Browse publications by year: 2015

  1. Singh GK, Balzer BW, Desai R, Jimenez M, Steinbeck KS, Handelsman DJ
    Ann. Clin. Biochem., 2015 Nov;52(Pt 6):665-71.
    PMID: 25780247 DOI: 10.1177/0004563215580385
    Urinary hormone concentrations are often adjusted to correct for hydration status. We aimed to determine whether first morning void urine hormones in growing adolescents require adjustments and, if so, whether urinary creatinine or specific gravity are better adjustments.
    MeSH terms: Adolescent; Biological Phenomena; Creatinine; Humans; Specific Gravity; Urination; Urinalysis
  2. Kumar S
    Bioinformation, 2015;11(1):11-6.
    PMID: 25780274 DOI: 10.6026/97320630011011
    Rubisco is a very large, complex and one of the most abundant proteins in the world and comprises up to 50% of all soluble protein in plants. The activity of Rubisco, the enzyme that catalyzes CO2 assimilation in photosynthesis, is regulated by Rubisco activase (Rca). In the present study, we searched for hypothetical protein of Vitis vinifera which has putative Rubisco activase function. The Arabidopsis and tobacco Rubisco activase protein sequences were used as seed sequences to search against Vitis vinifera in UniprotKB database. The selected hypothetical proteins of Vitis vinifera were subjected to sequence, structural and functional annotation. Subcellular localization predictions suggested it to be cytoplasmic protein. Homology modelling was used to define the three-dimensional (3D) structure of selected hypothetical proteins of Vitis vinifera. Template search revealed that all the hypothetical proteins share more than 80% sequence identity with structure of green-type Rubisco activase from tobacco, indicating proteins are evolutionary conserved. The homology modelling was generated using SWISS-MODEL. Several quality assessment and validation parameters computed indicated that homology models are reliable. Further, functional annotation through PFAM, CATH, SUPERFAMILY, CDART suggested that selected hypothetical proteins of Vitis vinifera contain ATPase family associated with various cellular activities (AAA) and belong to the AAA+ super family of ring-shaped P-loop containing nucleoside triphosphate hydrolases. This study will lead to research in the optimization of the functionality of Rubisco which has large implication in the improvement of plant productivity and resource use efficiency.
  3. Mahadeva S, Goh KL
    Aliment Pharmacol Ther, 2015 Apr;41(8):792.
    PMID: 25781046 DOI: 10.1111/apt.13120
    MeSH terms: Diagnosis, Differential; Dyspepsia/ethnology; Dyspepsia/etiology*; Humans; Stomach Neoplasms/ethnology; Endoscopy, Gastrointestinal; Asian Continental Ancestry Group
  4. Bain O, Mutafchiev Y, Junker K, Guerrero R, Martin C, Lefoulon E, et al.
    Zootaxa, 2015;3918(1):151-93.
    PMID: 25781087 DOI: 10.11646/zootaxa.3918.2.1
    Based on material deposited in museum collections, twelve species within Mansonella sensu lato were examined and their descriptions amended. Based on additional morphological details, the erection of the new monotypic subgenus Filyamagutia Bain & Uni for M. (F.) akitensis (Uni, 1983), and the new combination M. (Pseudolitomosa) musasabi (Yamaguti, 1941) Bain & Uni are proposed. A new subspecies, M. (Tetrapetalonema) atelensis amazonae Bain & Guerrero is described and a key to the seven subgenera of Mansonella is provided. Furthermore, the elevation of Sandnema to full genus rank comprising the two species S. digitatum (Chandler, 1929) n. comb. and S. sunci (Sandground, 1933) n. comb., is proposed. Host and geographic records for the species of Mansonella and Sandnema are included.
    MeSH terms: Animals; Environment; Mansonella; Museums
  5. Ng YF, Mound LA
    Zootaxa, 2015;3918(1):492-502.
    PMID: 25781107 DOI: 10.11646/zootaxa.3918.4.2
    Nine species of Thripinae that inhabit bamboo are recorded from Malaysia. Clypeothrips idrisi sp.n. is described as a second species in the genus, and Trichromothrips bruncurrum Reyes is considered a syn.n. of Neocorynothrips asiaticus Ramakrishna & Margabandhu. Six species are newly recorded from Malaysia: N. asiaticus, Okajimaella tubercula, Simulothrips banpoti, Stenchaetothrips bambusicola, S. bambusae and S. spinalis. Seven species of Stenchaetothrips are now known from Malaysia. Illustrations and descriptions of each species are provided.
    MeSH terms: Animals; Malaysia; Thysanoptera; Animal Distribution
  6. Schmidt-Rhaesa A, Limatemjen L, Yadav AK
    Zootaxa, 2015;3925(1):202-10.
    PMID: 25781739 DOI: 10.11646/zootaxa.3925.2.3
    The currently known diversity of horsehair worms (Nematomorpha) from India is only 17 species. We report here two female specimens found on two occasions on a terrace paddy field in Tsupo, Viswema, Kohima, Nagaland, India. Although found at the same location, both species differ in their cuticular structures. One is determined as Chordodes moutoni, a species known from China, Malaysia and India. The other specimen shows a new type of cuticular structure, the areoles, which combines characters of both simple areoles and tubercle areoles. This specimen is described as a new species, C. combiareolatus. Both specimens show arrangements on the cuticle, in which a circle of areoles surrounds a region of "naked" cuticle. We interpret these regions as artifacts caused by the breaking off of the central crowned areoles, leaving only the circumcluster areoles behind.
    MeSH terms: Animals; China; Female; Helminths; India; Malaysia; Artifacts
  7. Nihei SS
    Zootaxa, 2015;3926(1):279-86.
    PMID: 25781784 DOI: 10.11646/zootaxa.3926.2.8
    Trischidocera Villeneuve, 1915 includes two species, T. sauteri Villeneuve, 1915 (Taiwan and Malaysia) and T. yunnanensis Chao & Zhou, 1987 (China). The systematic placement of Trischidocera has been controversial. It was originally placed within the "Thryptoceratidae" (= "Actiidae"), then moved to Germariini, then considered an unplaced Tachinidae, and more recently placed in Ormiini. Here, the genus is revised, the type-species is redescribed and illustrated, and its systematic placement is discussed. The genus is removed from Ormiini and considered incertae sedis.
    MeSH terms: Animals; China; Diptera; Malaysia; Taiwan
  8. Grismer LL, Quah ES
    Zootaxa, 2015;3931(1):63-70.
    PMID: 25781814 DOI: 10.11646/zootaxa.3931.1.4
    The discovery of an additional specimen of Sphenomorphus malayanus Doria, 1888 from Gunung Brinchang, Cameron Highlands, Pahang in Peninsular Malaysia reveals that it is not conspecific with the type specimen from Gunung Singgalan, West Sumatra, 600 km to the south. The new specimen and an additional specimen previously collected from Gunung Gerah, Perak, Peninsular Malaysia, 56 km to the north, are described here as the new species S. senja sp. nov. and differ from S. malayanus by having a larger SVL (60.0-65 mm versus 53 mm); a deeply recessed as opposed to a shallow tympanum; 72 or 73 versus 76 paravertebral scales; eight or nine superciliary scales as opposed to 10; and the posteriormost superciliary scale being large as opposed to small. Cameron Highlands is unique among other upland areas in Peninsular Malaysia in that it harbors an unprecedented number of closely related ecological equivalents living in close sympatry or syntopy.
    MeSH terms: Animals; Ear, Middle; Ecology; Indonesia; Lizards; Malaysia; Tympanic Membrane; Sympatry
  9. Kar SK, Dwibedi B, Kerketa AS, Maharana A, Panda SS, Mohanty PC, et al.
    PLoS Negl Trop Dis, 2015 Mar;9(3):e0003583.
    PMID: 25781977 DOI: 10.1371/journal.pntd.0003583
    Although current programmes to eliminate lymphatic filariasis have made significant progress it may be necessary to use different approaches to achieve the global goal, especially where compliance has been poor and 'hot spots' of continued infection exist. In the absence of alternative drugs, the use of higher or more frequent dosing with the existing drugs needs to be explored. We examined the effect of higher and/or more frequent dosing with albendazole with a fixed 300 mg dose of diethylcarbamazine in a Wuchereria bancrofti endemic area in Odisha, India. Following screening, 104 consenting adults were randomly assigned to treatment with the standard regimen annually for 24 months (S1), or annually with increased dose (800 mg albendazole)(H1) or with increased frequency (6 monthly) with either standard (S2) or increased (H2) dose. Pre-treatment microfilaria counts (GM) ranged from 348 to 459 mf/ml. Subjects were followed using microfilaria counts, OG4C3 antigen levels and ultrasound scanning for adult worm nests. Microfilarial counts tended to decrease more rapidly with higher or more frequent dosing at all time points. At 12 months, Mf clearance was marginally greater with the high dose regimens, while by 24 months, there was a trend to higher Mf clearance in the arm with increased frequency and 800 mg of albendazole (76.9%) compared to other arms, (S1:64%, S2:69.2% & H1:73.1%). Although higher and/or more frequent dosing showed a trend towards a greater decline in antigenemia and clearance of "nests", all regimens demonstrated the potential macrofilaricidal effect of the combination. The higher doses of albendazole did not result in a greater number or more severe side effects. The alternative regimens could be useful in the later stages of existing elimination programmes or achieving elimination more rapidly in areas where programmes have yet to start.
    MeSH terms: Adult; Animals; Diethylcarbamazine/administration & dosage; Diethylcarbamazine/pharmacology*; Dose-Response Relationship, Drug; Drug Therapy, Combination; Elephantiasis, Filarial/drug therapy*; Humans; India; Longitudinal Studies; Male; Microfilaria/drug effects; Wuchereria bancrofti/drug effects*; Albendazole/administration & dosage; Albendazole/pharmacology*; Treatment Outcome
  10. Bukhari SN, Jantan I, Seyed MA
    Anticancer Agents Med Chem, 2015;15(6):681-93.
    PMID: 25783963
    The evaluation of crude drugs of natural origin as sources of new effective anticancer agents continues to be important due to the lack of effective anticancer drugs currently used in practice which are generally accompanied with adverse effects at different levels of severity. The aim of this concise review is to gather existing literature on anticancer potential of extracts and compounds isolated from Celastraceae species. This review covers six genera (Maytenus, Tripterygium, Hippocratea, Gymnosporia, Celastrus and Austroplenckia) belonging to this family and their 33 isolates. Studies carried out by using different cell lines have shown remarkable indication of anticancer activity, however, only a restricted number of studies have been reported using in vivo tumor models. Some of the compounds, such as triptolide, celastrol and demethylzeylasteral from T. wilfordii, have been extensively studied on their mechanisms of action due to their potent activity on various cancer cell lines. Such promising lead compounds should generate considerable interest among scientists to improve their therapeutic potential with fewer side effects by molecular modification.
    MeSH terms: Animals; Antineoplastic Agents/pharmacology*; Antineoplastic Agents/chemistry; Humans; Neoplasms/drug therapy*; Plant Extracts/pharmacology*; Celastraceae/chemistry*
  11. Namvar F, Rahman HS, Mohamad R, Azizi S, Tahir PM, Chartrand MS, et al.
    PMID: 25784947 DOI: 10.1155/2015/593014
    The aim of this study is to evaluate the in vitro cytotoxic activity and cellular effects of previously prepared ZnO-NPs on murine cancer cell lines using brown seaweed (Sargassum muticum) aqueous extract. Treated cancer cells with ZnO-NPs for 72 hours demonstrated various levels of cytotoxicity based on calculated IC50 values using MTT assay as follows: 21.7 ± 1.3 μg/mL (4T1), 17.45 ± 1.1 μg/mL (CRL-1451), 11.75 ± 0.8 μg/mL (CT-26), and 5.6 ± 0.55 μg/mL (WEHI-3B), respectively. On the other hand, ZnO-NPs treatments for 72 hours showed no toxicity against normal mouse fibroblast (3T3) cell line. On the other hand, paclitaxel, which imposed an inhibitory effect on WEHI-3B cells with IC50 of 2.25 ± 0.4, 1.17 ± 0.5, and 1.6 ± 0.09 μg/mL after 24, 48, and 72 hours treatment, respectively, was used as positive control. Furthermore, distinct morphological changes were found by utilizing fluorescent dyes; apoptotic population was increased via flowcytometry, while a cell cycle block and stimulation of apoptotic proteins were also observed. Additionally, the present study showed that the caspase activations contributed to ZnO-NPs triggered apoptotic death in WEHI-3 cells. Thus, the nature of biosynthesis and the therapeutic potential of ZnO-NPs could prepare the way for further research on the design of green synthesis therapeutic agents, particularly in nanomedicine, for the treatment of cancer.
  12. Ng KM, Reaz MB
    PLoS One, 2015;10(3):e0114406.
    PMID: 25785693 DOI: 10.1371/journal.pone.0114406
    Research on developing mathematical and simulative models to evaluate performance of signalized arterials is still ongoing. In this paper, an integrated model (IM) based on Rakha vehicle dynamics and LWR model is proposed. The IM which imitates actuated performance measurement in signalized arterials is described using continuous timed Petri net with variable speeds (VCPN). This enables systematic discretized description of platoon movement from an upstream signalized intersection towards a downstream signalized intersection. The integration is based on the notion that speed and travel time characteristics in a link can be provided using Rakha model. This will assist the LWR to estimate arrival profiles of vehicles at downstream intersection. One immediate benefit of the model is that platoon arrival profile obtained from the IM can be directly manipulated to estimate queues and delays at the target intersection using input-output analysis without considering the effect of shockwaves. This is less tedious as compared to analysing the LWR model through tracing trajectory of shockwave. Besides, time parameters of a platoon could be estimated for self-scheduling control approach from a cycle to cycle basis. The proposed IM is applied to a test intersection where simulated queues and average delays from the IM are compared with the platoon dispersion model (PDM) implemented in TRANSYT, cell transmission model (CTM) and HCM2000 for both under-saturated and oversaturated situations. The comparisons yielded acceptable and reasonable results, thus ascertained the feasibility and validity of the model.
    MeSH terms: Models, Theoretical*
  13. Shah MT, Balouch A, Rajar K, Sirajuddin, Brohi IA, Umar AA
    ACS Appl Mater Interfaces, 2015 Apr 1;7(12):6480-9.
    PMID: 25785883 DOI: 10.1021/am507778a
    Magnetite nanoparticles were successfully synthesized and effectively employed as heterogeneous catalyst for hydrogenation of ketone moiety to alcohol moiety by NaBH4 under the microwave radiation process. The improvement was achieved in percent recovery of isopropyl alcohol by varying and optimizing reaction time, power of microwave radiations and amount of catalyst. The catalytic study revealed that acetone would be converted into isopropyl alcohol (IPA) with 99.5% yield in short period of reaction time, using 10 μg of magnetite NPs (Fe3O4). It was observed that the catalytic hydrogenation reaction, followed second-order of reaction and the Langmuir-Hinshelwood kinetic mechanism, which elucidated that both reactants get adsorb onto the surface of silica coated magnetite nanocatalyst to react. Consequently, the rate-determining step was the surface reaction of acetone and sodium borohydride. The current study revealed an environment friendly conversion of acetone to IPA on the basis of its fast, efficient, and highly economical method of utilization of microwave irradiation process and easy catalyst recovery.
  14. Dianita R, Jantan I, Amran AZ, Jalil J
    Molecules, 2015 Mar 16;20(3):4746-63.
    PMID: 25786162 DOI: 10.3390/molecules20034746
    The study was designed to evaluate the cardioprotective effects of the standardized aqueous and 80% ethanol extracts of Labisia pumila var. alata (LPva) in isoproterenol (ISO)-induced myocardial infarction (MI) in rats. The extracts were administered to Wistar rats orally for 28 days with three doses (100, 200 and 400 mg/kg of body weight) prior to ISO (85 mg/kg)-induced MI in two doses on day 29 and 30. The sera and hearts were collected for biochemical and histopathological analysis after the rats were sacrificed 48 h after the first induction. The main components of the extracts, gallic acid, alkylresorcinols and flavonoids were identified and quantitatively analyzed in the extracts by using a validated reversed phase HPLC method. The extracts showed significant protective effects as pretreated rats showed a significant dose-dependent decrease (p < 0.05) in cardiac enzyme activities, i.e., cardiac troponin I (cTnI), creatine kinase MB isoenzyme (CK-MB), lactate dehydrogenase (LDH), alanine transaminase (ALT) and aspartate transaminase (AST), when compared with ISO-control rats. There were significant rises (p < 0.05) in the activity of oxidase enzymes, i.e., glutathione peroxide (GPx), catalase (CAT) and superoxide dismutase (SOD) of the pretreated rats, when compared with ISO-control group. Histopathological examination showed an improvement in membrane cell integrity in pre-treated rats compared to untreated rats. The major components of LPva extracts can be used as their biomarkers and contributed to the cardioprotective effects against ISO-induced MI rats.
    MeSH terms: Administration, Oral; Animals; Cardiotonic Agents/administration & dosage*; Cardiotonic Agents/therapeutic use; Cardiotonic Agents/chemistry; Cell Membrane/drug effects; Disease Models, Animal; Dose-Response Relationship, Drug; Isoproterenol; Male; Myocardial Infarction/chemically induced*; Myocardial Infarction/enzymology; Myocardial Infarction/prevention & control*; Plant Extracts/administration & dosage*; Plant Extracts/pharmacology; Plant Extracts/chemistry; Plants, Medicinal/chemistry; Rats, Wistar; Oxidative Stress/drug effects; Primulaceae/chemistry*; Myocytes, Cardiac/drug effects*; Myocytes, Cardiac/pathology; Rats
  15. Ahmed A, Choo WY, Marret MJ, Guat-Sim C, Othman S, Chinna K
    PLoS One, 2015;10(3):e0119449.
    PMID: 25786214 DOI: 10.1371/journal.pone.0119449
    Official reports of child maltreatment in Malaysia have persistently increased throughout the last decade. However there is a lack of population surveys evaluating the actual burden of child maltreatment, its correlates and its consequences in the country. This cross sectional study employed 2 stage stratified cluster random sampling of public primary schools, to survey 3509 ten to twelve year old school children in Selangor state. It aimed to estimate the prevalence of parental physical and emotional maltreatment, parental neglect and teacher- inflicted physical maltreatment. It further aimed to examine the associations between child maltreatment and important socio-demographic factors; family functioning and symptoms of depression among children. Logistic regression on weighted samples was used to extend results to a population level. Three quarters of 10-12 year olds reported at least one form of maltreatment, with parental physical maltreatment being most common. Males had higher odds of maltreatment in general except for emotional maltreatment. Ethnicity and parental conflict were key factors associated with maltreatment. The study contributes important evidence towards improving public health interventions for child maltreatment prevention in the country.
    MeSH terms: Physical Abuse/ethnology; Physical Abuse/psychology; Physical Abuse/statistics & numerical data; Child; Child Abuse/ethnology; Child Abuse/psychology; Child Abuse/statistics & numerical data*; Cross-Sectional Studies; Depression/ethnology; Depression/epidemiology; Emotions; Female; Humans; Malaysia/ethnology; Malaysia/epidemiology; Male; Parents; Surveys and Questionnaires*; Schools/statistics & numerical data*; Prevalence; School Teachers
  16. Akib NA, Tam BM, Phumee P, Abidin MZ, Tamadoni S, Mather PB, et al.
    PLoS One, 2015;10(3):e0119749.
    PMID: 25786216 DOI: 10.1371/journal.pone.0119749
    Phylogeographic patterns and population structure of the pelagic Indian mackerel, Rastrelliger kanagurta were examined in 23 populations collected from the Indonesian-Malaysian Archipelago (IMA) and the West Indian Ocean (WIO). Despite the vast expanse of the IMA and neighbouring seas, no evidence for geographical structure was evident. An indication that R. kanagurta populations across this region are essentially panmictic. This study also revealed that historical isolation was insufficient for R. kanagurta to attain migration drift equilibrium. Two distinct subpopulations were detected between the WIO and the IMA (and adjacent populations); interpopulation genetic variation was high. A plausible explanation for the genetic differentiation observed between the IMA and WIO regions suggest historical isolation as a result of fluctuations in sea levels during the late Pleistocene. This occurrence resulted in the evolution of a phylogeographic break for this species to the north of the Andaman Sea.
    MeSH terms: Animals; DNA, Mitochondrial/genetics*; Haplotypes; Perciformes/genetics*; Evolution, Molecular; Animal Migration*; Cytochromes b/genetics*; Phylogeography
  17. Janbaz KH, Zaeem Ahsan M, Saqib F, Imran I, Zia-Ul-Haq M, Abid Rashid M, et al.
    PLoS One, 2015;10(3):e0118605.
    PMID: 25786248 DOI: 10.1371/journal.pone.0118605
    Pyrus pashia Buch.-Ham. ex D. Don. has been used conventionally by many communities in the Himalayan region for the management of gastrointestinal, respiratory, and vascular complications. Set against this background, this study was carried out to justify the scientific basis to validate folkloric uses of fruits of Pyrus pashia Buch.-Ham. ex D. Don. (Pp.Cr) in traditional systems of medicine.
    MeSH terms: Ethanol/chemistry; Animals; Aorta/drug effects*; Aorta/metabolism; Aorta/physiology; Fruit/chemistry*; Jejunum/drug effects*; Jejunum/metabolism; Jejunum/physiology; Phytotherapy*; Medicine, Traditional*; Plant Extracts/isolation & purification; Plant Extracts/pharmacology*; Rabbits; Trachea/drug effects*; Trachea/metabolism; Trachea/physiology; Pyrus/chemistry*
  18. Hong YH, Betik AC, Premilovac D, Dwyer RM, Keske MA, Rattigan S, et al.
    Am J Physiol Regul Integr Comp Physiol, 2015 May 15;308(10):R862-71.
    PMID: 25786487 DOI: 10.1152/ajpregu.00412.2014
    Nitric oxide (NO) has been shown to be involved in skeletal muscle glucose uptake during contraction/exercise, especially in individuals with Type 2 diabetes (T2D). To examine the potential mechanisms, we examined the effect of local NO synthase (NOS) inhibition on muscle glucose uptake and muscle capillary blood flow during contraction in healthy and T2D rats. T2D was induced in Sprague-Dawley rats using a combined high-fat diet (23% fat wt/wt for 4 wk) and low-dose streptozotocin injections (35 mg/kg). Anesthetized animals had one hindlimb stimulated to contract in situ for 30 min (2 Hz, 0.1 ms, 35 V) with the contralateral hindlimb rested. After 10 min, the NOS inhibitor, N(G)-nitro-l-arginine methyl ester (l-NAME; 5 μM) or saline was continuously infused into the femoral artery of the contracting hindlimb until the end of contraction. Surprisingly, there was no increase in skeletal muscle NOS activity during contraction in either group. Local NOS inhibition had no effect on systemic blood pressure or muscle contraction force, but it did cause a significant attenuation of the increase in femoral artery blood flow in control and T2D rats. However, NOS inhibition did not attenuate the increase in muscle capillary recruitment during contraction in these rats. Muscle glucose uptake during contraction was significantly higher in T2D rats compared with controls but, unlike our previous findings in hooded Wistar rats, NOS inhibition had no effect on glucose uptake during contraction. In conclusion, NOS inhibition did not affect muscle glucose uptake during contraction in control or T2D Sprague-Dawley rats, and this may have been because there was no increase in NOS activity during contraction.
    MeSH terms: Animals; Biological Transport/drug effects; Diabetes Mellitus, Experimental/metabolism*; Diabetes Mellitus, Experimental/physiopathology; Diabetes Mellitus, Type 2/metabolism*; Diabetes Mellitus, Type 2/physiopathology; Enzyme Inhibitors/pharmacology; Glucose/metabolism*; Hindlimb/metabolism*; Hindlimb/physiopathology; Muscle Contraction/drug effects; Muscle Contraction/physiology*; Rats, Sprague-Dawley; Muscle, Skeletal/drug effects; Muscle, Skeletal/metabolism*; Muscle, Skeletal/physiopathology; Nitric Oxide Synthase/antagonists & inhibitors*; NG-Nitroarginine Methyl Ester/pharmacology; Rats; Diet, High-Fat
  19. Lee WS, Lum SH, Lim CB, Chong SY, Khoh KM, Ng RT, et al.
    Hepatol Int, 2015 Apr;9(2):292-302.
    PMID: 25788179 DOI: 10.1007/s12072-014-9558-0
    BACKGROUND: Little is known about autoimmune liver disease (AILD) in Asian children. We studied the clinical features and predictors of outcome in childhood AILD in an Asian population.

    METHODS: Retrospective review of AILD [autoimmune hepatitis type 1 and 2 (AIH1, AIH2), primary sclerosing cholangitis (PSC) and autoimmune sclerosing cholangitis (ASC)] seen at two pediatric liver units in Malaysia.

    RESULTS: At presentation, 17 (56%) of the 32 children [19 females, 59%; median (range) age 7.7 (1.8-15.5) years] with AILD (AIH1 = 18, AIH2 = 5, PSC = 0, ASC = 9) had liver cirrhosis. At final review [median (range) duration of follow-up 4.8 (0.4-12) years], 24 patients (75%) survived with a native liver. Twenty-one (66%) were in remission; 19 (AIH1 = 11; AIH2 = 4, ASC = 4) were on prednisolone and/or azathioprine, one on cyclosporine and another on mycophenolate mofetil. Three (AIH1 = 3) were in partial remission. Of the two who underwent liver transplantation (LT; 6.5%; both ASC), one died of primary graft failure after LT. Six patients (19%) died without LT (acute liver failure, n = 1; end-stage liver disease, n = 5). The overall survival rate (native liver and survival post-LT) was 78%. A delay in seeking treatment adversely affected the final outcome [survival with native liver vs. LT or death (duration between onset of disease and treatment; median ± standard error) = 2.5 ± 2.9 months vs. 24.0 ± 13.3 months; p = 0.012].

    CONCLUSIONS: Although remission was achieved in the majority of patients with prednisolone and/or azathioprine therapy, delay in seeking diagnosis and treatment adversely affects the outcome of childhood AILD in Malaysia.
    MeSH terms: Adolescent; Anti-Inflammatory Agents/therapeutic use; Azathioprine/therapeutic use; Child; Child, Preschool; Female; Follow-Up Studies; Humans; Immunosuppressive Agents/therapeutic use; Infant; Liver Cirrhosis/etiology; Lupus Erythematosus, Systemic/complications; Malaysia; Male; Prednisolone/therapeutic use; Retrospective Studies; Cholangitis, Sclerosing/complications; Cholangitis, Sclerosing/diagnosis*; Cholangitis, Sclerosing/immunology; Cholangitis, Sclerosing/therapy*; Inflammatory Bowel Diseases/complications; Survival Rate; Liver Transplantation; Cyclosporine/therapeutic use; Treatment Outcome; Hepatitis, Autoimmune/complications; Hepatitis, Autoimmune/diagnosis*; Hepatitis, Autoimmune/therapy*; Asian Continental Ancestry Group; Delayed Diagnosis; Time-to-Treatment
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