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Tumefactive fibroinflammatory lesion of the head and neck

Said H, Razi Hadi A, Akmal SN, Lokman S

J Laryngol Otol, 1988 Nov;102(11):1064-7.
PMID: 3209947 DOI: 10.1017/s0022215100107297

The term tumefactive fibroinflammatory lesion is used to describe an unusual fibrosclerosing disorder that behaves in a malignant way clinically but is histologically benign. Lesions in the head and neck are believed to be part of the broader fibrosclerosing syndrome which include pseudotumour of the orbit, Reidel's thyroiditis, sclerosing cholangitis and mediastinal fibrosis. Clinical diagnosis is often difficult and relies heavily on histopathology. Steroid therapy is suggested as the first line of management, while surgery or radiation therapy is reserved for failures.
Drug eruptions from phenylbutazone in Jamu

Giam YC, Tham SN, Tan T, Lim A

Ann Acad Med Singap, 1986 Jan;15(1):118-21.
PMID: 2939787

Drug eruptions from indeginous medicine is often difficult to diagnosis and confirm. It is known that a number of these now supplied by bomohs and Chinese sinsehs contain known drugs and are dispensed as tablets and capsules. We report 3 cases of adverse drug eruption to "Jamu", a Malay herb. A particular brand, "Jamu Indonesia, Toko Air Pancur", from Johor Bahru, Malaysia, is especially recommended for "sakit pinggang" or backache. The cases occurred between January and February 1985, and all had taken brown kidney shaped tablets. The adverse reactions were moderately severe. Two had erythroderma with hepatitis, and one, Steven Johnson Syndrome. Analysis of this jamu for analgesics led to the discovery of adulteration with phenylbutazone and diazepam. Records from local cases from 1974-1984 showed that 8 other patients, all Chinese had adverse cutaneous eruptions from phenylbutazone, oxybutazone and propyphenazone. The skin manifestations were erythroderma (2 cases), vasculitis (2 cases) and toxic epidermal necrolysis (4 cases). Those with toxic epidermal necrolysis had 100% mortality.
Deep convolutional neural network for classification of sleep stages from single-channel EEG signals

Mousavi Z, Yousefi Rezaii T, Sheykhivand S, Farzamnia A, Razavi SN

J Neurosci Methods, 2019 08 01;324:108312.
PMID: 31201824 DOI: 10.1016/j.jneumeth.2019.108312

Using a smart method for automatic diagnosis in medical applications, such as sleep stage classification is considered as one of the important challenges of the last few years which can replace the time-consuming process of visual inspection done by specialists. One of the problems regarding the automatic diagnosis of sleep patterns is extraction and selection of discriminative features generally demanding high computational burden. This paper provides a new single-channel approach to automatic classification of sleep stages from EEG signal. The main idea is to directly apply the raw EEG signal to deep convolutional neural network, without involving feature extraction/selection, which is a challenging process in the previous literature. The proposed network architecture includes 9 convolutional layers followed by 2 fully connected layers. In order to make the samples of different classes balanced, we used a preprocessing method called data augmentation. The simulation results of the proposed method for classification of 2 to 6 classes of sleep stages show the accuracy of 98.10%, 96.86%, 93.11%, 92.95%, 93.55% and Cohen's Kappa coefficient of 0.98%, 0.94%, 0.90%, 0.86% and 0.89%, respectively. Furthermore, comparing the obtained results with the state-of-the-art methods reveals the performance improvement of the proposed sleep stage classification in terms of accuracy and Cohen's Kappa coefficient.
Fulltext Influence of Graphene Oxide on the Ethanol Permeability and Ionic Conductivity of QPVA-Based Membrane in Passive Alkaline Direct Ethanol Fuel Cells

Zakaria Z, Kamarudin SK, Timmiati SN

Nanoscale Res Lett, 2019 Jan 18;14(1):28.
PMID: 30659414 DOI: 10.1186/s11671-018-2836-3

Passive alkaline-direct ethanol fuel cells (alkaline-DEFCs) appear to be suitable for producing sustainable energy for portable devices. However, ethanol crossover is a major challenge for passive alkaline-DEFC systems. This study investigated the performance of a crosslinked quaternized poly (vinyl alcohol)/graphene oxide (QPVA/GO) composite membrane to reduce ethanol permeability, leading in enhancement of passive alkaline-DEFC performance. The chemical and physical structure, morphology, ethanol uptake and permeability, ion exchange capacity, water uptake, and ionic conductivity of the composite membranes were characterized and measured to evaluate their applicability in fuel cells. The transport properties of the membrane were affected by GO loading, with an optimal loading of 15 wt.% and doped with 1 M of KOH showing the lowest ethanol permeability (1.49 × 10-7 cm2 s-1 and 3.65 × 10-7 cm2 s-1 at 30 °C and 60 °C, respectively) and the highest ionic conductivity (1.74 × 10-2 S cm-1 and 6.24 × 10-2 S cm-1 at 30 °C and 60 °C, respectively). In the passive alkaline-DEFCs, the maximum power density was 9.1 mW cm-2, which is higher than commercial Nafion 117/KOH (7.68 mW cm-2) at 30 °C with a 2 M ethanol + 2 M KOH solution. For the 60 °C, the maximum power density of composite membrane achieved was 11.4 mW cm-2.
Fulltext Sociodemographic and foetal charateristics of mothers with premature deliveries in Hospital Tuanku Jaafar Seremban, Negeri Sembilan, Malaysia

Zaini I, Ghani SN, Moy FM

JUMMEC, 2008;11(2):59-65.
MyJurnal

This is a retrospective case control study conducted between 1 January 2005 and 30 June 2006 at the Hospital Tuanku Jaafar, Seremban, Malaysia. The objective was to study the maternal sociodemographics and foetal characteristics associated with premature delivery. There were 387 cases selected universally and 387 controls selected by using systematic random sampling involving every 13 cases. The patients were women who had delivered their babies before 37 completed weeks, while the control were women who had term deliveries during the same period. Data were collected using structured questionnaire through secondary data. Results showed that having multiple pregnancies (OR=8.33, 95% CI: 2.91, 23.84), congenital abnormality (OR=4.6, 95% CI: 0.98, 21.84) and intrauterine growth retardation (OR=15.59, 95% CI: 3.69, 65.82) were the risk factors of premature delivery. Being an ethnic Indian also raised the odds (OR=1.67, 95% CI: 1.14, 2.43) but this was not significant in the multivariate analysis. Other sociodemographic characteristics did not contribute significantly to the risk factors for premature delivery in this sample. In conclusion, foetal characteristics were found to be significantly associated with premature delivery after adjustment for other confounding factors.
Study site: Hospital Tuanku Jaafar, Seremban, Negeri Sembilan, Malaysia
Fulltext Biodiversity and macroparasitic distribution of the wild rat population of Carey Island, Klang

Nursyazana MT, Mohdzain SN, Jeffery J

Trop Biomed, 2013 Jun;30(2):199-210.
PMID: 23959485 MyJurnal

A study to determine the diversity and distribution of ectoparasites and endoparasites infesting wild rat population of Carey Island was carried out from June to December 2010. A total of 81 rats were captured from various locations on Carey Island. Four rat species were identified namely, Rattus tiomanicus (45.7%), Rattus rattus diardii (25.9%), Rattus argentiventer (16%) and Rattus norvegicus (12.3%). Low diversity of ecto and endoparasites were observed infecting the rodent population with 8 ecto and 8 endoparasites species recorded. The ectoparasites recovered fell under 3 broad groups, namely mites (Laelaps nuttali, Laelaps echidninus, Laelaps sculpturatus, Listrophoroides sp. and Ornithonyssus bacoti), lice (Polyplax spinulosa and Hoplopleura pacifica) and tick (Ixodes granulatus) while endoparasites recovered were cestodes (Taenia taeniaformis and Hymenolepis diminuta) and nematodes (Nippostrongylus brasiliensis, Angiostrongylus malaysiensis, Mastophorus muris, Heterakis spumosa, Hepatojarakus malayae and Syphacia muris). The rat population was observed harbouring more than one parasite species. Analysis of data also showed neither intrinsic (host age, host sex) nor extrinsic (season) factors influenced the macroparasites community structure.
A pseudo-cryptococcal artefact derived from leucocytes in wet India ink mounts of centrifuged cerebrospinal fluid

Thiruchelvan N, Wuu KY, Arseculeratne SN, Ashraful-Haq J

J Clin Pathol, 1998 Mar;51(3):246-8.
PMID: 9659271

Wet India ink mounts of cerebrospinal fluid (CSF) are useful in the laboratory diagnosis of cryptococcal meningitis. Pseudo-cryptococcal artefacts in such mounts have been attributed to leucocytes in CSF but their mode of formation has not been explained. This report describes the reproduction of such an artefact in cryptococcus free CSF-leucocyte mixtures that had been subjected to high speed centrifugation. The viscosity of DNA that could provide a morphological pseudo-capsule, and the yellow-green fluorescence of the pseudo-capsular material on staining with acridine-orange, suggest that lymphocytic nuclear DNA, which possibly leaked out after damage to the lymphocyte membrane by centrifugation, was responsible for this artefact.
Factors affecting participation decision and amount of physical activity among urban dwellers in Malaysia

Cheah YK, Azahadi M, Phang SN, Hazilah N

Public Health, 2017 May;146:84-91.
PMID: 28404478 DOI: 10.1016/j.puhe.2017.01.009

OBJECTIVES: The rapid rise in the prevalence of physical inactivity-related diseases has become a serious public health issue worldwide. The objective of the present study is to examine the factors affecting participation in physical activity among urban dwellers in Malaysia.
STUDY DESIGN: This cross-sectional study measures physical activity using a rigorous regression model.
METHODS: Data are obtained from the National Health and Morbidity Survey 2011 (NHMS 2011). A lognormal hurdle model is used to analyse the participation decision and the amount decision of physical activity.
RESULTS: The results show that income, gender, ethnicity, marital status and employment status are significantly associated with participation decision and amount decision. However, age, insurance and self-rated health only affect participation decision, whereas family size, education and smoking only affect amount decision.
CONCLUSIONS: It can, thus, be concluded that sociodemographic, insurance, lifestyle and health factors play an important role in determining physical activity behaviour among urban dwellers. When formulating policies, special attention must be paid to these factors.
Study name: National Health and Morbidity Survey (NHMS-2011)
Fulltext Determinants of comorbidity in rheumatoid arthritis: influence of demographic and duration of illness

Chin SN, Abdullah N, Poh LP

Journal of Advanced Research Design, 2015;22(1):13-22.
MyJurnal

Rheumatoid arthritis (RA) is a chronic, disabling autoimmune disease which affects about 5 in 1000 people in Malaysia. Patients with RA are at increased risk of developing comorbid conditions. This research aims at determining these relationships between demographic, duration of illness and comorbidity in RA via a multiple binary logistic (MBL) regression analysis based on the 102 patients’ information (23 males; 79 females) obtained from the rheumatoid clinic of the Queen Elizabeth Hospital in Kota Kinabalu. The relationship of the RA patients with comorbid conditions was studied with focus on the demographic and duration of illness. The variables obtained for analysis were the comorbid conditions namely, hypertension and hyperlipidemia, age, duration of illness, gender, ethnicity, household income and education level. From six independent variables, two were quantitative would be analyzed, while four were categorical, and would be transformed into dummy variables. Four phases in a model-building approach were executed where two models were formed where Model I predicted the probability of occurrence of hypertension with age of patients and first order interaction between duration of illness before diagnosis and household income of less than RM1000 had positive effects on the model, while Model II predicted the occurrence of hyperlipidemia among the RA patients with age of patients and first order interaction variable between gender(female) and age were the contributing factors.
Study site: Rheumatoid clinic, Queen Elizabeth Hospital (QEH), Kota Kinabalu, Sabah, Malaysia
A dedifferentiated large posterior mediastinal liposarcoma - An incidental finding successfully resected

Narasimman S, Jasjit SN, Navarasi SR, Premnath N

Med J Malaysia, 2016 08;71(4):201-202.
PMID: 27770120

This is a case of a posterior mediastinal mass in an asymptomatic gentleman, which was resected successfully and he has been disease free for more than a year of follow up. The histopathology findings happen to be a rare occurrence.
Contact sensitization to fragrance allergen: a 5-year review in the Department of Dermatology, Hospital Kuala Lumpur

Tai V, Sharifah Rosniza SNC, Tang MM

Med J Malaysia, 2023 Sep;78(5):583-588.
PMID: 37775483

INTRODUCTION: Fragrance allergy remains an important cause of contact dermatitis. We aim to describe the characteristics of patients with contact sensitisation to fragrances who underwent patch testing in the Department of Dermatology Hospital Kuala Lumpur.
MATERIALS AND METHODS: This is a 5-year retrospective study of patients who developed positive reactions to fragrance allergens at the Department of Dermatology, Hospital Kuala Lumpur, Malaysia between January 2017 and December 2021. Patch tests were performed with European Baseline Series and relevant extended series. Patch test readings were recorded according to the International Contact Dermatitis Research Group recommendation.
RESULTS: A total of 854 patients underwent patch test during the study period with 133 (15.6%) patients developing at least one positive reaction to fragrance allergens. The median age of patients at presentation was 40 years (range 16-79) old with 78.2% females. The most common initial presentation was hand eczema (55.6%). Other commonly involved sites include face (38.3%), leg (35.3%) and trunk (22.6%). The most frequent sensitising fragrance allergens were Fragrance Mix I (10.5%), Balsam of Peru (7.1%) and Fragrance Mix II (4.9%). Sixty patients (45%) developed positive reaction to more than one fragrance allergens. Twelve patients (9%) developed positive patch test reactions to their own products such as skincare, hair dye and hand wash. Current relevance was recorded in 96 patients (72.2 %).
CONCLUSION: Contact sensitisation to fragrance allergens was detected in about 15% of our patients who underwent patch test. The most common sensitising allergens were Fragrance Mix I and II and Balsam of Peru.
Computer vision syndrome and dry eye symptoms among breastfeeding women

Subri S, Ali AM, Salleh SN

Med J Malaysia, 2024 Mar;79(Suppl 1):128-133.
PMID: 38555897

INTRODUCTION: Breastfeeding women are susceptible to musculoskeletal symptoms and hormonal changes that can affect the ocular surface. As exposure to visual display units (VDU) that is known to cause symptoms of dry eye and computer vision syndrome (CVS) is increasing worldwide, including among breastfeeding women, it is unknown whether this group of VDU users would experience CVS more than non-breastfeeding women. Therefore, this study aimed to investigate the association between breastfeeding status and symptoms of CVS and dry eye.
MATERIALS AND METHODS: In this cross-sectional study, selfreported CVS and dry eye symptoms were compared between 80 breastfeeding and 72 non-breastfeeding VDU users. Two questionnaires were administered online, which were the CVS-Questionnaire (CVS-Q) and the Ocular Surface Disease Index (OSDI) questionnaire, to evaluate symptoms of CVS and dry eye, respectively. Mann-Whitney test was used to compare CVS and OSDI scores between groups, while correlations between the scores were analyzed using Spearman's test.
RESULT: Results showed that OSDI scores were significantly higher in the non-breastfeeding group (U = 2263, z-score = - 2.276, p = 0.023), indicating more dry eye symptoms experienced by respondents in this group, while no significant group difference was found in terms of CVS scores (U = 2772, z-score = -0.400, p = 0.689). Additionally, no significant association was observed between breastfeeding status and severity of dry eye symptoms as well as CVS symptoms.
CONCLUSION: This study reported the possible benefit of breastfeeding in reducing dry eye symptoms. The CVS symptoms found in the breastfeeding group were possibly due to VDU usage rather than caused by breastfeeding. Public education on preventive measures to reduce the occurrence of CVS symptoms and ocular dryness among VDU users is essential to improve the quality of life.
Stray animal and human defecation as sources of soil-transmitted helminth eggs in playgrounds of Peninsular Malaysia

Mohd Zain SN, Rahman R, Lewis JW

J Helminthol, 2015 Nov;89(6):740-7.
PMID: 25273274 DOI: 10.1017/S0022149X14000716

Soil contaminated with helminth eggs and protozoan cysts is a potential source of infection and poses a threat to the public, especially to young children frequenting playgrounds. The present study determines the levels of infection of helminth eggs in soil samples from urban and suburban playgrounds in five states in Peninsular Malaysia and identifies one source of contamination via faecal screening from stray animals. Three hundred soil samples from 60 playgrounds in five states in Peninsular Malaysia were screened using the centrifugal flotation technique to identify and determine egg/cyst counts per gram (EPG) for each parasite. All playgrounds, especially those in Penang, were found to be contaminated with eggs from four nematode genera, with Toxocara eggs (95.7%) the highest, followed by Ascaris (93.3%), Ancylostoma (88.3%) and Trichuris (77.0%). In addition, faeces from animal shelters were found to contain both helminth eggs and protozoan cysts, with overall infection rates being 54% and 57% for feline and canine samples, respectively. The most frequently occurring parasite in feline samples was Toxocara cati (37%; EPG, 42.47 ± 156.08), while in dog faeces it was Ancylostoma sp. (54%; EPG, 197.16 ± 383.28). Infection levels also tended to be influenced by season, type of park/playground and the texture of soil/faeces. The occurrence of Toxocara, Ancylostoma and Trichuris eggs in soil samples highlights the risk of transmission to the human population, especially children, while the presence of Ascaris eggs suggests a human source of contamination and raises the issue of hygiene standards and public health risks at sites under investigation.
Guppies as predators of common mosquito larvae in Malaysia

Saleeza SN, Norma-Rashid Y, Sofian-Azirun M

Southeast Asian J Trop Med Public Health, 2014 Mar;45(2):299-308.
PMID: 24968669

Observation on predation activities of guppies (Poecilia reticulata) on the larvae of three species of mosquito, namely Aedes albopictus, Aedes aegypti, and Culex quinquefasciatus was carried out under laboratory conditions. Male and female guppies were used as predators for predation experiments on the 4th instars of mosquito larvae. The daily feeding rates comparing male and female guppies on mosquito larvae were different; the female guppies consumed more mosquito larvae than male guppies did. The daily feeding rates of female guppies were 121.3 for Ae. aegypti, 105.6 for Ae. albopictus, and 72.3 for Cx. quinquefasciatus. The daily feeding rates of male guppies were 98.6 for Ae. aegypti, 73.6 for Ae. albopictus, and 47.6 for Cx. quinquefasciatus. In terms of prey preference, there was greater preference towards mosquito larvae of Ae. aegypti, followed by Ae. albopictus, and the least preferred was Cx. quinquefasciatus. Male and female guppies consumed more mosquito larvae during lights on (day time) compared with lights off (night time). The water volume, prey species, number of fish predators available, prey densities, and prey's sex also influenced the predation activities.
Mosquito species and outdoor breeding places in residential areas in Malaysia

Saleeza SN, Norma-Rashid Y, Azirun MS

Southeast Asian J Trop Med Public Health, 2013 Nov;44(6):963-9.
PMID: 24450233

We conducted mosquito surveillance at outdoor breeding habitat in 459 households at 7 urban locations in Putrajaya, Malaysia from January to December 2010 to determine the predominant species and breeding locations. The most common species found at all locations was Aedes albopictus. Gardening utensils were the most common breeding sites. Of the 1,885 mosquito larvae specimens found, 1,774 (94.1%) were Ae. albopictus larvae, 84 (4%) were Ae. aegypti larvae and 27 (1%) were Culex quinquefasciatus larvae. The Aedes index for each of the locations was higher than the goal set by the Ministry of Health for Malaysia. However, the container index at each of the locations was within the goal. The Breateau index was above the goal set by the Ministry of Health at Precinct 9B1 but the other locations were within the goal.
Fulltext Numerical simulation of shoaling internal solitary waves in two-layer fluid flow

Hooi, M.H., Tiong, W. K., Tay, K. G., Chiew,K. L., Sze, S. N.

MATEMATIKA, 2018;34(2):333-350.
MyJurnal

In this paper, we look at the propagation of internal solitary waves over three
different types of slowly varying region, i.e. a slowly increasing slope, a smooth bump and
a parabolic mound in a two-layer fluid flow. The appropriate mathematical model for this
problem is the variable-coefficient extended Korteweg-de Vries equation. The governing
equation is then solved numerically using the method of lines. Our numerical simulations
show that the internal solitary waves deforms adiabatically on the slowly increasing slope.
At the same time, a trailing shelf is generated as the internal solitary wave propagates
over the slope, which would then decompose into secondary solitary waves or a wavetrain.
On the other hand, when internal solitary waves propagate over a smooth bump or a
parabolic mound, a trailing shelf of negative polarity would be generated as the results of
the interaction of the internal solitary wave with the decreasing slope of the bump or the
parabolic mound. The secondary solitary waves is observed to be climbing the negative
trailing shelf.
Distribution of virulence genes and the molecular epidemiology of Streptococcus pyogenes clinical isolates by emm and multilocus sequence typing methods

Hamzah SNA, Mohd Desa MN, Jasni AS, Mohd Taib N, Masri SN, Hamat RA

Med J Malaysia, 2021 03;76(2):164-170.
PMID: 33742623

BACKGROUND: Streptococcus pyogenes has a variety of virulence factors and the predominant invasive strains differ according to specific emm types and geographical orientation. Although emm typing is commonly used as the gold standard method for the molecular characterisation, multilocus sequence typing (MLST) has become an important tool for comparing the genetic profiles globally. This study aimed to screen selected virulence genes from invasive and non-invasive clinical samples and to characterise the molecular epidemiology by emm typing and MLST methods.
MATERIALS AND METHODS: A total of 42 S. pyogenes isolates from invasive and non-invasive samples collected from two different tertiary hospitals were investigated for the distribution of virulence factors and their molecular epidemiology by emm and multilocus sequence typing methods. Detection of five virulence genes (speA, speB, speJ, ssa and sdaB) was performed using multiplex polymerase chain reaction (PCR) using the standard primers and established protocol. Phylogenetic tree branches were constructed from sequence analysis utilised by neighbour joining method generated from seven housekeeping genes using MEGA X software.
RESULTS: Multiplex PCR analysis revealed that sdaB/speF (78.6%) and speB (61.9%) were the predominant virulence genes. Regardless of the type of invasiveness, diverse distribution of emm types/subtypes was noted which comprised of 27 different emm types/subtypes. The predominant emm types/subtypes were emm63 and emm18 with each gene accounted for 11.8% whereas 12% for each gene was noted for emm28, emm97.4 and emm91. The MLST revealed that the main sequence type (ST) in invasive samples was ST402 (17.7%) while ST473 and ST318 (12% for each ST) were the major types in non-invasive samples. Out of 18 virulotypes, Virulotype A (five genes, 55.6%) and Virulotype B (two genes, 27.8%) were the major virulotypes found in this study. Phylogenetic analysis indicated the presence of seven different clusters of S. pyogenes. Interestingly, Cluster VI showed that selected emm/ST types such as emm71/ST318 (n=2), emm70.1/ST318 (n=1), emm44/ST31 (n=1) and emm18/ST442 (n=1) have clustered within a common group (Virulotype A) for both hospitals studied.
CONCLUSION: The present study showed that group A streptococcci (GAS) are genetically diverse and possess virulence genes regardless of their invasiveness. Majority of the GAS exhibited no restricted pattern of virulotypes except for a few distinct clusters. Therefore, it can be concluded that virulotyping is partially useful for characterising a heterogeneous population of GAS in hospitals.
Fulltext Potential Effects of Flaxseed (Linum usitatissimum) in Tissue Reparative Processes: A Mini Review

Shaban S. N, Mokhtar K.I,, Ichwan S. J. A, Al-Ahmad B. E. M

Journal of Biomedical and Clinical Sciences, 2020;5(1):1-7.
MyJurnal

Wounds are inevitable events that can occur daily due to many factors such as; physical, chemical and biological, which can cause tissue, cell and in some events bone damage. The process of wound healing is complicated as it involves many factors; therefore, an effective and safe agent is essential to ensure good healing process. Herbal medicine is considered safe and effective. Flaxseed (Linum usitatissimum) is an effective plant when it comes to wound healing and has been used for decades as a traditional healing agent. The bioactivities of flaxseed extract have been reported to demonstrate many beneficial effects such as antimicrobial, antioxidant and anti-inflammatory effects. It has been shown that flaxseed has positive effects on many types of wounds such as skin wound healing, burns and burn scar healing, bone healing and also has demonstrated positive results in the healing of oral ulceration besides exhibiting anti-bacterial effects in the oral cavity. This review describes the positive effects of flaxseed in multiple types of wound healing. Additionally, it is also aimed to introduce the potential applications of flaxseed in socket healing which involves series of complex changes to both soft and hard tissues in the oral cavity.
Fulltext Combination therapy of a novel ruthenium polypyridyl complex and cisplatin for the treatment of cancer

Haslina Ahmad, Yusoh N. A., Harun S. N., Chia, S. L.

Malaysian Journal of Medicine and Health Sciences, 2019;15(102):25-25.
MyJurnal

Introduction: Combination therapy to treat cancer have been demanded due to the complexity of the disease and to prevent resistance mechanisms commonly found in classic chemotherapeutic methods. Recently, we have reported that [Ru(dppz)2(PIP)]2+ (dppz = dipyridophenazine, PIP = 2-(phenyl)imidazo[4,5-f][1,10]phenanthroline) (RuPIP) immediately stalls replication fork progression in HeLa human cervical cancer cells. Co-incubation with a Chk1 inhibitor achieves synergistic apoptosis in cancer cells. These discoveries indicate that this class of compounds merit further investigation as anticancer drugs, especially within combinational therapy roles. However, information pertaining to the effects of combining ruthenium compounds with existing chemotherapeutic drugs remain scarce. This study aimed to investigate the possible synergistic cytotoxic effects of using RuPIP in combination with cisplatin on different cancer cell lines. Methods: A549, MCF7, Hela and T24 cells were treated with different concentrations of RuPIP or cisplatin alone, as well as different combinations of these two agents at a fixed ratio 1:1 over the course of 72 hr to assess their individual and combination effects. Cell viability was analysed using MTT assay. The combination index (CI) was calculated based on the Chou Talalay Method. Results: Single-agent treatment at 72 hr with RuPIP or cisplatin led to dose-dependent decreases in the viability of the A549, MCF7, Hela and T24 cells at 72 hr. Furthermore, increasing the concentrations of the combinations up to four folds of half maximal inhibitory concentration (IC50) statistically decrease the cell survival rates of A549 and MCF7 cells thus, displayed synergistic effects. Conclusion: Treatment of MCF7 and A549 cells with a combination of RuPIP and cisplatin showed a synergistic effect and thus are promising as a combination therapy for cancer treatment.
Fulltext Improved in vitro toxicity of ruthenium complex by mesoporous silica nanoparticles encapsulation

Harun S. N., Haslina Ahmad, Chia, S. L., Leong, S. W.

Malaysian Journal of Medicine and Health Sciences, 2019;15(102):27-27.
MyJurnal

Introduction: Ruthenium compounds are widely studied for its biological activity. However, potent ruthenium drugs often have limited bioavailability due to its poor aqueous solubility. In order to assist the preparation of these hydrophobic compounds, a carrier or drug delivery agent is often introduced. Herein, we encapsulated a hydrophobic ruthenium polypyridyl complex [Ru(dppz)PIP]2+, (dppz = dipyrido-[3,2-a:20,30-c]phenazine, PIP = 2-phenylimidazo[4,5-f][1,10] phenanthroline) in mesoporous silica nanoparticles (MSN). Methods: The MSN was synthesized by using ionic liquid 1-hexadecylphenanthrolinium as a novel template and have 833.99 m2/g in surface area. The cytotoxicity of the synthesized ruthenium complex, MSN and MSN-loaded ruthenium was studied on Hela and A549 cancer cell lines. Results: MSN was non-toxic at lower dosage (

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