260 results on '"Wong MY"'
Search Results
2. Single-species subgroups form within mixed-species shoals of tropical and temperate fishes
- Author
-
Paijmans, KC, Booth, DJ, Wong, MY, Paijmans, KC, Booth, DJ, and Wong, MY
- Abstract
Shoaling behaviour is commonly displayed by fishes and is thought to reduce predation and increase foraging efficiency. Shoaling relies on coordination between individuals, with higher cohesion and alignment among individuals within a shoal providing greater net benefits of this behaviour. Whilst single species often shoal together in conspecific groups, mixed-species shoaling is frequently observed and has been identified as an important determinant of individual fitness for the multiple species involved. Despite their prevalence, the structure of mixed-species shoals and the mechanisms by which individuals gain protection from predators and enhance their foraging efficiency are not as well understood as for single-species shoals. In fact, mixed-species shoals may be less coordinated than single-species shoals, raising the intriguing question of why fishes form mixed-species shoals when this behaviour could be less beneficial than single-species shoaling. Here we used in situ stereo-video techniques to compare within and between shoal differences in cohesion and alignment, for mixed- and single-species shoals containing the tropical vagrant Indo pacific sergeant major damselfish, Abudefduf vaigiensis, in temperate waters. As expected, mixed-species shoals were less aligned than single-species shoals. However, within mixed-species shoals conspecifics were more cohesive and aligned than were heterospecifics, suggesting coordinated single-species subgroups formed within larger mixed-species shoals. The formation of subgroups may mitigate costs associated with differences between species, therefore enhancing benefits of mixed-species shoaling. As such, multiple levels of social structure may exist within mixed-species shoals that could facilitate growth and survival for vagrant A. vaigiensis in temperate regions. More broadly, this research highlights the importance of considering detailed internal structures of mixed-species shoals when trying to understand cost–benef
- Published
- 2021
3. Correlated measurement error—implications for nutritional epidemiology
- Author
-
Day, NE, Wong, MY, Bingham, S, Khaw, KT, Luben, R, Michels, KB, Welch, A, and Wareham, NJ
- Published
- 2004
4. The detection of gene–environment interaction for continuous traits: should we deal with measurement error by bigger studies or better measurement?
- Author
-
Wong, MY, Day, NE, Luan, JA, Chan, KP, and Wareham, NJ
- Published
- 2003
5. Sample size determination for studies of gene-environment interaction
- Author
-
Luan, JA, Wong, MY, Day, NE, and Wareham, NJ
- Published
- 2001
6. Epidemiological assessment of diet: a comparison of a 7-day diary with a food frequency questionnaire using urinary markers of nitrogen, potassium and sodium
- Author
-
Day, NE, McKeown, N, Wong, MY, Welch, A, and Bingham, S
- Published
- 2001
7. Characterization of Burkholderia cepacia genomovar I as a potential biocontrol agent of Ganoderma boninense in oil palm
- Author
-
Azadeh, BF, Sariah, M, and Wong, MY
- Subjects
Burkholderia cepacia complex, recA gene, UPM B3, basal stem rot, Ganoderma boninense - Abstract
Burkholderia is an important bacterial genus containing several species of ecological, biotechnological and pathological interest. Bacterial isolate can be gotten from soil, water, plants and even clinics. With their taxonomy undergoing constant revision and the phenotypic similarity of several species, correct identification of Burkholderia is difficult. Burkholderia cepacia complex (Bcc) consists of nine discrete genomic species and a genetic scheme based on the recA gene has greatly enhanced the identification of B. cepacia complex species. The objectives of this study were to identify Burkholderia strain UPM B3 which was isolated from oil palm roots to the species level based on Biolog® Identification System, and to carry out DNA fingerprinting for strain differentiation as well as differentiate between pathogenic and non-pathogenic human forms. Antagonistic activity of UPM B3 against Ganoderma boninense was alsoevaluated by using dual culture and poison food tests. Genotype characterization was carried out by amplification of the recA gene using specific primers, purified using QIA Quick polymerase chain reaction (PCR) purification kit and sequenced. Multiple sequence alignments were performed on closely related sequence accessions using CLUSTAL W software. Result of nucleotide sequencing followed by phylogenetic analysis of the recA fragments differentiated both putative and known Burkholderiaspecies and all members of the B. cepacia complex. Genomovar analysis confirmed that UPM B3, isolated from oil palm roots belongs to genomovar I and has antagonistic activity against G. boninense based on in vitro dual culture and poison food tests. From the phylogenetic tree, UPM B3 is a specific strain within B. cepacia complex species that belong to genovomar I which is associated with strains nonpathogenic to humans. Thus, B. cepacia strain UPM B3 has the potential to be used against G.boninense, the causal pathogen of basal stem rot (BSR) in oil palm.
- Published
- 2012
8. Rosai-Dorfman disease of the testis: an unusual entity that mimics testicular malignancy
- Author
-
J Lui, C H Kuick, J S G Hwang, Wong My, W-Y Siow, S M Fernandopulle, and Puay Hoon Tan
- Subjects
Male ,Pathology ,medicine.medical_specialty ,Testicular Neoplasm ,Case Report ,Pathology and Forensic Medicine ,Diabetes Complications ,Diagnosis, Differential ,Testicular Neoplasms ,Testis ,medicine ,Diabetes Mellitus ,Humans ,Tuberculosis, Pulmonary ,Histiocyte ,Rosai–Dorfman disease ,business.industry ,Histiocytes ,General Medicine ,Seminoma ,Middle Aged ,medicine.disease ,Emperipolesis ,Placental alkaline phosphatase ,Orchitis ,Differential diagnosis ,Histiocytosis, Sinus ,business ,Orchiectomy - Abstract
A 47 year old Chinese man with diabetes mellitus and previously treated pulmonary tuberculosis presented with painless right testicular enlargement of 1 month's duration. He underwent an orchidectomy for presumed testicular neoplasm corroborated clinicoradiologically. Histological examination of the testicular mass revealed an inflammatory lesion comprising lymphocytes, plasma cells and sheets of pale staining histiocytes, some containing lymphocytes within their ample cytoplasm, suggestive of emperipolesis. S100 immunohistochemistry stained the histiocytes, while ultrastructural examination confirmed emperipolesis. A diagnosis of Rosai-Dorfman disease was made, an exceedingly rare testicular lesion. Clinicoradiological findings mimicked a neoplasm, while the inflammatory histological appearances with occasionally discerned multinucleated cells raised the possibility of xanthogranulomatous orchitis. Tuberculous orchitis was excluded through negative Ziehl-Neelsen stains and PCR for mycobacterium, while seminoma, which sometimes features a predominant inflammatory component obscuring neoplastic cells, was excluded by absent immunostaining for placental alkaline phosphatase and CD117.
- Published
- 2006
9. Etiologies of 46,XY disorders of sex development (DSD): a collaborative study in Hong Kong
- Author
-
But, WM, primary, Chan, Angel, additional, Lee, CY, additional, Lam, Almen, additional, Lam, YY, additional, Loung, PY, additional, Ng, KL, additional, Wong, MY, additional, Chan, KT, additional, Tse, WY, additional, and Shek, CC, additional
- Published
- 2013
- Full Text
- View/download PDF
10. Coexistence of benign ovarian serous cystadenoma and tuberculosis in a young woman
- Author
-
Lobo, FD, primary and Wong, MY, additional
- Published
- 2013
- Full Text
- View/download PDF
11. Does the association of habitual physical activity with the metabolic syndrome differ by level of cardiorespiratory fitness?
- Author
-
Franks, PW, Ekelund, U., Brage, S., Wong, MY, Wareham, NJ, Franks, PW, Ekelund, U., Brage, S., Wong, MY, and Wareham, NJ
- Abstract
OBJECTIVE - Cardiovascular fitness (VO2max) and physical activity arc both related to risk of Metabolic disease. It is unclear, however, whether the metabolic effects of sedentary living are the same in fit and unfit individuals. The purpose of this study was, therefore, to describe the association between physical activity and the metabolic syndrome and to test whether fitness level modifies this relationship. RESEARCH DESIGN AND METHODS - physical activity Was measured objectively using individually calibrated heart rate against energy expenditure. VO2max was predicted front a submaximal exercise stress test. Fat mass and fat-free mass (FFM) were calculated using impedance biometry. A metabolic syndrome score was computed by summing the standardized values for obesity, hypertension, hyperglycemia, insulin resistance, hypertriglyceridemia, and the inverse level of HDL cholesterol and was expressed as a continuously distributed Outcome. To correct for exposure measurement cri-or, a random subsample (22\% of cohort) re-attended for three repeat measurements in the year following the first assessment. RESULTS - The relationship of VO2max (ml O-2 (.) kg(FFM)(-1) (.) min(-1)) and the metabolic syndrome score was of borderline significance after adjusting for age, sex, physical activity, and measurement error (beta = -0.58, P = 0.06). The magnitude of the association between physical activity (kJ (.) d(-1) (.) kg(FFM)(-1)) and the metabolic syndrome was more than three tunes greater than for VO(2ma)x (standardized beta = - 1,83, P = 0.0042). VO2max however, modified the relationship between physical activity energy expenditure and metabolic syndrome (P = 0 036). CONCLUSIONS - This study demonstrates a Strong inverse association between physical activity and metabolic syndrome, an association that is much steeper in unfit individuals. Thus, prevention of metabolic disease may be most effective In the subset of unfit inactive people.
- Published
- 2004
12. Estimation of magnitude in gene-environment interactions in the presence of measurement error
- Author
-
Wong, MY, Day, NE, Luan, JA, Wareham, NJ, Wong, MY, Day, NE, Luan, JA, and Wareham, NJ
- Abstract
The design of studies aimed at identifying the interaction between genetic and environmental determinants in disease risk is attracting increased attention. In this paper, we study the effect of errors on measuring exposures and the effect of assessing genotype at one locus on the association of a continuous outcome measure with continuous exposures and genotype. The estimation of misclassification errors in assessing genotypes from a separate study is proposed. If the exposure measurement error is substantial, then even relatively small errors in genotyping within limits that are often quoted can have an appreciable effect on interaction estimates. We, thus, consider a method for correcting the measurement errors when the interaction between the exposures and the genetic factor is significant. Finally, we present an epidemiological example to demonstrate the importance of correcting measurement errors. Copyright (C) 2004 John Wiley Sons, Ltd.
- Published
- 2004
13. Branched equation modeling of simultaneous accelerometry and heart rate monitoring improves estimate of directly measured physical activity energy expenditure
- Author
-
Brage, S., Brage, N., Franks, PW, Ekelund, U., Wong, MY, Andersen, LB, Froberg, K., Wareham, NJ, Brage, S., Brage, N., Franks, PW, Ekelund, U., Wong, MY, Andersen, LB, Froberg, K., and Wareham, NJ
- Abstract
The combination of heart rate (HR) monitoring and movement registration may improve measurement precision of physical activity energy expenditure (PAEE). Previous attempts have used either regression methods, which do not take full advantage of synchronized data, or have not used movement data quantitatively. The objective of the study was to assess the precision of branched model estimates of PAEE by utilizing either individual calibration (IC) of HR and accelerometry or corresponding mean group calibration (GC) equations. In 12 men (20.6 - 25.2 kg/m(2)), IC and GC equations for physical activity intensity (PAI) were derived during treadmill walking and running for both HR ( Polar) and hip-acceleration [ Computer Science and Applications (CSA)]. HR and CSA were recorded minute by minute during 22 h of whole body calorimetry and converted into PAI in four different weightings (P1-4) of the HR vs. the CSA (1- P1-4) relationships: if CSA > x, we used the P1 weighting if HR > y, otherwise P-2. Similarly, if CSA less than or equal to x, we used P-3 if HR > z, otherwise P-4. PAEE was calculated for a 12.5-h nonsleeping period as the time integral of PAI. A priori, we assumed P-1 = 1, P-2 = P-3 = 0.5, P-4 = 0, x = 5 counts/min, y = walking/ running transition HR, and z = flex HR. These parameters were also estimated post hoc. Means +/- SD estimation errors of a priori models were - 4.4 +/- 29 and 3.5 +/- 20\% for IC and GC, respectively. Corresponding post hoc model errors were - 1.5 +/- 13 and 0.1 +/- 9.8\%, respectively. All branched models had lower errors ( P less than or equal to 0.035) than single-measure estimates of CSA ( less than or equal to - 45\%) and HR ( greater than or equal to 39\%), as well as their nonbranched combination ( greater than or equal to 25.7\%). In conclusion, combining HR and CSA by branched modeling improves estimates of PAEE. IC may be less crucial with this modeling technique.
- Published
- 2004
14. Does physical activity energy expenditure explain the between-individual variation in plasma leptin concentrations after adjusting for differences in body composition?
- Author
-
Franks, PW, Farooqi, IS, Luan, J., Wong, MY, Halsall, I., O'Rahilly, S., Wareham, NJ, Franks, PW, Farooqi, IS, Luan, J., Wong, MY, Halsall, I., O'Rahilly, S., and Wareham, NJ
- Abstract
Leptin is secreted by adipose tissue and acts upon receptors located in the hypothalamus to modify energy balance. Investigations of the relationship between leptin and physical activity energy expenditure (PAEE) at population level are scarce. The majority of studies addressing this topic are limited by their measurement of PAEE (i.e. questionnaires or ecological comparisons between rural and urban ethnic groups). To our knowledge, no studies have directly examined the relationship of objectively assessed PAEE and leptin in a large free-living population-based cohort. Therefore, we measured fasting plasma leptin and insulin concentrations, cardiorespiratory fitness ((V) over dot O-2max,O-pred), PAEE, and body composition in 758 Caucasian people (aged 40-65 yr). In sex-combined multiple regression analyses, leptin was significantly associated with PAEE (beta = -0.19, P = 0.0027), but not with (V) over dot O-2max,O-pred (beta = -0.0002, p = NS). The association between PAEE and leptin was significant in men when adjusted for percentage of body fat (beta = -0.28, P = 0.004) but not women (beta = -0.12, P = 0.18) but was significant in both men and women when adjusted for body mass index (men: beta = -0.28, P = 0.005; women: beta = -0.23, P = 0.01; combined: beta = -0.26, P = 0.00008). These data suggest the existence in this population of an independent inverse association between PAEE and fasting plasma leptin level.
- Published
- 2003
15. Wavelet threshold estimation for additive regression models
- Author
-
Zhang, SL, Wong, MY, Zhang, SL, and Wong, MY
- Abstract
Additive regression models have turned out to be useful statistical tools in the analysis of high-dimensional data. The attraction of such models is that the additive component can be estimated with the same optimal convergence rate as a one-dimensional nonparametric regression. However, this optimal property holds only when all the additive components have the same degree of "homogeneous" smoothness. In this paper, we propose a two-step wavelet thresholding estimation process in which the estimator is adaptive to different degrees of smoothness in different components and also adaptive to the "inhomogeneous" smoothness described by the Besov space. The estimator of an additive component constructed by the proposed procedure is shown to attain the one-dimensional optimal convergence rate even when the components have different degrees of "inhomogeneous" smoothness.
- Published
- 2003
16. Wavelet threshold estimation of a regression function with random design
- Author
-
Zhang, SL, Wong, MY, Zheng, ZG, Zhang, SL, Wong, MY, and Zheng, ZG
- Abstract
The wavelet threshold estimator of a regression function for the random design is constructed. The optimal uniform convergence rate of the estimator in a ball of Besov Space B-p, q(s) is probed under general assumptions. The adaptive wavelet threshold estimator with near-optimal convergence rate in a Aide range of Besov scale is also constructed. (C) 2001 Elsevier Science.
- Published
- 2002
17. Prolonged exposure to ethylene stimulates the negative gravitropic responses of Arabidopsis inflorescence stems and hypocotyls
- Author
-
Lu, BW, Yu, HY, Pei, LK, Wong, MY, Li, N., Lu, BW, Yu, HY, Pei, LK, Wong, MY, and Li, N.
- Abstract
The actual effect of ethylene on shoot gravitropic response has been controversial. To elucidate the role of ethylene in the modulation of shoot gravitropic response, Arabidopsis inflorescences and light-grown seedlings were pretreated with 0.1-10 muL L-1 of ethylene for either a long (12-48 h) or short term (0.5 h). When the gravicurvature was measured either in air or in ethylene, it was found that prolonged exposure to various levels of ethylene stimulated both inflorescence stem and hypocotyl gravicurvature in air, while the continued presence of ethylene immediately following reorientation of plant tissues inhibited gravicurvature of both tissues. Both stimulatory and inhibitory effects existed in inflorescence stems and hypocotyls when the plant tissues were exposed to a chosen concentration of ethylene. Stimulation by ethylene was stronger than its inhibition in inflorescence stems, while the reverse was true for the hypocotyls. Therefore, the continued presence of high levels of naturally produced ethylene in eto1-1 did not suppress the faster gravicurvature of inflorescence stems, whereas the removal of exogenously applied ethylene was necessary to observe faster gravicurvature of both the wild-type and eto1-1 hypocotyls. Both effects acted through the known ethylene receptor complex. These results strongly suggest that ethylene of a chosen concentration has opposing effects on the negative gravitropic responses of both inflorescence stems and hypocotyls. The ultimate negatively gravitropic behaviour of a plant tissue, when exposed to ethylene, depends on the dynamic interplay between these two opposing effects.
- Published
- 2002
18. Non-esterified fatty acid levels and physical inactivity: the relative importance of low habitual energy expenditure and cardio-respiratory fitness
- Author
-
Franks, PW, Wong, MY, Luan, J., Mitchell, J., Hennings, S., Wareham, NJ, Franks, PW, Wong, MY, Luan, J., Mitchell, J., Hennings, S., and Wareham, NJ
- Abstract
The fasting concentration of non-esterified fatty acids (NEFA) and the degree to which it declines during an oral glucose tolerance test are closely associated with insulin resistance and glucose intolerance. However, relatively few studies have described possible environmental determinants of NEFA concentrations. Physical activity is likely to be related to NEFA levels, but habitual activity level is difficult to quantify in epidemiological studies. In particular, it is unclear whether NEFA is more closely related to cardio-respiratory fitness or to habitual energy expenditure. In order to quantify these relationships, we analysed data from the Ely prospective population-based study in which 931 subjects underwent a glucose tolerance test with measurements of cardio-respiratory fitness and 4 d energy expenditure by heart-rate monitoring, a technique previously validated against whole-body calorimetry and doubly-labelled water. In order to estimate the latent variables of usual fitness and energy expenditure, a subset of 190 subjects underwent repeat testing on three further occasions over 1 year. In analyses adjusting only for age and sex, energy expenditure and cardio-respiratory fitness were both negatively correlated with the total area under the NEFA curve following the oral glucose load (standardised beta coefficients -0.030 and -0.039 respectively; both P<0.001) However, further adjustment for degree of obesity and bivariate measurement error suggested that the effect of energy expenditure was significantly greater than that for fitness (-0.047 and -0.005 respectively). These results suggest that the area under the NEFA curve in the oral glucose tolerance test, a measure of insulin sensitivity, is strongly associated with the habitual level of physical activity.
- Published
- 2002
19. The Efficacy of Emergency Medicine Ward for the Management of Patients with Mental Disorders
- Author
-
Chan, CM, primary, Wong, MY, additional, Chan, SL, additional, Wan, MY, additional, and Mo, YF, additional
- Published
- 2009
- Full Text
- View/download PDF
20. A test of multivariate independence based on a single factor model
- Author
-
Wong, MY, Cox, DR, Wong, MY, and Cox, DR
- Abstract
A test of the independence of two sets of variables is developed to have high power against a special family of dependence. In this each set of variables has the structure of a single factor model and the dependence is solely via the correlation gamma between the underlying latent variables. This is a model with only one nonzero canonical correlation. It is shown that a test based on the maximum likelihood estimate of gamma is appreciably more powerful than that based on r(1), the largest sample canonical correlation. If, however, the model is used, not just as a family of alternatives but as the basis for interpretation, and if substantial cross-correlation is present then the procedure is essentially equivalent to the use of r(1). (C) 2001 Academic Press.
- Published
- 2001
21. Degrees of freedom and the likelihood ratio test for the generalized Behrens-Fisher problem
- Author
-
Wong, MY, Zhang, SL, Wong, MY, and Zhang, SL
- Abstract
Several methods for testing the difference between two group means of k independent populations are compared. Simulation shows that the likelihood ratio test with the Bartlett correction factor and the t test with appropriate degrees of freedom perform better, particularly when the sample size is small. However, the latter is very good for all configurations.
- Published
- 2001
22. Quantifying the association between habitual energy expenditure and blood pressure
- Author
-
Wareham, NJ, Wong, MY, Hennings, S., Mitchell, J., Rennie, K., Cruickshank, K., Day, NE, Wareham, NJ, Wong, MY, Hennings, S., Mitchell, J., Rennie, K., Cruickshank, K., and Day, NE
- Abstract
Background Previous studies have demonstrated an association between physical inactivity and hypertension, but the methods used to assess activity have been subjective and imprecise. Recently methods have become available allowing measurement of energy expenditure in free-living populations. Our aim was to employ these methods to assess the independent association between energy expenditure, cardio-respiratory fitness and blood pressure. Methods In a cross-sectional study of 775 people (45-70 years) participating in a continuing population-based cohort study, energy expenditure was assessed by 4 days of heart rate monitoring with individual calibration of the relationship between heart rate and energy expenditure, a method validated against doubly-labelled water and whole body calorimetry. Cardio-respiratory fitness was assessed in a sub-maximal test. To adjust for measurement error in the assessment of usual energy expenditure and fitness, 190 subjects repeated both tests on three further occasions at 4-monthly intervals. Results A highly significant linear trend in blood pressure was found across quintiles of the physical activity level, the ratio of total energy expenditure to basal metabolic rate. The differences in the mean systolic/diastolic blood pressure between the top and bottom quintile was 6.3/4.4 mmHg in men and 10.7/5.9 mmHg in women. These effects were independent of obesity and cardio-respiratory fitness. Correction for measurement error suggests that the true underlying relationship between usual energy expenditure and blood pressure is stronger still. Conclusions These findings are compatible with a strong association between usual energy expenditure and blood pressure and support public health strategies aimed at increasing overall energy expenditure.
- Published
- 2000
23. Glucose intolerance and physical inactivity: The relative importance of low habitual energy expenditure and cardiorespiratory fitness
- Author
-
Wareham, NJ, Wong, MY, Day, NE, Wareham, NJ, Wong, MY, and Day, NE
- Abstract
Glucose intolerance and diabetes mellitus are associated with physical inactivity, but it is unclear whether preventive interventions should aim at increasing overall energy expenditure or increasing participation in vigorous, fitness-enhancing activities. Studies aimed at separating and quantifying the effects of these two dimensions of physical activity should use well-validated measurement instruments and employ a study design in which the bivariate error structure of these instruments is determined. In the Isle of Ely Study (Cambridgeshire, United Kingdom), 775 individuals aged 45-70 years in 1994-1997 completed a glucose tolerance test and assessment of 4-day physical activity level (total energy expenditure/basal metabolic rate) by heart rate monitoring, a technique that has been validated against doubly labeled water and whole-body calorimetry. Cardiorespiratory fitness (maximum oxygen uptake (VO2max) per kg)) was measured in a submaximal test. To correct for measurement error, the authors had 190 individuals repeat both tests on three occasions at 4-month intervals. Two-hour glucose level was negatively correlated with physical activity level (men: r = -0.22, p < 0.001; women: r = -0.11, p < 0.05) and VO2max per kg (men: r = -0.18, p < 0.01; women: r = -0.19, p < 0.001) and was positively correlated with age and obesity. The model incorporating bivariate adjustment for measurement error showed that energy expenditure had a major effect on glucose tolerance, but there was less of an effect for cardiorespiratory fitness. These data provide support for public health strategies aimed at increasing overall energy expenditure.
- Published
- 2000
24. Measurement error in epidemiology: The design of validation studies - I: Univariate situation
- Author
-
Wong, MY, Day, NE, Bashir, SA, Duffy, SM, Wong, MY, Day, NE, Bashir, SA, and Duffy, SM
- Abstract
It is becoming standard practice in epidemiology to adjust relative risk estimates to remove the bias caused by non-differential errors in the exposure measurement. Estimation of the correction factor is often based on a validation study incorporating repeated measures of exposure, which are assumed to be independent. This assumption is difficult to verify and often likely to be false. We examine the effect of departures from this assumption on the correction factor estimate, and explore the design of validation studies using two or even three different types of measurement of exposure, where assumption of independence between the measures may be more realistic. The value of good biomarker measures of exposure is demonstrated even if they are feasible to use only in a validation study. Copyright (C) 1999 John Wiley & Sons, Ltd.
- Published
- 1999
25. Measurement error in epidemiology: The design of validation studies - II: Bivariate situation
- Author
-
Wong, MY, Day, NE, Wareham, NJ, Wong, MY, Day, NE, and Wareham, NJ
- Abstract
The bias in relative risk estimates caused by errors in measurement of the relevant exposure is being increasingly recognized in epidemiology. Estimation of the necessary correction factor to remove this bias for univariate exposure has been considered in an earlier paper. We consider here the multivariate situation in which non-differential errors in measurement can lead to incorrect identification of the variable most closely associated with disease. Estimation of the necessary correction factor when the true exposure is unobservable necessarily requires assumptions. We explore the robustness of the estimation to departures from a range of assumptions. The value of good biomarkers is demonstrated. We present a bivariate example in which failure to take account of measurement error leads to the incorrect exposure being identified as the important determinant of disease risk. Copyright (C) 1999 John Wiley & Sons, Ltd.
- Published
- 1999
26. Pituitary-adrenal suppression in preterm, very low birth weight infants after inhaled fluticasone propionate treatment
- Author
-
Ng, PC, Fok, TF, Wong, GWK, Lam, CWK, Lee, CH, Wong, MY, Lam, K., Ma, KC, Ng, PC, Fok, TF, Wong, GWK, Lam, CWK, Lee, CH, Wong, MY, Lam, K., and Ma, KC
- Abstract
Systemic corticosteroids prescribed for treatment of pulmonary diseases in preterm, very low birth weight infants caused severe suppression of the hypothalamic-pituitary- adrenal axis and produced serious physiological and metabolic disturbances. However, the effect of inhaled corticosteroids on their pituitary-adrenal functions is not known. We prospectively evaluate the pituitary-adrenal function using the human CRH stimulation test in a cohort of very low birth weight infants at risk for hypothalamic-pituitary-adrenal axis suppression in a double blind, randomized pilot study designed for assessing the efficacy and adverse effects of inhaled fluticasone propionate in newborn preterm infants who required mechanical ventilation for treatment of respiratory distress syndrome. Twenty-five preterm (<32 gestational weeks), very low birth weight (<1500 g) infants were randomized to receive inhaled fluticasone propionate (n = 13) or a placebo inhaler (n = 12). The medication was given every 12 h (fluticasone propionate, 1,000 mu g/day) for 14 days. All surviving infants had their pituitary-adrenal functions assessed by human CRH test on the following morning immediately after completion of the 2-week course. All basal (0 min) and poststimulation (15, 30, and 60 min) plasma ACTH and serum cortisol concentrations were significantly suppressed in the inhaled fluticasone group compared to their corresponding levels in the placebo group [basal plasma ACTH concentrations (F = 6.0; P = 0.02), post;stimulation plasma ACTH concentrations (F > 8.6; P < 0.01), basal serum cortisol concentrations (F = 5.6; P = 0.03), and poststimulation serum cortisol concentrations (F > 15.6; P < 0.001)]. This is the first study in very low birth weight infants that demonstrates unequivocally that cumulative high dose inhaled corticosteroids can induce moderately severe suppression of both the pituitary and adrenal glands. The systemic bioactivity is probably associated with pulmonary vascular abso
- Published
- 1998
27. A note on the robust interpretation of regression coefficients
- Author
-
Wong, MY, Cox, DR, Wong, MY, and Cox, DR
- Abstract
It is known that ratios of regression coefficients have an interpretation more stable under model perturbation than regression coefficients themselves. This is explored in more detail for a special case of linear and log linear regression.
- Published
- 1998
28. Comparing sulindac with indomethacin for closure of ductus arteriosus in preterm infants
- Author
-
Ng, PC, So, KW, Fok, TF, Yam, MC, Wong, MY, Wong, W., Ng, PC, So, KW, Fok, TF, Yam, MC, Wong, MY, and Wong, W.
- Abstract
Objectives: A prospective study comparing the efficiacy and side-effects of oral sulindac with intravenous indomethacin in clinically stable preterm infants (<1750 g) requiring non-invasive closure of haemodynamically significant patent ductus arteriosus. Methodology: As maturity and birthweight are the two major determinants of ductal closure, infants were matched as closely as possible for these parameters. An eligible patient was first assigned to the sulindac group and a subsequent patient with similar gestational age (+/-1 week) and birthweight (+/- 100 g) to the previously recruited infant would automatically receive indomethacin. A total of eight infants were enrolled in each group, Results: The ductus arteriosus was successfully closed in all eight infants receiving indomethacin, and in seven of eight infants receiving sulindac. No significant differences were found with regards to the ductal size between the two groups at diagnosis or on each of the consecutive days of treatment (P>0.25). More renal adverse effects were encountered in the indomethacin group. Significant differences in changes from baseline value for urine output, plasma sodium, urea and creatinine concentrations were noted at 24, 48 and 72 h after commencement of treatment between the two groups (P<0.05). All the parameters returned to normal or pre-treatment levels 48 h after stopping therapy. Unexpectedly, severe gastrointestinal complications were encountered in the sulindac group. Conclusions: Sulindac is capable of promoting ductal constriction in clinically stable preterm infants without compromising the renal function. The spectrum of gastrointestinal complications observed in sulindac treated infants were similar to those described for indomethacin. The use of sulindac for ductal closure in the preterm infant should remain experimental.
- Published
- 1997
29. Pituitary-adrenal response in preterm very low birth weight infants after treatment with antenatal corticosteroids
- Author
-
Ng, PC, Wong, GWK, Lam, CWK, Lee, CH, Wong, MY, Fok, TF, Wong, W., Chan, DCF, Ng, PC, Wong, GWK, Lam, CWK, Lee, CH, Wong, MY, Fok, TF, Wong, W., and Chan, DCF
- Abstract
Antenatal corticosteroids have been widely used for the prevention of respiratory distress syndrome in preterm neonates, yet little is known about their effects on the hypothalamic-pituitary-adrenal axis in these infants. We prospectively evaluated pituitary-adrenal function in 61 preterm (<32 gestational weeks), very low birth weight (<1500 g) infants on days 7 and 14 of life using the human CRH stimulation test. The baseline and poststimulation plasma ACTH and serum cortisol concentrations did not differ significantly between infants whose mothers received no antenatal corticosteroids, and those whose mothers received 1-2 doses or >2 doses (mean 7.2 doses) of prenatal dexamethasone (P = > 0.12). The number of doses of dexamethasone and the time intervals between the last dose of drug and delivery did not significantly affect the pituitary-adrenal responsiveness on days 7 and 14 of life. Among infants who did not require mechanical ventilation at the time of the human CRH test, significantly higher plasma ACTH (P < 0.014) and lower serum cortisol concentrations (P < 0.02) were found on day 14 than on day 7. In contrast, none of the poststimulation hormone concentrations were significantly different in ventilated infants between days 7 and 14. The relationship between the blood hormone concentrations in each time epoch (day 7 and day 14) and possible confounding factors including gestational and postconceptional age, birth weight, sex, Apgar scores, mode of delivery, single or higher order births, and mode of ventilation were determined. Plasma ACTH concentrations on day 7 were found to be significantly higher in ventilated than in nonventilated infants (P = 0.006). However, none of the aforementioned factors correlated significantly with plasma ACTH concentrations on day 13. Serum cortisol concentrations on day 7 were significantly higher in infants of greater gestational age (P = 0.039) and birth weight (P = 0.013), with lower Apgar scores at 1 and 5 min (P = 0.02
- Published
- 1997
30. The pituitary-adrenal responses to exogenous human corticotropin-releasing hormone in preterm, very low birth weight infants
- Author
-
Ng, PC, Wong, GWK, Lam, CWK, Lee, CH, Wong, MY, Fok, TF, Wong, W., Chan, DCF, Ng, PC, Wong, GWK, Lam, CWK, Lee, CH, Wong, MY, Fok, TF, Wong, W., and Chan, DCF
- Abstract
To evaluate the pituitary-adrenal reserve and to standardize the methodology of performing the human CRH (hCRH) stimulation test, we performed the hCRH test on 14 preterm (<32 gestational weeks), very low birth weight infants, who did not receive antenatal or postnatal corticosteroid treatment, on days 7 and 14 of life. Blood samples were obtained 0 (baseline), 15, 30, and 60 min after an iv dose of hCRH (1 mu g/kg). The plasma ACTH concentration rose from a basal value of 5.7 +/- 0.6 pmol/L (mean +/- SEM) to 11.9 +/- 2.1 pmol/L (P < 0.005), 9.2 +/- 1.2 pmol/L (P < 0.005), and 7.7 +/- 0.8 pmol/L (P < 0.005) at 15, 30, and 60 min, respectively. The corresponding rises in serum cortisol fi om a basal concentration of 396 +/- 67 nmol/L were 509 +/- 71 nmol/L (P < 0.0001), 647 +/- 62 nmol/L (P < 0.0001), and 578 +/- 60 nmol/L (P < 0.0001). The plasma ACTH concentration consistently peaked early at 15 min; whereas the maximum cortisol response occurred 30 min post-hCRH stimulation. No significant differences were detected between the hCRH tests performed on days 7 and 14 (P > 0.15). Mechanical ventilation, infant gender, and mode of delivery did not significantly influence the hormonal responses (P > 0.25). We have defined in this study the pattern, the magnitude of the pituitary-adrenal response, and the timing of the peak concentrations of plasma ACTH and serum cortisol in relation to a standard iv dose of hCRH. The hCRH test in very low birth weight infants appears to be safe and reproducible, and produces a pituitary-adrenal response comparable to that seen in older children and adults, indicating that pituitary-adrenal function is mature at these early stages of gestation.
- Published
- 1997
31. Pituitary-adrenal suppression and recovery in preterm very low birth weight infants after dexamethasone treatment for bronchopulmonary dysplasia
- Author
-
Ng, PC, Wong, GWK, Lam, CWK, Lee, CH, Fok, TF, Wong, MY, Wong, W., Chan, DCF, Ng, PC, Wong, GWK, Lam, CWK, Lee, CH, Fok, TF, Wong, MY, Wong, W., and Chan, DCF
- Abstract
High dose dexamethasone is frequently used for the treatment of neonatal respiratory conditions and to facilitate weaning from mechanical ventilation in preterm, very low birth weight infants. However, very little is known about the severity, site, and duration of steroid-induced hypothalamic-pituitary-adrenal axis suppression in this category of patients. Twenty-three preterm, very low birth weight infants who received a full 3-week dose-tapering course of dexamethasone were prospectively studied, with a human CRH stimulation test performed at three different times: before the start of steroid treatment (week 0), immediately after the course (week 3), and 4 weeks after stopping dexa methasone (week 7). Plasma ACTH and serum cortisol concentrations were measured at 0 (baseline), 15, 30, and 60 min. Immediately after the steroid course (week 3), both basal and poststimulation plasma ACTH and serum cortisol concentrations were markedly suppressed. The hormone concentrations at 0, 15, 30, and 60 min in week 3 were significantly lower than their corresponding levels in week 0 (P < 0.0001 for both ACTH and cortisol) and week 7 (P < 0.0001 and P < 0.005 for ACTH and cortisol, respectively). In contrast, when the hormone levels in week 7 were compared to their corresponding concentrations in week 0, only the 60 min serum cortisol concentration in week 7 was significantly lower (P = 0.02). The currently used dosage of dexamethasone caused severe pituitary-adrenal suppression immediately after treatment, but substantial recovery of the endocrine axis was observed 4 weeks after discontinuation of therapy. Although the recovery appeared to be earlier with the pituitary center, both pituitary and adrenal glands were capable of mounting a biochemically adequate response to exogenous human CRH stimulation at this stage. Steroid replacement therapy may be desirable at a time of stress in the immediate posttreatment period, but it would seem unnecessary 1 month after stopping dexam
- Published
- 1997
32. Varicella exposure in a neonatal intensive care unit: Emergency management and control measures
- Author
-
Ng, PC, Lyon, DJ, Wong, MY, Fok, TF, Wong, W., Cheung, KL, Tam, JS, Cheng, AFB, Ng, PC, Lyon, DJ, Wong, MY, Fok, TF, Wong, W., Cheung, KL, Tam, JS, and Cheng, AFB
- Abstract
We describe an exposure of varicella tester virus in our neonatal intensive-care unit and the emergency procedures instituted to prevent an outbreak. Fifty-seven infants and 129 staff members were exposed but none developed chickenpox. The measures included rapid identification of varicella antibody status in all neonates and those staff members with uncertain history of varicella infection; cohorting of exposed infants according to immune status; and prompt administration of varicella tester immunoglobulin to susceptible patients. The recommendations of the American Academy of Pediatrics did not accurately predict the immune status of preterm infants, as only one of the eight susceptible infants would have qualified for immunoglobulin prophylaxis if their guidelines had been followed. Mass screening of all exposed infants using the varicella tester enzyme linked immunosorbent assay (ELISA) test was the only reliable means of determining the immune status. Of the four risk factors evaluated for the prediction of antibody status: gestational age, postnatal age, birthweight and episodes of blood transfusion, only postnatal age was found to independently predict the immune status of our patients. Because varicella tester susceptible staff members are difficult to identify on the basis of history, we suggest that prospective screening of staff in high-risk units be undertaken and vaccination with live varicella vaccine be offered to susceptibles.
- Published
- 1996
33. On the statistical analysis of bioassays
- Author
-
Wong, MY and Wong, MY
- Abstract
In an earlier work, Wong [1] had developed a SAS program SLOPE for the analysis of biological assays in complete randomization design based on slope ratio method. In this paper, we discuss how to develop SAS programs to handle the statistical analysis for parallel line assays and assays based on quantal responses. These programs are capable of checking the statistical validity of an assay and estimating the potencies of test preparations relative to a standard.
- Published
- 1996
34. THE STATISTICAL-ANALYSIS OF SLOPE RATIO ASSAYS USING SAS SOFTWARE
- Author
-
WONG, MY and WONG, MY
- Abstract
SAS is a powerful statistical package but it does not cover all analyses that a user may require particularly in a specialized area such as biological assay. A SAS program SLOPE has been developed for the analysis of biological assays in complete randomization based on the slope ratio method. The program is capable of checking the statistical validity of an assay and estimating the potencies of test preparations relative to a standard. It calculates potencies and their corresponding confidence intervals for a group of bioassays where each assay has equal number of preparations. It also allows the user to produce scatter plots of response by dose.
- Published
- 1994
35. The health of Ontario First Nations people: results from the Ontario First Nations Regional Health Survey.
- Author
-
MacMillan HL, Walsh CA, Jamieson E, Wong MY, Faries EJ, McCue H, MacMillan AB, Offord DR, Technical Advisory Committee of the Chiefs of Ontario, MacMillan, Harriet L, Walsh, Christine A, Jamieson, Ellen, Wong, Maria Y Y, Faries, Emily J, McCue, Harvey, MacMillan, Angus B, and Offord, David Dan R
- Abstract
Objective: To describe the health of First Nations adults residing on Ontario reserves using data from the Ontario First Nations Regional Health Survey (OFNRHS).Method: Communities were randomly selected; individuals were systematically selected based on gender and age. Health questions were parallel to those used in the National Population Health Survey (NPHS) and included general health, chronic conditions, substance use, and health service utilization.Results: Response rate was 86% (N=1094) in participating communities; 23 of 30 selected communities participated. Most OFNRHS respondents reported that their health was good or better. Comparisons of OFNRHS participants with NPHS Ontario respondents showed: some chronic health conditions (including diabetes, high blood pressure) were more common; a greater proportion reported smoking; and a substantially lower proportion indicated that they consumed alcohol in the past year.Conclusions: The OFNRHS provides important province-wide data to inform decisions by the First Nations people about how to intervene effectively to improve their health status. [ABSTRACT FROM AUTHOR]- Published
- 2003
- Full Text
- View/download PDF
36. Slapping and spanking in childhood and its association with lifetime prevalence of psychiatric disorders in a general population sample.
- Author
-
MacMillan HL, Boyle MH, Wong MY, Duku EK, Fleming JE, and Walsh CA
- Published
- 1999
37. Original Article. Epidemiological assessment of diet: a comparison of a 7-day diary with a food frequency questionnaire using urinary markers of nitrogen, potassium and sodium
- Author
-
Day, NE, McKeown, N, Wong, MY, Welch, A, and Bingham, S
- Abstract
Background Validation studies of dietary instruments developed for epidemiological studies have typically used some form of diet record as the standard for comparison. Recent work suggests that comparison with diet record may overestimate the ability of the epidemiological instrument to measure habitual dietary intake, due to lack of independence of the measurement errors. The degree of regression dilution in estimating diet-disease association may therefore have been correspondingly underestimated. Use of biochemical measures of intake may mitigate the problem. In this paper, we report on the use of urinary measures of intakes of nitrogen, potassium and sodium to compare the performance of a semi-quantitative food frequency questionnaire (FFQ) and a 7-day diet diary (7DD) to estimate average intake of these nutrients over one year.Methods In all, 179 individuals were asked to complete an FFQ and a 7DD on two occasions separated by approximately 12 months. The individuals were also asked to provide 24-hour urine samples on six occasions over a 6–9-month period, covering the time at which the record FFQ and 7DD were completed. The urine was assayed for nitrogen, potassium and sodium. The protocol was completed by 123 individuals. The data from these individuals were analysed to estimate the covariance structure of the measurement errors of the FFQ, the 7DD and a single 24-hour urine measurement, and to estimate the degree of regression dilution associated with the FFQ and 7DD.Results The results demonstrated that: (1) the error variances for each of the three nutrients was more than twice as great with the FFQ than the 7DD; (2) there was substantial correlation (0.46–0.58) between the error of both the FFQ and the 7DD completed on different occasions; (3) there was moderate correlation (0.24– 0.29) between the error in the FFQ and the error in the 7DD for each nutrient; (4) the correlation between errors in different nutrients was higher for the FFQ (0.77–0.80) than for the 7DD (0.52–0.70).Conclusions The regression dilution with the FFQ is considerably greater than with the 7DD and also, for the nutrients considered, greater than would be inferred if validation studies were based solely on record or diary type instruments.
- Published
- 2001
38. Global Practice Patterns and Variations in the Medical and Surgical Management of Non-Obstructive Azoospermia: Results of a World-Wide Survey, Guidelines and Expert Recommendations.
- Author
-
Rambhatla A, Shah R, Ziouziou I, Kothari P, Salvio G, Gul M, Hamoda T, Kavoussi P, Atmoko W, Toprak T, Birowo P, Ko E, Arafa M, Ghayda RA, Karthikeyan VS, Russo GI, Pinggera GM, Chung E, Harraz AM, Martinez M, Phuoc NHV, Tadros N, Saleh R, Savira M, Colpi GM, Zohdy W, Pescatori E, Park HJ, Fukuhara S, Tsujimura A, Rojas-Cruz C, Marino A, Mak SK, Amar E, Ibrahim W, Sindhwani P, Alhathal N, Busetto GM, Al Hashimi M, El-Sakka A, Ramazan A, Dimitriadis F, Timpano M, Jezek D, Altay B, Zylbersztejn DS, Wong MY, Moon DG, Wyns C, Gamidov S, Akhavizadegan H, Franceschelli A, Aydos K, Quang N, Ashour S, Al Dayel A, Al-Marhoon MS, Micic S, Binsaleh S, Hussein A, Elbardisi H, Mostafa T, Ramsay J, Zachariou A, Abdelrahman IFS, Rajmil O, Kalkanli A, Molina JMC, Bocu K, Duarsa GWK, Çeker G, Serefoglu EC, Bahar F, Gherabi N, Kuroda S, Bouzouita A, Gudeloglu A, Ceyhan E, Hasan MSM, Musa MU, Motawi A, Cho CL, Taniguchi H, Ho CCK, Vazquez JFS, Mutambirwa S, Gungor ND, Bendayan M, Giulioni C, Baser A, Falcone M, Boeri L, Blecher G, Kheradmand A, Sethupathy T, Adriansjah R, Narimani N, Konstantinidis C, Nguyen TT, Japari A, Dolati P, Singh K, Ozer C, Sarikaya S, Sheibak N, Bosco NJ, Özkent MS, Le ST, Sokolakis I, Katz D, Smith R, Truong MN, Le TV, Huang Z, Deger MD, Arslan U, Calik G, Franco G, Rashed A, Kahraman O, Andreadakis S, Putra R, Balercia G, Khalafalla K, Cannarella R, Tuấn AĐ, El Meliegy A, Zilaitiene B, Ramirez MLZ, Giacone F, Calogero AE, Makarounis K, Jindal S, Hoai BN, Banthia R, Peña MR, Moorthy D, Adamyan A, Kulaksiz D, Kandil H, Sofikitis N, Salzano C, Jungwirth A, Banka SR, Mierzwa TC, Turunç T, Jain D, Avoyan A, Salacone P, Kadıoğlu A, Gupta C, Lin H, Shamohammadi I, Mogharabian N, Barrett T, Danacıoğlu YO, Crafa A, Daoud S, Malhotra V, Almardawi A, Selim OM, Moussa M, Haghdani S, Duran MB, Kunz Y, Preto M, Eugeni E, Nguyen T, Elshahid AR, Suyono SS, Parikesit D, Nada E, Orozco EG, Boitrelle F, Trang NTM, Jamali M, Nair R, Ruzaev M, Gadda F, Thomas C, Ferreira RH, Gul U, Maruccia S, Kanbur A, Kinzikeeva E, Abumelha SM, Kosgi R, Gokalp F, Soebadi MA, Paul GM, Sajadi H, Gupte D, Ambar RF, Sogutdelen E, Singla K, Basukarno A, Kim SHK, Gilani MAS, Nagao K, Brodjonegoro SR, Rezano A, Elkhouly M, Mazzilli R, Farsi HMA, Ba HN, Alali H, Kafetzis D, Long TQT, Alsaid S, Cuong HBN, Oleksandr K, Mustafa A, Acosta H, Pai H, Şahin B, Arianto E, Teo C, Jayaprakash SP, Rachman RI, Yenice MG, Sefrioui O, Priyadarshi S, Tanic M, Alfatlaw NK, Rizaldi F, Vishwakarma RB, Kanakis G, Cherian DT, Lee J, Galstyan R, Keskin H, Wurzacher J, Seno DH, Noegroho BS, Margiana R, Javed Q, Castiglioni F, Tanwar R, Puigvert A, Kaya C, Purnomo M, Yazbeck C, Amir A, Borges E, Bellavia M, Deswanto IA, Kv V, Liguori G, Minh DH, Siddiqi K, Colombo F, Zini A, Patel N, Çayan S, Al-Kawaz U, Ragab M, Hebrard GH, de la Rosette J, Efesoy O, Hoffmann I, Teixeira TA, Saylam B, Delgadillo D, and Agarwal A
- Abstract
Purpose: Non-obstructive azoospermia (NOA) is a common, but complex problem, with multiple therapeutic options and a lack of clear guidelines. Hence, there is considerable controversy and marked variation in the management of NOA. This survey evaluates contemporary global practices related to medical and surgical management for patients with NOA., Materials and Methods: A 56-question online survey covering various aspects of the evaluation and management of NOA was sent to specialists around the globe. This paper analyzes the results of the second half of the survey dealing with the management of NOA. Results have been compared to current guidelines, and expert recommendations have been provided using a Delphi process., Results: Participants from 49 countries submitted 336 valid responses. Hormonal therapy for 3 to 6 months was suggested before surgical sperm retrieval (SSR) by 29.6% and 23.6% of participants for normogonadotropic hypogonadism and hypergonadotropic hypogonadism respectively. The SSR rate was reported as 50.0% by 26.0% to 50.0% of participants. Interestingly, 46.0% reported successful SSR in <10% of men with Klinefelter syndrome and 41.3% routinely recommended preimplantation genetic testing. Varicocele repair prior to SSR is recommended by 57.7%. Half of the respondents (57.4%) reported using ultrasound to identify the most vascularized areas in the testis for SSR. One-third proceed directly to microdissection testicular sperm extraction (mTESE) in every case of NOA while others use a staged approach. After a failed conventional TESE, 23.8% wait for 3 months, while 33.1% wait for 6 months before proceeding to mTESE. The cut-off of follicle-stimulating hormone for positive SSR was reported to be 12-19 IU/mL by 22.5% of participants and 20-40 IU/mL by 27.8%, while 31.8% reported no upper limit., Conclusions: This is the largest survey to date on the real-world medical and surgical management of NOA by reproductive experts. It demonstrates a diverse practice pattern and highlights the need for evidence-based international consensus guidelines., Competing Interests: The authors have nothing to disclose., (Copyright © 2025 Korean Society for Sexual Medicine and Andrology.)
- Published
- 2025
- Full Text
- View/download PDF
39. A Prime-Boost Vaccination Approach Induces Lung Resident Memory CD8+ T Cells Derived from Central Memory T Cells That Prevent Tumor Lung Metastasis.
- Author
-
Xu H, Yue M, Zhou R, Wang P, Wong MY, Wang J, Huang H, Chen B, Mo Y, Tam RC, Zhou B, Du Z, Huang H, Liu L, Tan Z, Yuen KY, Song Y, Chen H, and Chen Z
- Subjects
- Animals, Mice, Mice, Inbred C57BL, Vaccines, DNA immunology, Vaccines, DNA administration & dosage, Immunization, Secondary methods, Vaccination methods, Female, Humans, Administration, Intranasal, Influenza Vaccines immunology, Influenza Vaccines administration & dosage, Lung immunology, Lung pathology, Lung Neoplasms immunology, Lung Neoplasms secondary, Lung Neoplasms pathology, Memory T Cells immunology, CD8-Positive T-Lymphocytes immunology, Cancer Vaccines immunology, Cancer Vaccines administration & dosage, Immunologic Memory
- Abstract
Memory T cells play a key role in immune protection against cancer. Vaccine-induced tissue-resident memory T (TRM) cells in the lung have been shown to protect against lung metastasis. Identifying the source of lung TRM cells can help to improve strategies, preventing tumor metastasis. Here, we found that a prime-boost vaccination approach using intramuscular DNA vaccine priming, followed by intranasal live-attenuated influenza-vectored vaccine (LAIV) boosting induced higher frequencies of lung CD8+ TRM cells compared with other vaccination regimens. Vaccine-induced lung CD8+ TRM cells, but not circulating memory T cells, conferred significant protection against metastatic melanoma and mesothelioma. Central memory T (TCM) cells induced by the DNA vaccination were major precursors of lung TRM cells established after the intranasal LAIV boost. Single-cell RNA sequencing analysis indicated that transcriptional reprogramming of TCM cells for differentiation into TRM cells in the lungs started as early as day 2 post the LAIV boost. Intranasal LAIV altered the mucosal microenvironment to recruit TCM cells via CXCR3-dependent chemotaxis and induced CD8+ TRM-associated transcriptional programs. These results identified TCM cells as the source of vaccine-induced CD8+ TRM cells that protect against lung metastasis. Significance: Prime-boost vaccination shapes the mucosal microenvironment and reprograms central memory T cells to generate lung resident memory T cells that protect against lung metastasis, providing insights for the optimization of vaccine strategies., (©2024 The Authors; Published by the American Association for Cancer Research.)
- Published
- 2024
- Full Text
- View/download PDF
40. Global Practice Patterns in the Evaluation of Non-Obstructive Azoospermia: Results of a World-Wide Survey and Expert Recommendations.
- Author
-
Shah R, Rambhatla A, Atmoko W, Martinez M, Ziouziou I, Kothari P, Tadros N, Phuoc NHV, Kavoussi P, Harraz A, Salvio G, Gul M, Hamoda T, Toprak T, Birowo P, Ko E, Arafa M, Ghayda RA, Karthikeyan VS, Saleh R, Russo GI, Pinggera GM, Chung E, Savira M, Colpi GM, Zohdy W, Pescatori E, Park HJ, Fukuhara S, Tsujimura A, Rojas-Cruz C, Marino A, Mak SK, Amar E, Ibrahim W, Sindhwani P, Alhathal N, Busetto GM, Al Hashimi M, El-Sakka A, Ramazan A, Dimitriadis F, Timpano M, Jezek D, Altay B, Zylbersztejn DS, Wong MY, Moon DG, Wyns C, Gamidov S, Akhavizadegan H, Franceschelli A, Aydos K, Quang VN, Ashour S, Al Dayel A, Al-Marhoon MS, Micic S, Binsaleh S, Hussein A, Elbardisi H, Mostafa T, Taha E, Ramsay J, Zachariou A, Abdelrahman IFS, Rajmil O, Kalkanli A, Molina JMC, Bocu K, Duarsa GWK, Ceker G, Serefoglu EC, Bahar F, Gherabi N, Kuroda S, Bouzouita A, Gudeloglu A, Ceyhan E, Hasan MSM, Musa MU, Motawi A, Chak-Lam C, Taniguchi H, Ho CCK, Vazquez JFS, Mutambirwa S, Gungor ND, Bendayan M, Giulioni C, Baser A, Falcone M, Boeri L, Blecher G, Kheradmand A, Sethupathy T, Adriansjah R, Narimani N, Konstantinidis C, Nguyen TT, Japari A, Dolati P, Singh K, Ozer C, Sarikaya S, Sheibak N, Bosco NJ, Özkent MS, Le ST, Sokolakis I, Katz D, Smith R, Truong MN, Le TV, Huang Z, Deger MD, Arslan U, Calik G, Franco G, Rashed A, Kahraman O, Andreadakis S, Putra R, Balercia G, Khalafalla K, Cannarella R, Tuấn AĐ, El Meliegy A, Zilaitiene B, Ramirez MLZ, Giacone F, Calogero AE, Makarounis K, Jindal S, Hoai BN, Banthia R, Peña MR, Moorthy D, Adamyan A, Kulaksiz D, Kandil H, Sofikitis N, Salzano C, Jungwirth A, Banka SR, Mierzwa TC, Turunç T, Jain D, Avoyan A, Salacone P, Kadıoğlu A, Gupta C, Lin H, Shamohammadi I, Mogharabian N, Barrett T, Danacıoğlu YO, Crafa A, Daoud S, Malhotra V, Almardawi A, Selim OM, Moussa M, Haghdani S, Duran MB, Kunz Y, Preto M, Eugeni E, Nguyen T, Elshahid AR, Suyono SS, Parikesit D, Nada E, Orozco EG, Boitrelle F, Trang NTM, Jamali M, Nair R, Ruzaev M, Gadda F, Thomas C, Ferreira RH, Gul U, Maruccia S, Kanbur A, Kinzikeeva E, Abumelha S, Quang N, Kosgi R, Gokalp F, Soebadi MA, Paul GM, Sajadi H, Gupte D, Ambar RF, Sogutdelen E, Singla K, Basurkano A, Kim SHK, Gilani MAS, Nagao K, Brodjonegoro SR, Rezano A, Elkhouly M, Mazzilli R, Farsi HMA, Ba HN, Alali H, Kafetzis D, Long TQT, Alsaid S, Cuong HBN, Oleksandr K, Mustafa A, Acosta H, Pai H, Şahin B, Arianto E, Teo C, Jayaprakash SP, Rachman RI, Yenice MG, Sefrioui O, Paghdar S, Priyadarshi S, Tanic M, Alfatlawy NK, Rizaldi F, Vishwakarma RB, Kanakis G, Cherian DT, Lee J, Galstyan R, Keskin H, Wurzacher J, Seno DH, Noegroho BS, Margiana R, Javed Q, Castiglioni F, Tanwar R, Puigvert A, Kaya C, Purnomo M, Yazbeck C, Amir A, Borges E, Bellavia M, Deswanto IA, V VK, Liguori G, Minh DH, Siddiqi K, Colombo F, Zini A, Patel N, Çayan S, Al-Kawaz U, Ragab M, Hebrard GH, Hoffmann I, Efesoy O, Saylam B, and Agarwal A
- Abstract
Purpose: Non-obstructive azoospermia (NOA) represents the persistent absence of sperm in ejaculate without obstruction, stemming from diverse disease processes. This survey explores global practices in NOA diagnosis, comparing them with guidelines and offering expert recommendations., Materials and Methods: A 56-item questionnaire survey on NOA diagnosis and management was conducted globally from July to September 2022. This paper focuses on part 1, evaluating NOA diagnosis. Data from 367 participants across 49 countries were analyzed descriptively, with a Delphi process used for expert recommendations., Results: Of 336 eligible responses, most participants were experienced attending physicians (70.93%). To diagnose azoospermia definitively, 81.7% requested two semen samples. Commonly ordered hormone tests included serum follicle-stimulating hormone (FSH) (97.0%), total testosterone (92.9%), and luteinizing hormone (86.9%). Genetic testing was requested by 66.6%, with karyotype analysis (86.2%) and Y chromosome microdeletions (88.3%) prevalent. Diagnostic testicular biopsy, distinguishing obstructive azoospermia (OA) from NOA, was not performed by 45.1%, while 34.6% did it selectively. Differentiation relied on physical examination (76.1%), serum hormone profiles (69.6%), and semen tests (68.1%). Expectations of finding sperm surgically were higher in men with normal FSH, larger testes, and a history of sperm in ejaculate., Conclusions: This expert survey, encompassing 367 participants from 49 countries, unveils congruence with recommended guidelines in NOA diagnosis. However, noteworthy disparities in practices suggest a need for evidence-based, international consensus guidelines to standardize NOA evaluation, addressing existing gaps in professional recommendations., Competing Interests: The authors have nothing to disclose., (Copyright © 2024 Korean Society for Sexual Medicine and Andrology.)
- Published
- 2024
- Full Text
- View/download PDF
41. Pelvic congestion syndrome analysis through quantitative 2-dimensional phase-contrast MRI: a promising vision from an observational cohort study.
- Author
-
Li CY, Chen CW, Kao CC, Hsu YC, Lee CY, Lin CC, Yang TY, Wang SC, Chen SY, Lin YH, Wong MY, Chang CJ, and Huang YK
- Subjects
- Humans, Female, Retrospective Studies, Cross-Sectional Studies, Adult, Middle Aged, Syndrome, Pelvis diagnostic imaging, Pelvis blood supply, Magnetic Resonance Imaging methods, Pelvic Pain diagnostic imaging
- Abstract
Background: To examine the application of quantitative 2-dimensional phase-contrast MRI (2D PC-MRI) for treating patients with pelvic congestion syndrome (PCS)., Materials and Methods: The authors conducted a retrospective cross-sectional analysis by using quantitative 2D PC-MRI data enrolled between April 2017 and September 2023. In addition, 32 healthy female controls (HCs) were included., Results: Most patients with PCS presented with chronic pelvic pain and more than half had extrapelvic venous symptoms (80/81, 98% and 45/81, 56%, respectively). Quantitative 2D PC-MRI analyzed the 81 patients with PCS, 239 patients without PCS, and 32 HCs. The patients with PCS had higher stroke volume (SV), absolute SV (ASV), and mean flux (MF) in the calf region (interstitial pixel shift) than did the HCs. In the left gonadal vein, the patients with PCS had higher SV, backward flow volume (BFV), ASV, and MF and lower forward flow volume (FFV), stroke distance (SD), and mean velocity (MV) than did the HCs. However, the patients with PCS had lower SV, FFV, MF, SD, and MV in the great saphenous veins. Quantitative 2D PC-MRI analysis revealed that the PCS group had higher SV, FFV, BFV, ASV, and MF in the calf region than did the non-PCS group. The variables that most strongly differentiated the patients with PCS from the HCs were SV in the great saphenous veins, SD in the great saphenous veins and left gonadal vein, and MV in the great saphenous veins and left gonadal vein. Caudal flow in the left gonadal vein was identified in half of the patients with PCS (39/81, 48.1%); 14 of them received embolization for left gonadal vein., Conclusions: In additional to providing an objective 3-dimensional morphology of the pelvic veins and extrapelvic leaks, quantitative 2D PC-MRI analysis reveals distinct hemodynamic profiles between patients with PCS, those without PCS, and HCs, especially in the gonadal veins and regional perfusion of the calves., (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
- Published
- 2024
- Full Text
- View/download PDF
42. Trees adjust nutrient acquisition strategies across tropical forest secondary succession.
- Author
-
Wong MY, Wurzburger N, Hall JS, Wright SJ, Tang W, Hedin LO, Saltonstall K, van Breugel M, and Batterman SA
- Subjects
- Plant Roots metabolism, Plant Roots microbiology, Phosphoric Monoester Hydrolases metabolism, Panama, Trees, Tropical Climate, Forests, Phosphorus metabolism, Nitrogen metabolism, Mycorrhizae physiology, Nutrients metabolism
- Abstract
Nutrient limitation may constrain the ability of recovering and mature tropical forests to serve as a carbon sink. However, it is unclear to what extent trees can utilize nutrient acquisition strategies - especially root phosphatase enzymes and mycorrhizal symbioses - to overcome low nutrient availability across secondary succession. Using a large-scale, full factorial nitrogen and phosphorus fertilization experiment of 76 plots along a secondary successional gradient in lowland wet tropical forests of Panama, we tested the extent to which root phosphatase enzyme activity and mycorrhizal colonization are flexible, and if investment shifts over succession, reflective of changing nutrient limitation. We also conducted a meta-analysis to test how tropical trees adjust these strategies in response to nutrient additions and across succession. We find that tropical trees are dynamic, adjusting investment in strategies - particularly root phosphatase - in response to changing nutrient conditions through succession. These changes reflect a shift from strong nitrogen to weak phosphorus limitation over succession. Our meta-analysis findings were consistent with our field study; we found more predictable responses of root phosphatase than mycorrhizal colonization to nutrient availability. Our findings suggest that nutrient acquisition strategies respond to nutrient availability and demand in tropical forests, likely critical for alleviating nutrient limitation., (© 2024 The Authors. New Phytologist © 2024 New Phytologist Foundation.)
- Published
- 2024
- Full Text
- View/download PDF
43. Anti-acetylated-tau immunotherapy is neuroprotective in tauopathy and brain injury.
- Author
-
Parra Bravo C, Krukowski K, Barker S, Wang C, Li Y, Fan L, Vázquez-Rosa E, Shin MK, Wong MY, McCullough LD, Kitagawa RS, Choi HA, Cacace A, Sinha SC, Pieper AA, Rosi S, Chen X, and Gan L
- Subjects
- Animals, Mice, Acetylation, Humans, Immunotherapy methods, Disease Models, Animal, Mice, Transgenic, Brain Injuries, Traumatic metabolism, Brain Injuries metabolism, Brain metabolism, Brain pathology, Neuroprotective Agents pharmacology, Tauopathies metabolism, tau Proteins metabolism
- Abstract
Background: Tau is aberrantly acetylated in various neurodegenerative conditions, including Alzheimer's disease, frontotemporal lobar degeneration (FTLD), and traumatic brain injury (TBI). Previously, we reported that reducing acetylated tau by pharmacologically inhibiting p300-mediated tau acetylation at lysine 174 reduces tau pathology and improves cognitive function in animal models., Methods: We investigated the therapeutic efficacy of two different antibodies that specifically target acetylated lysine 174 on tau (ac-tauK174). We treated PS19 mice, which harbor the P301S tauopathy mutation that causes FTLD, with anti-ac-tauK174 and measured effects on tau pathology, neurodegeneration, and neurobehavioral outcomes. Furthermore, PS19 mice received treatment post-TBI to evaluate the ability of the immunotherapy to prevent TBI-induced exacerbation of tauopathy phenotypes. Ac-tauK174 measurements in human plasma following TBI were also collected to establish a link between trauma and acetylated tau levels, and single nuclei RNA-sequencing of post-TBI brain tissues from treated mice provided insights into the molecular mechanisms underlying the observed treatment effects., Results: Anti-ac-tauK174 treatment mitigates neurobehavioral impairment and reduces tau pathology in PS19 mice. Ac-tauK174 increases significantly in human plasma 24 h after TBI, and anti-ac-tauK174 treatment of PS19 mice blocked TBI-induced neurodegeneration and preserved memory functions. Anti-ac-tauK174 treatment rescues alterations of microglial and oligodendrocyte transcriptomic states following TBI in PS19 mice., Conclusions: The ability of anti-ac-tauK174 treatment to rescue neurobehavioral impairment, reduce tau pathology, and rescue glial responses demonstrates that targeting tau acetylation at K174 is a promising neuroprotective therapeutic approach to human tauopathies resulting from TBI or genetic disease., (© 2024. The Author(s).)
- Published
- 2024
- Full Text
- View/download PDF
44. Nanoparticles of Cs 0.33 WO 3 as Antibiofilm Agents and Photothermal Treatment to Inhibit Biofilm Formation.
- Author
-
Wong MY, Lin BS, Hu PS, Huang TY, and Huang YK
- Abstract
Metal oxide nanoparticles with photothermal properties have attracted considerable research attention for their use in biomedical applications. Cesium tungsten oxide (Cs
0.33 WO3 ) nanoparticles (NPs) exhibit strong absorption in the NIR region due to localized surface plasmon resonance, through which they convert light to heat; hence, they can be applied to photothermal treatment for bacteria and biofilm ablation. Herein, Cs0.33 WO3 NPs were synthesized through solid-phase synthesis, and their physical properties were characterized through Zetasizer, energy dispersive X-ray spectroscopy, Fourier transform infrared spectrometer, and scanning and transmission electron microscopy (SEM and TEM, respectively). Burkholderia cenocepacia isolates were cultured in tryptic soy broth supplemented with glucose, and the biofilm inhibition and antibiofilm effects of the NPs were determined using a crystal violet assay and the Cell Counting Kit-8 (CCK-8) assay. The biofilm morphology and viability of NP-treated cultures after NIR irradiation were evaluated through SEM and confocal microscopy, respectively. The cytotoxicity of NPs to human macrophages was also assessed using the CCK-8 assay. The NPs effectively inhibited biofilm formation, with a formation rate of <10% and a viability rate of <50% at the concentration of ≥200 μg/mL. The confocal analysis revealed that NIR irradiation markedly enhanced biofilm cytotoxicity after treatment with the NPs. The assay of cytotoxicity to human macrophages demonstrated the biocompatibility of the NPs and NIR irradiation. In sum, the Cs0.33 WO3 NPs displayed effective biofilm inhibition and antibiofilm activity at 200 μg/mL treatment concentration; they exhibited an enhancement effect under the NIR irradiation, suggesting Cs0.33 WO3 NPs are a potential candidate agent for NIR-irradiated photothermal treatment in bacterial biofilm inhibition and antibiofilm., Competing Interests: The authors declare no competing financial interest., (© 2024 The Authors. Published by American Chemical Society.)- Published
- 2024
- Full Text
- View/download PDF
45. Qualitative Protocol of Chinese Parents and Siblings Experiences of Managing Challenging Behaviours of Adult Persons with Intellectual Disability in Hong Kong and Northern China.
- Author
-
Low LP, Kwong AN, Wang Y, Wong MY, Tiu MM, and Wan KW
- Subjects
- Humans, Hong Kong, China, Adult, Qualitative Research, Male, Female, Problem Behavior psychology, East Asian People, Intellectual Disability psychology, Intellectual Disability therapy, Parents psychology, Siblings psychology, Caregivers psychology
- Abstract
Background: While the literature has highlighted the immense challenges in caring for family members, it is still unclear what the needs of family carers of persons with intellectual disability and challenging behaviours are and what has worked for them. This study aims to examine 60 parents' and siblings' experiences in managing the challenging behaviours of their adult family member with intellectual disability whilst living at home., Methods: A qualitative grounded theory approach using semi-structured interviews will be adopted. Purposive sampling will be used to recruit family carers who live with adult persons with intellectual disability and use one community service in Hong Kong. Three special schools for persons with intellectual disability from northern China will be approached., Results: This study will aim to provide an in-depth understanding of the experiences of family carers and compare the different circumstances they face when managing the challenging behaviours of their adult relatives with intellectual disability in their family home., Conclusions: Although this study targets adults with intellectual disability, the findings will provide a point of reference for adolescents and younger persons who exhibit demanding and challenging behaviours and live with their families. Recommendations can guide the development of appropriate strategies to strengthen services for family carers.
- Published
- 2024
- Full Text
- View/download PDF
46. APOE3-R136S mutation confers resilience against tau pathology via cGAS-STING-IFN inhibition.
- Author
-
Naguib S, Torres ER, Lopez-Lee C, Fan L, Bhagwat M, Norman K, Lee SI, Zhu J, Ye P, Wong MY, Patel T, Mok SA, Luo W, Sinha S, Zhao M, Gong S, and Gan L
- Abstract
The Christchurch mutation (R136S) on the APOE3 ( E3
S/S ) gene is associated with low tau pathology and slowdown of cognitive decline despite the causal PSEN1 mutation and high levels of amyloid beta pathology in the carrier1 . However, the molecular effects enabling E3S/S mutation to confer protection remain unclear. Here, we replaced mouse Apoe with wild-type human E3 or E3S/S on a tauopathy background. The R136S mutation markedly mitigated tau load and protected against tau-induced synaptic loss, myelin loss, and spatial learning. Additionally, the R136S mutation reduced microglial interferon response to tau pathology both in vivo and in vitro , suppressing cGAS-STING activation. Treating tauopathy mice carrying wild-type E3 with cGAS inhibitor protected against tau-induced synaptic loss and induced similar transcriptomic alterations to those induced by the R136S mutation across brain cell types. Thus, cGAS-STING-IFN inhibition recapitulates the protective effects of R136S against tauopathy., Competing Interests: DECLARATION OF INTERESTS L.G is founder and equity holder of Aeton Therapeutics. S.S is consultant and equity holder of Aeton Therapeutics. L.G. and S.S. have filed a patent related to this work (Publication Number: WO/2023/154962, International Application No.: PCT/US2023/062593). The other authors declare no competing interest.- Published
- 2024
- Full Text
- View/download PDF
47. Exploration of agr types, virulence-associated genes, and biofilm formation ability in Staphylococcus aureus isolates from hemodialysis patients with vascular access infections.
- Author
-
Lai CH, Wong MY, Huang TY, Kao CC, Lin YH, Lu CH, and Huang YK
- Subjects
- Female, Humans, Male, Middle Aged, Catheter-Related Infections microbiology, Methicillin-Resistant Staphylococcus aureus genetics, Methicillin-Resistant Staphylococcus aureus pathogenicity, Bacterial Proteins genetics, Bacterial Proteins metabolism, Biofilms growth & development, Renal Dialysis adverse effects, Staphylococcal Infections microbiology, Staphylococcus aureus genetics, Staphylococcus aureus pathogenicity, Trans-Activators genetics, Virulence Factors genetics
- Abstract
Introduction: Staphylococcus aureus , is a pathogen commonly encountered in both community and hospital settings. Patients receiving hemodialysis treatment face an elevated risk of vascular access infections (VAIs) particularly Staphylococcus aureus , infection. This heightened risk is attributed to the characteristics of Staphylococcus aureus , , enabling it to adhere to suitable surfaces and form biofilms, thereby rendering it resistant to external interventions and complicating treatment efforts., Methods: Therefore this study utilized PCR and microtiter dish biofilm formation assay to determine the difference in the virulence genes and biofilm formation among in our study collected of 103 Staphylococcus aureus , isolates from hemodialysis patients utilizing arteriovenous grafts (AVGs), tunneled cuffed catheters (TCCs), and arteriovenous fistulas (AVFs) during November 2013 to December 2021., Results: Our findings revealed that both MRSA and MSSA isolates exhibited strong biofilm production capabilities. Additionally, we confirmed the presence of agr types and virulence genes through PCR analysis. The majority of the collected isolates were identified as agr type I. However, agr type II isolates displayed a higher average number of virulence genes, with MRSA isolates exhibiting a variety of virulence genes. Notably, combinations of biofilm-associated genes, such as eno-clfA-clfB-fib-icaA-icaD and eno-clfA-clfB-fib-fnbB-icaA-icaD, were prevalent among Staphylococcus aureus , isolates obtained from vascular access infections., Discussion: These insights contribute to a better understanding of the molecular characteristics associated with Staphylococcus aureus , infections in hemodialysis patients and provided more targeted and effective treatment approaches., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Lai, Wong, Huang, Kao, Lin, Lu and Huang.)
- Published
- 2024
- Full Text
- View/download PDF
48. Toward a coordinated understanding of hydro-biogeochemical root functions in tropical forests for application in vegetation models.
- Author
-
Cusack DF, Christoffersen B, Smith-Martin CM, Andersen KM, Cordeiro AL, Fleischer K, Wright SJ, Guerrero-Ramírez NR, Lugli LF, McCulloch LA, Sanchez-Julia M, Batterman SA, Dallstream C, Fortunel C, Toro L, Fuchslueger L, Wong MY, Yaffar D, Fisher JB, Arnaud M, Dietterich LH, Addo-Danso SD, Valverde-Barrantes OJ, Weemstra M, Ng JC, and Norby RJ
- Subjects
- Nitrogen, Forests, Soil, Plants, Water, Tropical Climate, Trees, Ecosystem, Plant Roots
- Abstract
Tropical forest root characteristics and resource acquisition strategies are underrepresented in vegetation and global models, hampering the prediction of forest-climate feedbacks for these carbon-rich ecosystems. Lowland tropical forests often have globally unique combinations of high taxonomic and functional biodiversity, rainfall seasonality, and strongly weathered infertile soils, giving rise to distinct patterns in root traits and functions compared with higher latitude ecosystems. We provide a roadmap for integrating recent advances in our understanding of tropical forest belowground function into vegetation models, focusing on water and nutrient acquisition. We offer comparisons of recent advances in empirical and model understanding of root characteristics that represent important functional processes in tropical forests. We focus on: (1) fine-root strategies for soil resource exploration, (2) coupling and trade-offs in fine-root water vs nutrient acquisition, and (3) aboveground-belowground linkages in plant resource acquisition and use. We suggest avenues for representing these extremely diverse plant communities in computationally manageable and ecologically meaningful groups in models for linked aboveground-belowground hydro-nutrient functions. Tropical forests are undergoing warming, shifting rainfall regimes, and exacerbation of soil nutrient scarcity caused by elevated atmospheric CO
2 . The accurate model representation of tropical forest functions is crucial for understanding the interactions of this biome with the climate., (© 2024 The Authors New Phytologist © 2024 New Phytologist Foundation.)- Published
- 2024
- Full Text
- View/download PDF
49. Tropical forests and global change: biogeochemical responses and opportunities for cross-site comparisons, an organized INSPIRE session at the 108 th Annual Meeting, Ecological Society of America, Portland, Oregon, USA, August 2023.
- Author
-
Cusack DF, Reed S, Andersen KM, Cinoğlu D, Craig ME, Dietterich LH, Hogan JA, Holm JA, Nottingham AT, Ostertag R, Soper FM, Wood TE, and Wong MY
- Subjects
- Oregon, Tropical Climate, Forests, Societies
- Published
- 2024
- Full Text
- View/download PDF
50. Alzheimer's disease-linked risk alleles elevate microglial cGAS-associated senescence and neurodegeneration in a tauopathy model.
- Author
-
Carling GK, Fan L, Foxe NR, Norman K, Ye P, Wong MY, Zhu D, Yu F, Xu J, Yarahmady A, Chen H, Huang Y, Amin S, Zacharioudakis E, Chen X, Holtzman DM, Mok SA, Gavathiotis E, Sinha SC, Cheng F, Luo W, Gong S, and Gan L
- Abstract
The strongest risk factors for Alzheimer's disease (AD) include the χ4 allele of apolipoprotein E (APOE), the R47H variant of triggering receptor expressed on myeloid cells 2 (TREM2), and female sex. Here, we combine APOE4 and TREM2R47H ( R47H ) in female P301S tauopathy mice to identify the pathways activated when AD risk is the strongest, thereby highlighting disease-causing mechanisms. We find that the R47H variant induces neurodegeneration in female APOE4 mice without impacting hippocampal tau load. The combination of APOE4 and R47H amplified tauopathy-induced cell-autonomous microglial cGAS-STING signaling and type-I interferon response, and interferon signaling converged across glial cell types in the hippocampus. APOE4-R47H microglia displayed cGAS- and BAX-dependent upregulation of senescence, showing association between neurotoxic signatures and implicating mitochondrial permeabilization in pathogenesis. By uncovering pathways enhanced by the strongest AD risk factors, our study points to cGAS-STING signaling and associated microglial senescence as potential drivers of AD risk.
- Published
- 2024
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.