Displaying publications 1 - 20 of 24 in total

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  1. Kong, C. K., Tan, Y. N., Chye, F. Y., Sit, N. W.
    MyJurnal
    The edible shoots of Dendrocalamus asper (family Poaceae) is an underutilised food. The
    present work was conducted to evaluate the nutritional compositions, biological activities, and
    phytochemical contents of the shoots of D. asper obtained from different regions of Malaysia,
    Peninsular (DP) and East Malaysia (DS). The nutritional analysis was conducted using the
    Official Methods of Analysis of the AOAC International. All minerals were quantified using
    an inductively coupled plasma-mass spectrometer, except for potassium which was measured
    using a flame atomic absorption spectrometer. Total phenolic content (TPC) was determined
    using the Folin-Ciocalteu method. Antibacterial and antifungal activities were assayed using
    a colourimetric broth microdilution method, while antioxidant activity was tested using DPPH
    radical scavenging activity, ferric-reducing antioxidant power, and cellular antioxidant activity (CAA) assays. Enzyme inhibitory activities were examined using α-amylase and α-glucosidase. Both bamboo shoots (boiled at 100°C for 20 min) were high in moisture (> 93 g/100 g
    FW), crude protein (> 21 g/100 g DW), and crude fibre contents (> 9 g/100 g DW), but low in
    fat content (< 4 g/100 g DW). Potassium was the most abundant mineral at 205.67 and 203.83
    µg/100 g DW of bamboo shoots of DP and DS, respectively. The extracts (hexane, ethyl
    acetate, ethanol, and water) of both shoots showed stronger antifungal activity than antibacterial activity against selected human pathogens. All extracts of DP shoots demonstrated higher
    CAA in HeLa cells and α-amylase inhibitory activity than that of DS shoots. In contrast, the
    extracts of DS shoots exhibited stronger inhibition on α-glucosidase and contained higher
    TPC than that of DP shoots. The D. asper shoots obtained from the Peninsular Malaysia and
    East Malaysia contained different types of secondary metabolites which account for the differences in the biological activities. In conclusion, D. asper shoots have potential as a nutritional
    and functional food.
  2. Lee, K. S., Samuel, L., Kong, C. Y., Toh, S. C.
    MyJurnal
    Fish can live healthier in aquarium with good water quality than they do in the wild. Maintaining
    the quality of the water in fish facility is needed to avoid fluctuation of physicochemical
    parameter values and contamination with pathogenic microorganisms that may cause serious
    illness or even death among the fish. Contamination of the water, especially with animal
    pathogens which are also pathogenic to human may pose health risk to those who are handling
    or in direct contact with the water and fish in the facility. Therefore, there is a need to assess the
    water quality and the risk associated with microorganisms in the water and the cultured animals.
    The aim of this study was to determine the water quality with regard to the physicochemical
    and microbiological parameters as well as the risk associated with bacteria in the water of the
    fish facility. Samples of water from the water source and also from aquariums in the fish facility
    were collected and analyzed. The water samples were plated on nutrient agar for bacterial
    enumeration then bacterial colonies growing on the agar plates were randomly picked and
    purified. (GTG)5
    -PCR analysis was carried out to analyse the heterogeneity of the genome of the
    bacterial isolated and a dendrogram was constructed from the (GTG)5
    -PCR profile to determine
    the genotypic group of the bacterial isolates. The risk associated with the bacteria from the
    water was analyzed with respect to their antibiotic resitance. The result of this study revealed
    that the (GTG)5
    -PCR analysis was able to group the bacteria into 2 main genotypic clusters
    which were further grouped into several sub-clusters. From the dengrogram, 12 representative
    isolates were selected and identified using 16S rRNA sequencing. The identification confirmed
    the presence of Aeromonas veronii (8 isolates), Aeromonas jandaei (2 isolates), Plesiomonas
    shigelloides (1 isolate) and Pseudomonas alcaligene (1 isolate) from the water samples. All
    of the isolates exhibited resistant towards ampicillin, penicillin and gentamicin. This study
    revealed that the water from the fish facility harboured genetically diverse antibiotic resistance
    bacteria which may pose health risk to the fish and also to those who are in direct contact
    with the contaminated water and fish in the facility. Therefore, water in fish facility should be
    monitored regularly and handled with caution.
  3. Kong C, Tan MW, Nathan S
    Biol Open, 2014;3(7):644-55.
    PMID: 24972867 DOI: 10.1242/bio.20148334
    Amidst growing concerns over the spread of antibiotic-resistant Staphylococcus aureus strains, the identification of alternative therapeutic molecules has become paramount. Previously, we utilized a Caenorhabditis elegans-S. aureus screening platform to identify potential anti-infective agents from a collection of natural extracts and synthetic compounds. One of the hits obtained from the screen was the aqueous extract of Orthosiphon stamineus leaves (UE-12) that enhanced the survival of infected nematodes without interfering with bacterial growth. In this study, we used a fluorescent transgenic reporter strain and observed that the repressed expression of the lys-7 defense gene in infected nematodes was restored in the presence of UE-12. Analysis of a selected panel of PMK-1 and DAF-16-regulated transcripts and loss-of-function mutants in these pathways indicates that the protective role of UE-12 is mediated via the p38 MAP kinase and insulin-like signaling pathways. Further analysis of a panel of known bioactive compounds of UE-12 proposed eupatorin (C18H16O7) as the possible candidate active molecule contributing to the anti-infective property of UE-12. Taken together, these findings strongly suggest that the O. stamineus leaf extract is a promising anti-infective agent that confers an advantage in survival against S. aureus infection by modulating the immune response of the infected host.
  4. Kong C, Neoh HM, Nathan S
    Toxins (Basel), 2016;8(3).
    PMID: 26999200 DOI: 10.3390/toxins8030072
    Staphylococcus aureus is an opportunistic pathogen and the leading cause of a wide range of severe clinical infections. The range of diseases reflects the diversity of virulence factors produced by this pathogen. To establish an infection in the host, S. aureus expresses an inclusive set of virulence factors such as toxins, enzymes, adhesins, and other surface proteins that allow the pathogen to survive under extreme conditions and are essential for the bacteria's ability to spread through tissues. Expression and secretion of this array of toxins and enzymes are tightly controlled by a number of regulatory systems. S. aureus is also notorious for its ability to resist the arsenal of currently available antibiotics and dissemination of various multidrug-resistant S. aureus clones limits therapeutic options for a S. aureus infection. Recently, the development of anti-virulence therapeutics that neutralize S. aureus toxins or block the pathways that regulate toxin production has shown potential in thwarting the bacteria's acquisition of antibiotic resistance. In this review, we provide insights into the regulation of S. aureus toxin production and potential anti-virulence strategies that target S. aureus toxins.
  5. Tata MD, Kwan KC, Abdul-Razak MR, Paramalingam S, Yeen WC
    Ann Thorac Surg, 2009 May;87(5):1613-4.
    PMID: 19379926 DOI: 10.1016/j.athoracsur.2008.10.019
    A 39-year-old Indian man presented with necrotizing soft tissue infection of his right forearm and previously undiagnosed diabetes mellitus. The infection progressively worsened to involve his right lateral chest wall despite multiple debridements and systemic antibiotics. His right arm was eventually disarticulated along with wide debridement of the surrounding tissue. Aggressive wound debridement, mechanical scrubbing, and irrigation were then initiated every 8 hours. A superoxidized solution was later introduced as a wound irrigant and dressing agent. The large defect was suitable for split-thickness skin grafting after 16 days of a strict wound management routine with the superoxidized solution.
  6. Wong RR, Kong C, Lee SH, Nathan S
    Sci Rep, 2016 06 07;6:27475.
    PMID: 27273550 DOI: 10.1038/srep27475
    Toxins are believed to play a crucial role in Burkholderia pseudomallei pathogenicity, however to date, only a few have been identified. The discovery of additional toxic molecules is limited by the lack of a sensitive indicator of B. pseudomallei toxicity. Previously, from a whole genome transcriptome analysis of B. pseudomallei-infected Caenorhabditis elegans, we noted significant overexpression of a number of worm genes encoding detoxification enzymes, indicating the host's attempt to clear bacterial toxic molecules. One of these genes, ugt-29, a family member of UDP-glucuronosyltransferases, was the most robustly induced phase II detoxification gene. In this study, we show that strong induction of ugt-29 is restricted to infections by the most virulent species among the pathogens tested. We also noted that ugt-29 is activated upon disruption of host protein synthesis. Hence, we propose that UGT-29 could be a promising biosensor to detect B. pseudomallei toxins that compromise host protein synthesis. The identification of bactobolin, a polyketide-peptide hybrid molecule, as a toxic molecule of B. pseudomallei further verifies the utilization of this surveillance system to search for bacterial toxins. Hence, a ugt-29 based reporter should be useful in screening for other molecules that inhibit host protein synthesis.
  7. Sia KJ, Tang IP, Kong CK, Nasriah A
    J Laryngol Otol, 2012 May;126(5):529-31.
    PMID: 22361094 DOI: 10.1017/S0022215112000175
    To discuss the pathophysiology of atlanto-axial subluxation as a rare complication of tonsillectomy, and to discuss the important radiological findings for diagnosis and treatment planning.
  8. Sia KJ, Tang IP, Kong CK, Tan TY
    J Laryngol Otol, 2012 Aug;126(8):847-50.
    PMID: 22804860 DOI: 10.1017/S0022215112001272
    To describe three rare cases of nasolacrimal relapse of nasopharyngeal carcinoma, and to discuss the route of tumour spread from nasopharynx to lacrimal system as well as the relevant computed tomography findings.
  9. Sia KJ, Kong CK, Tan TY, Tang IP
    Med J Malaysia, 2014 Dec;69(6):281-3.
    PMID: 25934961
    CASE REPORT: Five cases of Kimura's disease had been treated in our centre from year 2003 to 2010. All cases were presented with head and neck mass with cervical lymphadenopathy. Surgical excision was performed for all cases. Definite diagnosis was made by histopathological examination of the resected specimens. One out of five cases developed tumour recurrence four years after resection.

    CONCLUSION: Surgical excision is our choice of treatment because the outcome is immediate and definite tissue diagnosis is feasible after resection. Oral corticosteroid could be considered as an option in advanced disease. However, tumour recurrence is common after cessation of steroid therapy.
  10. Norella Kong CT, Chin JH, Izham Cheong IK, Abu Bakar A
    Med J Malaysia, 1988 Jun;43(2):134-7.
    PMID: 3237129
  11. Suleiman AB, Jeyaindran S, Morad Z, Kong CT
    Med J Malaysia, 1984 Sep;39(3):225-8.
    PMID: 6544924
    More than half of 174 patients with end stage renal disease (ESRD) treated by the Department of Nephrology, General Hospital Kuala Lumpur in 1982 presented for the first time in uraemia, with no known renal disease in the past. Although about half of all patients seen in 1982 were treated by dialysis or transplantation, the great majority of the estimated number of patients developing ESRD in Malaysia in 1982 did not receive definitive treatment.
  12. Kong C, Yehye WA, Abd Rahman N, Tan MW, Nathan S
    PMID: 24393217 DOI: 10.1186/1472-6882-14-4
    The limited antibiotic options for effective control of methicillin-resistant Staphylococcus aureus infections has led to calls for new therapeutic approaches to combat this human pathogen. An alternative approach to control MRSA is through the use of anti-infective agents that selectively disrupt virulence-mediated pathways without affecting microbial cell viability or by modulating the host natural immune defenses to combat the pathogen.
  13. Teh HS, Halim AG, Soehardy Z, Fauzi AR, Kong CT
    Med J Malaysia, 2006 Aug;61(3):361-2.
    PMID: 17240591 MyJurnal
    A 17-year-old, sexually active, single, nulliparous young woman presented to us with one week history suggestive of nephrotic syndrome. She was found to have a benign hydatidiform mole confirmed by histopathological examination after suction and curettage. Renal biopsy revealed focal segmental glomerulosclerosis. The renal pathology was most probably due to molar pregnancy due to the close temporal relationship. To our knowledge, this is the first case of focal segmental glomerulosclerosis associated with a gestation trophoblastic disease described in the literature.
  14. Suleiman AB, Morad Z, Kamaluddin MA, Kong CT, Awang H, Arshad R, et al.
    Med J Malaysia, 1985 Sep;40(3):239-42.
    PMID: 3842719
    Review of the haemodialysis experience revealed patient survival between 1976 and 1982 to be 90%, 77% and 44% at one, three and six years respectively. This was similar to other published reports. Patients under the age of 50 years did better than those above 50 years, and diabetics did worst of all. There was a high rate of rehabilitation and return to employment or household responsibilities. Our policy of self-care dialysis allowed more patients to be treated without increasing the number of staff Dialysis encephalopathy and sudden deaths were important causes of death.
  15. Khalid BA, Usha R, Ng ML, Norella Kong CT, Tariq AR
    Med J Malaysia, 1990 Mar;45(1):8-13.
    PMID: 2152075
    A survey was done to determine the prevalence of diabetes mellitus, hypertension and renal disease, as well as extent of diabetic control, amongst the workers of Malaysian Railways. The prevalence of diabetes was high at 6.6%, with 3.8% of these being insulin dependent diabetes. The highest prevalence was in Indians (16.0%) followed by Chinese (4.9%) and Malays (3.0%). Using HbA1 measurements, diabetic control was poor in 70.6% of the diabetics. Hypertension was found in 37% and proteinuria in 35%. Renal impairment was present in 30% of the diabetics. This survey shows that diabetes, hypertension and renal disease are high amongst the railway workers in Malaysia.
  16. Far HS, Pin NT, Kong CY, Fong KS, Kian CW, Yan CK
    Int Arch Occup Environ Health, 1993;64(6):439-43.
    PMID: 8458660
    The present study was conducted to evaluate the role of ingestion through hand and mouth contamination in the absorption of lead in 25 lead-acid battery workers. Levels of personal exposure to airborne lead ranged from 0.004 to 2.58 mg/m3 [geometric mean 0.098, with 25% of samples exceeding threshold limit values (ACGIH) of 0.15 mg/m3]; the mean (SD) blood lead level was 48.9 (10.8) micrograms/dl. Mean hand lead contents increased 33-fold from preshift levels on Monday mornings (33.5 micrograms/500 ml) to midshift levels on Thursday afternoons (1121 micrograms/500 ml). Mouth lead contents increased 16-fold from 0.021 micrograms/50 ml on Mondays to 0.345 micrograms/50 ml on Thursdays. The typical Malay racial habit of feeding with bare hands and fingers without utensils (closely associated with mouth and hand lead levels on Mondays) explained the bulk of the variance in blood lead levels (40%), with mouth lead on Thursdays (closely associated with poor personal hygiene) explaining a further 10%. Air lead was not a significant explanatory variable. The implementation of a programme of reinforcing hand-washing and mouth-rinsing practices resulted in a reduction of the blood lead level by 11.5% 6 months later. These results indicate that parenteral intake from hand and mouth contamination is an important cause of lead absorption in lead-exposed workers.
  17. Lim SYM, Alshagga M, Kong C, Alshawsh MA, Alshehade SA, Pan Y
    Arch Toxicol, 2022 12;96(12):3163-3174.
    PMID: 36175686 DOI: 10.1007/s00204-022-03382-3
    With more than 80 cytochrome P450 (CYP) encoding genes found in the nematode Caenorhabditis elegans (C. elegans), the cyp35 genes are one of the important genes involved in many biological processes such as fatty acid synthesis and storage, xenobiotic stress response, dauer and eggshell formation, and xenobiotic metabolism. The C. elegans CYP35 subfamily consisted of A, B, C, and D, which have the closest homolog to human CYP2 family. C. elegans homologs could answer part of the hunt for human disease genes. This review aims to provide an overview of CYP35 in C. elegans and their human homologs, to explore the roles of CYP35 in various C. elegans biological processes, and how the genes of cyp35 upregulation or downregulation are influenced by biological processes, upon exposure to xenobiotics or changes in diet and environment. The C. elegans CYP35 gene expression could be upregulated by heavy metals, pesticides, anti-parasitic and anti-chemotherapeutic agents, polycyclic aromatic hydrocarbons (PAHs), nanoparticles, drugs, and organic chemical compounds. Among the cyp35 genes, cyp-35A2 is involved in most of the C. elegans biological processes regulation. Further venture of cyp35 genes, the closest homolog of CYP2 which is the largest family of human CYPs, may have the power to locate cyps gene targets, discovery of novel therapeutic strategies, and possibly a successful medical regime to combat obesity, cancers, and cyps gene-related diseases.
  18. Kong C, Chee CF, Richter K, Thomas N, Abd Rahman N, Nathan S
    Sci Rep, 2018 02 09;8(1):2758.
    PMID: 29426873 DOI: 10.1038/s41598-018-21141-2
    Staphylococcus aureus is a major cause of nosocomial infections and secretes a diverse spectrum of virulence determinants as well as forms biofilm. The emergence of antibiotic-resistant S. aureus highlights the need for alternative forms of therapeutics other than conventional antibiotics. One route to meet this need is screening small molecule derivatives for potential anti-infective activity. Using a previously optimized C. elegans - S. aureus small molecule screen, we identified a benzimidazole derivative, UM-C162, which rescued nematodes from a S. aureus infection. UM-C162 prevented the formation of biofilm in a dose-dependent manner without interfering with bacterial viability. To examine the effect of UM-C162 on the expression of S. aureus virulence genes, a genome-wide transcriptome analysis was performed on UM-C162-treated pathogen. Our data indicated that the genes associated with biofilm formation, particularly those involved in bacterial attachment, were suppressed in UM-C162-treated bacteria. Additionally, a set of genes encoding vital S. aureus virulence factors were also down-regulated in the presence of UM-C162. Further biochemical analysis validated that UM-C162-mediated disruption of S. aureus hemolysins, proteases and clumping factors production. Collectively, our findings propose that UM-C162 is a promising compound that can be further developed as an anti-virulence agent to control S. aureus infections.
  19. Kong C, Wong RR, Ghazali AK, Hara Y, Tengku Aziz TN, Nathan S
    Microb Genom, 2023 Apr;9(4).
    PMID: 37018040 DOI: 10.1099/mgen.0.000982
    Burkholderia pseudomallei, a Gram-negative pathogen, is the causative agent of melioidosis in humans. This bacterium can be isolated from the soil, stagnant and salt-water bodies, and human and animal clinical specimens. While extensive studies have contributed to our understanding of B. pseudomallei pathogenesis, little is known about how a harmless soil bacterium adapts when it shifts to a human host and exhibits its virulence. The bacterium's large genome encodes an array of factors that support the pathogen's ability to survive under stressful conditions, including the host's internal milieu. In this study, we performed comparative transcriptome analysis of B. pseudomallei cultured in human plasma versus soil extract media to provide insights into B. pseudomallei gene expression that governs bacterial adaptation and infectivity in the host. A total of 455 genes were differentially regulated; genes upregulated in B. pseudomallei grown in human plasma are involved in energy metabolism and cellular processes, whilst the downregulated genes mostly include fatty acid and phospholipid metabolism, amino acid biosynthesis and regulatory function proteins. Further analysis identified a significant upregulation of biofilm-related genes in plasma, which was validated using the biofilm-forming assay and scanning electron microscopy. In addition, genes encoding known virulence factors such as capsular polysaccharide and flagella were also overexpressed, suggesting an overall enhancement of B. pseudomallei virulence potential when present in human plasma. This ex vivo gene expression profile provides comprehensive information on B. pseudomallei's adaptation when shifted from the environment to the host. The induction of biofilm formation under host conditions may explain the difficulty in treating septic melioidosis.
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