric sciences ,biology ,Compost ,fungi ,Amendment ,food and beverages ,engineering.material ,010502 geochemistry & geophysics ,biology.organism_classification ,complex mixtures ,01 natural sciences ,Soil contamination ,Environmental chemistry ,Bioaccumulation ,engineering ,General Earth and Planetary Sciences ,Environmental science ,Spinach ,Spent mushroom compost ,Organic fertilizer ,Vermicompost ,0105 earth and related environmental sciences ,General Environmental Science - Abstract
Soil pollution with potentially toxic elements is a significant environmental problem worldwide. Such soils need reclamation, utilizing environmentally friendly and cost-effective techniques. Therefore, a study was performed with an aim to evaluate the effect of different organic amendments on bioaccumulation of potentially toxic elements in spinach grown on contaminated soils. For the experiment, soils from various mines (manganese mine (MM), chromite mine (CM), quartz mine (QM), and soap stone mine (SSM)) were amended with organic fertilizers including spent mushroom compost (SMC), vermicompost (VC), and leaf compost (LC). Spinach was grown in pots containing 5 kg growing media at 1:1:1 by weight (garden soil:mining soil:organic fertilizer). Results indicated that mining soils and organic amendments significantly affected plant growth and yield parameters and potentially toxic elements’ content in spinach. Organic fertilizers amendment reduced potentially toxic elements’ availability, increased spinach growth, and reduced their related health risk indices (HRI). Among organic fertilizers, VC was more effective in reducing uptake of lead (Pb), manganese (Mn), chromium (Cr), and cadmium (Cd) by 81%, 59%, 74%, and 45%, respectively; improving spinach growth and yield; and reducing HRI.
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- 2020
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19. The adaptation of AABACUS for quality improvement in laboratory workflow analysis ('L-AABACUS')
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Carol C Cheung and Shehnaz Khan
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0301 basic medicine ,Decision support system ,Time Factors ,Quality management ,Computer science ,media_common.quotation_subject ,Staffing ,Workload ,Turnaround time ,Decision Support Techniques ,Workflow ,Pathology and Forensic Medicine ,03 medical and health sciences ,0302 clinical medicine ,Humans ,Adaptation (computer science) ,Function (engineering) ,media_common ,business.industry ,General Medicine ,Laboratories, Hospital ,Quality Improvement ,030104 developmental biology ,030220 oncology & carcinogenesis ,Software engineering ,business - Abstract
The ability to effectively monitor key indicators is important for continuous quality improvement in laboratory immunohistochemistry. This article deals specifically with laboratory turnaround time (TAT) as a key delivery indicator and the impact of laboratory workflow on laboratory TATs. While our laboratory has traditionally relied on the manual calculation of slide-TAT (S-TAT) to monitor delivery, we have determined that automated calculation of case-TAT (C-TAT) would be superior as a delivery indicator. AABACUS (Automatable Activity-Based Approach to Complexity Unit Scoring) is an activity-based workload model designed to function primarily as a decision support tool to monitor pathologist staffing levels. We devised a high-level proof-of-principle approach to determine whether it is possible to apply AABACUS as a decision support tool for quality improvement through analysis of alternative laboratory workflows that have potential to impact C-TAT. Our use of AABACUS in this proof-of-principle quality improvement endeavour was two-fold: (1) we leveraged the ability of AABACUS to link data at the slide level to data at the case level, which enabled the automated calculation of C-TAT; and (2) we adapted AABACUS to evaluate the impact of laboratory workflow activities (specifically workflow bifurcation activities) on the calculated C-TATs. We have coined the term 'L-AABACUS' to describe the adaptation of AABACUS to the analysis of laboratory workflow.
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- 2019
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20. Tamm-Horsfall Protein Regulates Mononuclear Phagocytes in the Kidney
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Tarek M. El-Achkar, Seth Winfree, Yan Tong, Xue-Ru Wu, Edward F. Srour, Maya E. Lee, Takashi Hato, Shehnaz Khan, Joydeep Ghosh, Pierre C. Dagher, Susan Rice, Radmila Micanovic, and Danielle Janosevic
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0301 basic medicine ,Tamm–Horsfall protein ,Cell Plasticity ,Kidney ,Granulopoiesis ,Mice ,03 medical and health sciences ,Uromodulin ,medicine ,Loop of Henle ,Animals ,Humans ,Macrophage ,Cell Proliferation ,Phagocytes ,biology ,Chemistry ,hemic and immune systems ,General Medicine ,Mononuclear phagocyte system ,Acute Kidney Injury ,Phenotype ,Epithelium ,Cell biology ,Enzyme Activation ,Basic Research ,030104 developmental biology ,medicine.anatomical_structure ,Nephrology ,Reperfusion Injury ,Immunology ,biology.protein ,lipids (amino acids, peptides, and proteins) ,Proto-Oncogene Proteins c-akt - Abstract
Tamm–Horsfall protein (THP), also known as uromodulin, is a kidney-specific protein produced by cells of the thick ascending limb of the loop of Henle. Although predominantly secreted apically into the urine, where it becomes highly polymerized, THP is also released basolaterally, toward the interstitium and circulation, to inhibit tubular inflammatory signaling. Whether, through this latter route, THP can also regulate the function of renal interstitial mononuclear phagocytes (MPCs) remains unclear, however. Here, we show that THP is primarily in a monomeric form in human serum. Compared with wild-type mice, THP(−/−) mice had markedly fewer MPCs in the kidney. A nonpolymerizing, truncated form of THP stimulated the proliferation of human macrophage cells in culture and partially restored the number of kidney MPCs when administered to THP(−/−) mice. Furthermore, resident renal MPCs had impaired phagocytic activity in the absence of THP. After ischemia-reperfusion injury, THP(−/−) mice, compared with wild-type mice, exhibited aggravated injury and an impaired transition of renal macrophages toward an M2 healing phenotype. However, treatment of THP(−/−) mice with truncated THP after ischemia-reperfusion injury mitigated the worsening of AKI. Taken together, our data suggest that interstitial THP positively regulates mononuclear phagocyte number, plasticity, and phagocytic activity. In addition to the effect of THP on the epithelium and granulopoiesis, this new immunomodulatory role could explain the protection conferred by THP during AKI.
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- 2017
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21. Quantitative Three-Dimensional Tissue Cytometry to Study Kidney Tissue and Resident Immune Cells
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Timothy A. Sutton, Michael T. Eadon, Radmila Micanovic, Carrie L. Phillips, Tarek M. El-Achkar, Kenneth W. Dunn, Seth Winfree, Shehnaz Khan, and Katherine J. Kelly
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0301 basic medicine ,Pathology ,medicine.medical_specialty ,Population ,CD11c ,Digital analysis ,Biology ,Kidney ,Flow cytometry ,03 medical and health sciences ,Imaging, Three-Dimensional ,Immune system ,medicine ,Humans ,Image analysis ,education ,Image Cytometry ,Phagocytes ,education.field_of_study ,medicine.diagnostic_test ,General Medicine ,Basic Research ,Kidney Tubules ,030104 developmental biology ,medicine.anatomical_structure ,Nephrology ,Cytometry ,Software - Abstract
Analysis of the immune system in the kidney relies predominantly on flow cytometry. Although powerful, the process of tissue homogenization necessary for flow cytometry analysis introduces bias and results in the loss of morphologic landmarks needed to determine the spatial distribution of immune cells. An ideal approach would support three-dimensional (3D) tissue cytometry: an automated quantitation of immune cells and associated spatial parameters in 3D image volumes collected from intact kidney tissue. However, widespread application of this approach is limited by the lack of accessible software tools for digital analysis of large 3D microscopy data. Here, we describe Volumetric Tissue Exploration and Analysis (VTEA) image analysis software designed for efficient exploration and quantitative analysis of large, complex 3D microscopy datasets. In analyses of images collected from fixed kidney tissue, VTEA replicated the results of flow cytometry while providing detailed analysis of the spatial distribution of immune cells in different regions of the kidney and in relation to specific renal structures. Unbiased exploration with VTEA enabled us to discover a population of tubular epithelial cells that expresses CD11C, a marker typically expressed on dendritic cells. Finally, we show the use of VTEA for large-scale quantitation of immune cells in entire human kidney biopsies. In summary, we show that VTEA is a simple and effective tool that supports unique digital interrogation and analysis of kidney tissue from animal models or biobanked human kidney biopsies. We have made VTEA freely available to interested investigators via electronic download.
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- 2017
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22. Circulating uromodulin inhibits systemic oxidative stress by inactivating the TRPM2 channel
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Takashi Hato, Tarek M. El-Achkar, Camila Bruna de Lima, Jered Myslinski, Radmila Micanovic, Xue-Ru Wu, Kaice A. LaFavers, Etienne Macedo, Pierre C. Dagher, Shehnaz Khan, Frank A. Witzmann, Seth Winfree, Carrie L. Phillips, Pranav S. Garimella, and Jeanette N. McClintick
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0301 basic medicine ,Adult ,Male ,Tamm–Horsfall protein ,030232 urology & nephrology ,TRPM Cation Channels ,Pharmacology ,medicine.disease_cause ,Article ,03 medical and health sciences ,Transient receptor potential channel ,Mice ,0302 clinical medicine ,In vivo ,Uromodulin ,medicine ,Animals ,Humans ,TRPM2 ,chemistry.chemical_classification ,Kidney ,Reactive oxygen species ,biology ,Chemistry ,Acute kidney injury ,General Medicine ,Middle Aged ,medicine.disease ,Oxidative Stress ,030104 developmental biology ,medicine.anatomical_structure ,HEK293 Cells ,Doxycycline ,biology.protein ,Female ,Reactive Oxygen Species ,Oxidative stress ,Signal Transduction - Abstract
High serum concentrations of kidney-derived protein uromodulin (Tamm-Horsfall protein or THP) have recently been shown to be independently associated with low mortality in both older adults and cardiac patients, but the underlying mechanism remains unclear. Here, we show that THP inhibits the generation of reactive oxygen species (ROS) both in the kidney and systemically. Consistent with this experimental data, the concentration of circulating THP in patients with surgery-induced acute kidney injury (AKI) correlated with systemic oxidative damage. THP in the serum dropped after AKI, and was associated with an increase in systemic ROS. The increase in oxidant injury correlated with post-surgical mortality and need for dialysis. Mechanistically, THP inhibited the activation of the transient receptor potential cation channel, subfamily M, member 2 (TRPM2) channel. Furthermore, inhibition of TRPM2 in vivo in a mouse model, mitigated the systemic increase in ROS during AKI and THP deficiency. Our results suggest that THP is a key regulator of systemic oxidative stress by suppressing TRPM2 activity and our findings might help to explain how circulating THP deficiency is linked with poor outcomes and increased mortality.
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- 2018
23. Assessment of Environmental Behaviour Among the Urban Poor of Panjtirthi Slum, Jammu, India
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Arvind Kumar, Shehnaz Khan, and Piyush Malaviya
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Geography ,Urban poor ,Socioeconomics ,Slum ,General Environmental Science - Abstract
The present study is an attempt to evaluate environmental awareness and attitude among the slum dwellers. Results based upon dwellers responses to various questions on environmental issues revealed that majority of the respondents (76.19%) had score indicating high level of basic environmental awareness. Among the gender groups, significant difference between the basic environmental awareness level among male and female respondents was observed but no significant difference was shown among different educational and age groups. Similarly, majority of respondents showed a high level (86.81%) of environmental attitude.
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- 2015
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24. Sniflyzer: A Network Sniffer
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Shehnaz Khan, Prachi Ahlawat, Varsha Khokhar, and Priyanka Muppuri
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Telnet ,File Transfer Protocol ,business.industry ,computer.internet_protocol ,Computer science ,Network packet ,Internet traffic ,Network monitoring ,Login ,Packet analyzer ,business ,computer ,Computer network ,Promiscuous mode - Abstract
Sniffers possess huge potential in monitoring and validating internet traffic. They are essential for efficient working of computer networks in any organization. Sniffer helps to monitor a network as well as capture the passwords used in telnet, login and ftp connections. It examines and sniffs packet travelling through a network without altering them. Sniffer decodes the captured packets and allows network administrators to understand, analyze and recover useful information from packet content. Besides being a boon for organization, hackers also use sniffers for indulging into malicious acts of hacking other users’ account and systems. This paper focuses on the development and implementation of a new sniffer named as Sniflyzer and briefly explores the protocols used in analyzing a packet. Implementation results illustrate that Sniflyzer creates an encrypted database of packet and the front end displays the front end displays the appropriate information as desired by the user.
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- 2014
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25. The Role of Tumor Necrosis Factor Alpha in Regulating the Expression of Tamm-Horsfall Protein (Uromodulin) in Thick Ascending Limbs during Kidney Injury
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Monique R. Heitmeier, Radmila Micanovic, Tarek M. El-Achkar, Shehnaz Khan, and Ruth McCracken
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medicine.medical_specialty ,Tamm–Horsfall protein ,medicine.medical_treatment ,Kidney ,Article ,Mice ,Internal medicine ,Uromodulin ,medicine ,Loop of Henle ,Animals ,RNA, Messenger ,Hepatocyte Nuclear Factor 1-beta ,chemistry.chemical_classification ,Regulation of gene expression ,biology ,Tumor Necrosis Factor-alpha ,urogenital system ,business.industry ,hemic and immune systems ,Acute Kidney Injury ,Molecular biology ,Disease Models, Animal ,Endocrinology ,medicine.anatomical_structure ,Cytokine ,Gene Expression Regulation ,chemistry ,Nephrology ,Reperfusion Injury ,Hepatocyte Nuclear Factor 1-Beta ,biology.protein ,lipids (amino acids, peptides, and proteins) ,Tumor necrosis factor alpha ,Glycoprotein ,business - Abstract
Background: Tamm-Horsfall Protein (THP) is a glycoprotein expressed exclusively by cells of the thick ascending loop (TAL) of Henle. THP has a protective role in acute kidney injury (AKI), and its expression is downregulated in the early stages of injury. Tumor necrosis factor alpha (TNFE) is a cytokine endogenously expressed by the TAL and is also induced by AKI. Therefore, we hypothesized that TNFE is a key regulator of THP expression. Methods: We used a mouse model of AKI (ischemia-reperfusion injury, IRI) and a cell culture system of a TAL cell line (MKTAL). Results: We show that TNFE is upregulated by TAL cells early after AKI in vivo. The expression of THP and its transcription factor Hepatocyte nuclear factor 1F (HNF1F) were concomitantly decreased at the peak of injury. Furthermore, recombinant TNFE inhibits significantly, and in a dose-dependent manner, the expression of THP, but not HNF1F in MKTAL cells. Interestingly, neither TNFE neutralization nor genetic deletion of TNFE increased THP or HNF levels after injury in vivo. Conclusion: Our data suggest that TNFE can inhibit the expression of THP in TAL cells via an HNF1F-independent mechanism, but the downregulation of THP expression in the early AKI does not depend on TNFE. We propose that TNFE regulates THP expression in a homeostatic setting, but the impact of TNFE on THP during kidney injury is superseded by other factors that could inhibit HNF1F-mediated expression of THP. i 2014 S. Karger AG, Basel
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- 2014
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26. Impaired function of Fanconi anemia type C-deficient macrophages
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Laura S. Haneline, Ying Liu, Shehnaz Khan, Weinian Shou, Deqiang Li, Kimberly Ballman, and Ethel Derr-Yellin
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Lipopolysaccharides ,rho GTP-Binding Proteins ,congenital, hereditary, and neonatal diseases and abnormalities ,Phagocytosis ,Immunology ,Antigen presentation ,Inflammation ,Biology ,Systems Biology & Immunogenetics ,Mice ,Immune system ,Superoxides ,hemic and lymphatic diseases ,Cell Adhesion ,medicine ,Animals ,Immunology and Allergy ,Macrophage ,RNA, Messenger ,Cells, Cultured ,Cytoskeleton ,Mice, Knockout ,Innate immune system ,Chemotaxis ,Monocyte ,Fanconi Anemia Complementation Group C Protein ,nutritional and metabolic diseases ,Endothelial Cells ,Cell Biology ,Acquired immune system ,Actins ,Coculture Techniques ,Fanconi Anemia ,medicine.anatomical_structure ,Models, Animal ,Macrophages, Peritoneal ,medicine.symptom ,rhoA GTP-Binding Protein - Abstract
FA is a genetic disorder characterized by BM failure, developmental defects, and cancer predisposition. Previous studies suggest that FA patients exhibit alterations in immunologic function. However, it is unclear whether the defects are immune cell-autonomous or secondary to leukopenia from evolving BM failure. Given the central role that macrophages have in the innate immune response, inflammation resolution, and antigen presentation for acquired immunity, we examined whether macrophages from Fancc−/− mice exhibit impaired function. Peritoneal inflammation induced by LPS or sodium periodate resulted in reduced monocyte/macrophage recruitment in Fancc−/− mice compared with WT controls. Fancc−/− mice also had decreased inflammatory monocytes mobilized into the peripheral blood after LPS treatment compared with controls. Furthermore, Fancc−/− peritoneal macrophages displayed cell-autonomous defects in function, including impaired adhesion to FN or endothelial cells, reduced chemoattractant-mediated migration, and decreased phagocytosis. Moreover, dysregulated F-actin rearrangement was detected in Fancc−/− macrophages after adhesion to FN, which was consistent with an observed reduction in RhoA-GTP levels. Importantly, these data suggest that impaired cytoskeletal rearrangements in Fancc−/− macrophages may be the common mechanism responsible for cell-autonomous defects detected in vitro, as well as altered monocyte/macrophage trafficking in vivo.
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- 2011
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27. Empirical Analysis of Transcriptional Activity in the Arabidopsis Genome
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Matthew Tripp, Nancy F. Hansen, Qimin Chao, Mani Gurjal, Carolyn C. Tang, Shelise Brooks, Maiko Nakajima, Motoaki Seki, Audrey Southwick, Hank C. Wu, Ronald W. Davis, Cecilia Wong, Rosa Cheuk, Yuki Yamamura, Michelle Nguyen, Kazuo Shinozaki, Andrew D. Goldsmith, Marie M. H. Chan, Christopher Kim, Joseph R. Ecker, Eric Koesema, Kayoko Yamada, Akiko Enju, Yoshihide Hayashizaki, Chanda Johnson-Hopson, Charlie H. Chang, Erika Wallender, Tetsuya Sakurai, Justine M. Deng, Paul Shinn, Vickie Hsuan, Takahiro Arakawa, Kei Iida, Asako Kamiya, Huaming Chen, Masakazu Satou, Shirley X. Liu, Bao Lam, Joseph M. Dale, Courtney Onodera, Meagan Karnes, Jun Lim, Racquel Tamse, Jenny Banh, Shiaulou Yuan, George Karlin-Newmann, Nathan Choy, Ted Jones, Paul X. Jiang, Troy Wu, Leah Bowser, Junko Ishida, Yasser Ansari, Kenji Akiyama, Guixia Yu, Maria Vaysberg, Mitsue J. Toriumi, Jeong M. Lee, Paul K. Pham, Cristina C. Meyers, Curtis J. Palm, Piero Carninci, Hitomi Sakano, Molly Miranda, Hong L. Quach, Mari Narusaka, Jun Kawai, Fumika Banno, Shehnaz Khan, and Athanasios Theologis
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Genome evolution ,DNA, Complementary ,Transcription, Genetic ,Arabidopsis ,Genomics ,Biology ,Genes, Plant ,Genome ,Chromosomes, Plant ,Open Reading Frames ,RNA, Messenger ,Cloning, Molecular ,ORFeome ,Gene ,Oligonucleotide Array Sequence Analysis ,Expressed Sequence Tags ,Genetics ,Multidisciplinary ,Reverse Transcriptase Polymerase Chain Reaction ,Gene Expression Profiling ,Chromosome Mapping ,Computational Biology ,Nucleic Acid Hybridization ,biology.organism_classification ,Gene expression profiling ,RNA, Plant ,Proteome ,DNA, Intergenic ,Genome, Plant - Abstract
Functional analysis of a genome requires accurate gene structure information and a complete gene inventory. A dual experimental strategy was used to verify and correct the initial genome sequence annotation of the reference plant Arabidopsis . Sequencing full-length cDNAs and hybridizations using RNA populations from various tissues to a set of high-density oligonucleotide arrays spanning the entire genome allowed the accurate annotation of thousands of gene structures. We identified 5817 novel transcription units, including a substantial amount of antisense gene transcription, and 40 genes within the genetically defined centromeres. This approach resulted in completion of â¼30% of the Arabidopsis ORFeome as a resource for global functional experimentation of the plant proteome.
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- 2003
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28. Tamm-Horsfall Protein Regulates Granulopoiesis and Systemic Neutrophil Homeostasis
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Allison Lyle, Xue-Ru Wu, Shehnaz Khan, Brahmananda R. Chitteti, Tarek M. El-Achkar, Takashi Hato, Pierre C. Dagher, Yan Tong, Edward F. Srour, and Radmila Micanovic
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Tamm–Horsfall protein ,Neutrophils ,medicine.medical_treatment ,Granulopoiesis ,Interleukin-23 ,Kidney Tubules, Proximal ,Mice ,Bone Marrow ,Uromodulin ,medicine ,Animals ,Homeostasis ,Neutrophil homeostasis ,Mice, Knockout ,Kidney ,biology ,Interleukin-17 ,hemic and immune systems ,General Medicine ,Neutrophilia ,Cell biology ,Hematopoiesis ,Haematopoiesis ,medicine.anatomical_structure ,Cytokine ,Basic Research ,Nephrology ,Immunology ,biology.protein ,Erythropoiesis ,medicine.symptom ,Granulocytes - Abstract
Tamm-Horsfall protein (THP) is a glycoprotein uniquely expressed in the kidney. We recently showed an important role for THP in mediating tubular cross-talk in the outer medulla and in suppressing neutrophil infiltration after kidney injury. However, it remains unclear whether THP has a broader role in neutrophil homeostasis. In this study, we show that THP deficiency in mice increases the number of neutrophils, not only in the kidney but also in the circulation and in the liver, through enhanced granulopoiesis in the bone marrow. Using multiplex ELISA, we identified IL-17 as a key granulopoietic cytokine specifically upregulated in the kidneys but not in the liver of THP(-/-) mice. Indeed, neutralization of IL-17 in THP(-/-) mice completely reversed the systemic neutrophilia. Furthermore, IL-23 was also elevated in THP(-/-) kidneys. We performed real-time PCR on laser microdissected tubular segments and FACS-sorted renal immune cells and identified the S3 proximal segments, but not renal macrophages, as a major source of increased IL-23 synthesis. In conclusion, we show that THP deficiency stimulates proximal epithelial activation of the IL-23/IL-17 axis and systemic neutrophilia. Our findings provide evidence that the kidney epithelium in the outer medulla can regulate granulopoiesis. When this novel function is added to its known role in erythropoiesis, the kidney emerges as an important regulator of the hematopoietic system.
- Published
- 2014
29. Iron-free neoplastic nodules and hepatocellular carcinoma without cirrhosis in Wistar rats fed a diet high in iron
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Michael C. Kew, Shehnaz Khan, Kensese S. Mossanda, A.C. Paterson, and George A. Asare
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medicine.medical_specialty ,Pathology ,Cirrhosis ,Metallocenes ,Iron ,Liver Cirrhosis, Experimental ,Gastroenterology ,Pathology and Forensic Medicine ,chemistry.chemical_compound ,Carbonyl iron ,Liver Neoplasms, Experimental ,Fibrosis ,Internal medicine ,medicine ,Animals ,Aspartate Aminotransferases ,Ferrous Compounds ,Rats, Wistar ,business.industry ,Nodule (medicine) ,Anatomical pathology ,Alanine Transaminase ,Glutathione ,medicine.disease ,Immunohistochemistry ,Rats ,Disease Models, Animal ,chemistry ,Liver ,Hepatocellular carcinoma ,Dietary Supplements ,Experimental pathology ,medicine.symptom ,business - Abstract
Although excess hepatic iron in hereditary haemochromatosis and dietary iron overload in the African causes hepatocellular carcinoma, it usually does so in the presence of cirrhosis. A direct hepatocarcinogenic effect of iron has not been proved. Moreover, an animal model of hepatocellular carcinoma induced by iron overload has not been available. The aim of this study was to develop such a model and to use it to ascertain whether excess hepatic iron is directly hepatocarcinogenic. Sixty Wistar albino rats were fed a chow diet and 60 the same diet supplemented initially with 2% carbonyl iron for 12 months, followed by 0.5% ferrocene for 20 months. Five rats from each group were sacrificed every 4 months for 24 months for histological and biochemical monitoring. By 16 months, hepatocytes in all the rats receiving the iron-supplemented diet showed grade 4 iron overload, comparable in degree with that seen in patients with advanced hereditary haemochromatosis and dietary iron overload. Altered hepatic foci and pre-neoplastic nodules were first seen at 16 months. These increased in size and number with time, were iron-free, stained positively with placental glutathione sulphydryl transferase, and showed the same histological features as the iron-free foci described in patients with hepatocellular carcinoma complicating hereditary haemochromatosis. At 32 months the eight surviving rats in the iron overloaded group were sacrificed. The livers of five of these rats contained pre-neoplastic nodules and one showed, in addition, an iron-free, well-differentiated hepatocellular carcinoma. The tumour stained positively for placental glutathione sulphydryl transferase. Neither cirrhosis nor portal fibrosis was present in this or any iron-loaded animal. We conclude that hepatocellular carcinoma may complicate dietary hepatic iron overload in Wistar albino rats in the absence of fibrosis or cirrhosis, confirming an aetiological association between dietary iron overload and the tumour and suggesting that iron may be directly hepatocarcinogenic.
- Published
- 2005
30. Utilization of a labeled tracking oligonucleotide for visualization and quality control of spotted 70-mer arrays
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Thomas C. Zahrt, Michael Tschannen, Martin J. Hessner, Xujing Wang, Shehnaz Khan, and Vineet K. Singh
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DNA, Bacterial ,Quality Control ,Staphylococcus aureus ,Fluorophore ,lcsh:QH426-470 ,lcsh:Biotechnology ,Biology ,03 medical and health sciences ,chemistry.chemical_compound ,Nucleic acid thermodynamics ,Complementary DNA ,lcsh:TP248.13-248.65 ,Genetics ,Fluorescein ,030304 developmental biology ,Oligonucleotide Array Sequence Analysis ,0303 health sciences ,Analysis of Variance ,gene expression analysis ,Oligonucleotide ,cDNA library ,Gene Expression Profiling ,Methodology Article ,030302 biochemistry & molecular biology ,Nucleic Acid Hybridization ,Reproducibility of Results ,Mycobacterium tuberculosis ,Carbocyanines ,Reference Standards ,Molecular biology ,Spotted oligonucleotide arrays ,Gene expression profiling ,RNA, Bacterial ,lcsh:Genetics ,chemistry ,70-mers ,DNA microarray ,Oligonucleotide Probes ,Biotechnology - Abstract
Background Spotted 70-mer oligonucleotide arrays offer potentially greater specificity and an alternative to expensive cDNA library maintenance and amplification. Since microarray fabrication is a considerable source of data variance, we previously directly tagged cDNA probes with a third fluorophore for prehybridization quality control. Fluorescently modifying oligonucleotide sets is cost prohibitive, therefore, a co-spotted Staphylococcus aureus-specific fluorescein-labeled "tracking" oligonucleotide is described to monitor fabrication variables of a Mycobacterium tuberculosis oligonucleotide microarray. Results Significantly (p < 0.01) improved DNA retention was achieved printing in 15% DMSO/1.5 M betaine compared to the vendor recommended buffers. Introduction of tracking oligonucleotide did not effect hybridization efficiency or introduce ratio measurement bias in hybridizations between M. tuberculosis H37Rv and M. tuberculosis mprA. Linearity between the mean log Cy3/Cy5 ratios of genes differentially expressed from arrays either possessing or lacking the tracking oligonucleotide was observed (R2 = 0.90, p < 0.05) and there were no significant differences in Pearson's correlation coefficients of ratio data between replicates possessing (0.72 ± 0.07), replicates lacking (0.74 ± 0.10), or replicates with and without (0.70 ± 0.04) the tracking oligonucleotide. ANOVA analysis confirmed the tracking oligonucleotide introduced no bias. Titrating target-specific oligonucleotide (40 μM to 0.78 μM) in the presence of 0.5 μM tracking oligonucleotide, revealed a fluorescein fluorescence inversely related to target-specific oligonucleotide molarity, making tracking oligonucleotide signal useful for quality control measurements and differentiating false negatives (synthesis failures and mechanical misses) from true negatives (no gene expression). Conclusions This novel approach enables prehybridization array visualization for spotted oligonucleotide arrays and sets the stage for more sophisticated slide qualification and data filtering applications.
- Published
- 2004
31. Immunofluorescence laser micro-dissection of specific nephron segments in the mouse kidney allows targeted downstream proteomic analysis
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Shehnaz Khan, Radmila Micanovic, and Tarek M. El-Achkar
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laser micro-dissection ,Kidney ,Pathology ,medicine.medical_specialty ,medicine.diagnostic_test ,Physiology ,business.industry ,RNA ,Nephron ,Immunofluorescence staining ,Proteomics ,Immunofluorescence ,Cell biology ,proteomics ,medicine.anatomical_structure ,Physiology (medical) ,medicine ,Mouse Kidney ,2D-DIGE ,Laser micro dissection ,business ,Original Research ,mass spectrometry - Abstract
Laser micro-dissection (LMD) is a very useful tool that allows the isolation of finite areas from tissue specimens for downstream analysis of RNA and protein. Although LMD has been adapted for use in kidney tissue, the use of this powerful tool has been limited by the diminished ability to identify specific tubular segments in the kidney. In this study, we describe a major improvement in the methodology to isolate specific cells in the mouse kidney using immunofluorescence LMD (IF-LMD). Using IF-LMD, we can reproducibly isolate not only glomeruli, but also S1–S2 proximal segments, S3 tubules, and thick ascending limbs. We also demonstrate the utility of a novel rapid immunofluorescence staining technique, and provide downstream applications for IF-LMD such as real-time PCR and cutting-edge proteomic studies. This technical breakthrough may become an invaluable tool for understanding cellular and molecular events in the heterogeneous kidney milieu.
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- 2015
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32. Sequence and analysis of chromosome 1 of the plant Arabidopsis thaliana
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Teresa Utterback, Jose M. Alonso, Christopher D. Town, Maria Vaysberg, Susan Van Aken, Betty Fong, Mike K. Chung, Samir Kaul, Lane Conn, Mitsue J. Toriumi, Valentina S. Vysotskaia, Hootan Altafi, Huaming Chen, Cheryl Bowman, Ji Dong Feng, Tamara Feldblyum, Michelle Nguyen, John Gill, Brian J. Haas, Elizabeth Khaykin, Jason S. Luros, Jeong M. Lee, Pelin Etgu, Ken Dewar, Irina Kremenetskaia, Bao Lam, Owen White, Paul K. Pham, Shirley X. Liu, Christina W. Chin, William C. Nierman, Andrew L. Lee, Zhaoying A. Liu, Jonathan L. Hunter, Michael G. Rizzo, Stephanie Langin-Hooper, Claire Fujii, Guixia Yu, Beth Hughes, Steven L. Salzberg, Michelle Walker, Shelise Brooks, April Chan, Don Rowley, Xiaoying Lin, Timothy Rooney, Catherine A. Lenz, Dongying Wu, Todd Creasy, Andre Marziali, Ya Ping Li, Joseph R. Ecker, Molly Miranda, Lucas Huizar, Hean L. Koo, Qimin Chao, Andrea Kwan, Audrey Southwick, Andrew D. Goldsmith, Curtis J. Palm, Grace Pai, Hui Sun, J. Craig Venter, Christopher Kim, Aaron B. Conway, Nancy A. Federspiel, Andrew R. Conway, Gabriel Tambunga, Rosa Cheuk, Nancy F. Hansen, Shehnaz Khan, Athanasios Theologis, David B. Kurtz, Joycelyn H. Li, Jennifer Jenkins, Eugen Buehler, Jennifer Militscher, Paul Shinn, Hitomi Sakano, Ronald W. Davis, Luke J. Tallon, Rina Araujo, Jeremy Peterson, Claire M. Fraser, Jody R. Schwartz, Brian I. Osborne, Chanda Johnson-Hopson, Rama Maiti, and Patrick Dunn
- Subjects
Genetics ,Multidisciplinary ,DNA, Plant ,Molecular Sequence Data ,Arabidopsis ,food and beverages ,Chromosome Mapping ,Retrotransposon ,Biology ,Genome ,Chromosome 16 ,Tandem repeat ,RNA, Transfer ,Chromosome 18 ,Chromosome 19 ,Gene Duplication ,Multigene Family ,Chromosome 21 ,Chromosome 22 ,Genome, Plant ,Plant Proteins - Abstract
The genome of the flowering plant Arabidopsis thaliana has five chromosomes. Here we report the sequence of the largest, chromosome 1, in two contigs of around 14.2 and 14.6 megabases. The contigs extend from the telomeres to the centromeric borders, regions rich in transposons, retrotransposons and repetitive elements such as the 180-base-pair repeat. The chromosome represents 25% of the genome and contains about 6,850 open reading frames, 236 transfer RNAs (tRNAs) and 12 small nuclear RNAs. There are two clusters of tRNA genes at different places on the chromosome. One consists of 27 tRNA(Pro) genes and the other contains 27 tandem repeats of tRNA(Tyr)-tRNA(Tyr)-tRNA(Ser) genes. Chromosome 1 contains about 300 gene families with clustered duplications. There are also many repeat elements, representing 8% of the sequence.
- Published
- 2000
33. Use of a three-color cDNA microarray platform to measure and control support-bound probe for improved data quality and reproducibility
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Howard J. Jacob, Michael J. Schlicht, Shehnaz Khan, Milton W. Datta, Xujing Wang, Lisa Meyer, Jennifer Tackes, Soumitra Ghosh, and Martin J. Hessner
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Quality Control ,Reproducibility ,Measure (data warehouse) ,DNA, Complementary ,Gene Expression Profiling ,Confocal ,Color ,Reproducibility of Results ,Replicate ,Biology ,Bioinformatics ,Filter (video) ,Complementary DNA ,Data quality ,Genetics ,Humans ,Fluorescein ,Coloring Agents ,Microarray platform ,Biological system ,NAR Methods Online ,Oligonucleotide Array Sequence Analysis - Abstract
Construction methodologies for cDNA microarrays lack the ability to determine array integrity prior to hybridization, leaving the array itself a source of uncontrolled experimental variation. We solved this problem through development of a three-color cDNA array platform whereby printed probes are tagged with fluorescein and are compatible with Cy3 and Cy5 target labeling dyes when using confocal laser scanners possessing narrow bandwidths. Here we use this approach to: (i) develop a tracking system to monitor the printing of probe plates at predicted coordinates; (ii) define the quantity of immobilized probe necessary for quality hybridized array data to establish pre-hybridization array selection criteria; (iii) investigate factors that influence probe availability for hybridization; and (iv) explore the feasibility of hybridized data filtering using element fluorescein intensity. A direct and significant relationship (R2 = 0.73, P < 0.001) between pre-hybridization average fluorescein intensity and subsequent hybridized replicate consistency was observed, illustrating that data quality can be improved by selecting arrays that meet defined pre-hybridization criteria. Furthermore, we demonstrate that our three-color approach provides a means to filter spots possessing insufficient bound probe from hybridized data sets to further improve data quality. Collectively, this strategy will improve microarray data and increase its utility as a sensitive screening tool.
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- 2003
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34. Utilization of a labeled tracking oligonucleotide for visualization and quality control of spotted 70-mer arrays.
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Hessner, Martin J., Singh, Vineet K., Xujing Wang, Shehnaz Khan, Tschannen, Michael R., and Zahrt, Thomas C.
- Subjects
FLUORESCENCE in situ hybridization ,OLIGONUCLEOTIDES ,DNA microarrays ,MYCOBACTERIUM tuberculosis ,DNA data banks ,GENE amplification ,IMAGING systems in genetics - Abstract
Background: Spotted 70-mer oligonucleotide arrays offer potentially greater specificity and an alternative to expensive cDNA library maintenance and amplification. Since microarray fabrication is a considerable source of data variance, we previously directly tagged cDNA probes with a third fluorophore for prehybridization quality control. Fluorescently modifying oligonucleotide sets is cost prohibitive, therefore, a co-spotted Staphylococcus aureus-specific fluorescein-labeled "tracking" oligonucleotide is described to monitor fabrication variables of a Mycobacterium tuberculosis oligonucleotide microarray. Results: Significantly (p < 0.01) improved DNA retention was achieved printing in 15% DMSO/1.5 M betaine compared to the vendor recommended buffers. Introduction of tracking oligonucleotide did not effect hybridization efficiency or introduce ratio measurement bias in hybridizations between M. tuberculosis H37Rv and M. tuberculosis mprA. Linearity between the mean log Cy3/Cy5 ratios of genes differentially expressed from arrays either possessing or lacking the tracking oligonucleotide was observed (R² = 0.90, p < 0.05) and there were no significant differences in Pearson's correlation coefficients of ratio data between replicates possessing (0.72 ± 0.07), replicates lacking (0.74 ± 0.10), or replicates with and without (0.70 ± 0.04) the tracking oligonucleotide. ANOVA analysis confirmed the tracking oligonucleotide introduced no bias. Titrating target-specific oligonucleotide (40 µM to 0.78 µM) in the presence of 0.5 µM tracking oligonucleotide, revealed a fluorescein fluorescence inversely related to target-specific oligonucleotide molarity, making tracking oligonucleotide signal useful for quality control measurements and differentiating false negatives (synthesis failures and mechanical misses) from true negatives (no gene expression). Conclusions: This novel approach enables prehybridization array visualization for spotted oligonucleotide arrays and sets the stage for more sophisticated slide qualification and data filtering applications. [ABSTRACT FROM AUTHOR]
- Published
- 2004
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