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  1. Rosdina Zamrud Ahmad Akbar, Sharifah Faradila Wan Muhammad Hatta, Rosnida Mohd Noh, Fatimah Zaherah Mohd Shah, Thuhairah Abdul Rahman, Rohana Abdul Ghani, et al.
    MyJurnal
    Introduction: Hormonal abnormality is one of many clinical manifestations of HIV infections
    that is not well understood. However, the consequences could affect quality of life and are
    potentially treatable. Thus, this study aimed to determine the prevalence and associated
    factors of thyroid, adrenal and gonadal dysfunctions among HIV-infected patients. Methods:
    This is a single centre cross-sectional study involving 150 HIV-infected patients attending the
    HIV clinic. Each subject was required to answer specific symptoms questionnaire and their
    medical records were reviewed for relevant clinical and biochemical data. Blood for was
    collected and thyroid hormones, cortisol, ACTH, FSH, LH, testosterone and estradiol were
    analysed using electrochemiluminescent immunoassay. Thyroid, adrenal and gonadal axes
    abnormalities were identified. Results: Hypogonadism had the highest prevalence amongst
    the endocrine abnormalities, which was detected in 23 patients (15.3%), followed by thyroid
    dysfunction in 18 patients (12%) and hypocortisolism in 2 patients (1.3%). There was
    significant correlation between CD4 count, BMI and age with the hormone levels. Conclusion:
    Prevalence of endocrine abnormalities was low in these well-treated HIV-positive patients,
    with hypogonadism being the most common. However, significant correlations between CD4
    count, age and BMI with the hormonal levels were detected. Clinical symptoms in relation to
    endocrinopathy are not specific as a screening tool thus underscoring the need for
    biochemical tests to identify these treatable conditions.
  2. Deng L, Lou H, Zhang X, Thiruvahindrapuram B, Lu D, Marshall CR, et al.
    BMC Genomics, 2019 Nov 12;20(1):842.
    PMID: 31718558 DOI: 10.1186/s12864-019-6226-8
    BACKGROUND: Recent advances in genomic technologies have facilitated genome-wide investigation of human genetic variations. However, most efforts have focused on the major populations, yet trio genomes of indigenous populations from Southeast Asia have been under-investigated.

    RESULTS: We analyzed the whole-genome deep sequencing data (~ 30×) of five native trios from Peninsular Malaysia and North Borneo, and characterized the genomic variants, including single nucleotide variants (SNVs), small insertions and deletions (indels) and copy number variants (CNVs). We discovered approximately 6.9 million SNVs, 1.2 million indels, and 9000 CNVs in the 15 samples, of which 2.7% SNVs, 2.3% indels and 22% CNVs were novel, implying the insufficient coverage of population diversity in existing databases. We identified a higher proportion of novel variants in the Orang Asli (OA) samples, i.e., the indigenous people from Peninsular Malaysia, than that of the North Bornean (NB) samples, likely due to more complex demographic history and long-time isolation of the OA groups. We used the pedigree information to identify de novo variants and estimated the autosomal mutation rates to be 0.81 × 10- 8 - 1.33 × 10- 8, 1.0 × 10- 9 - 2.9 × 10- 9, and ~ 0.001 per site per generation for SNVs, indels, and CNVs, respectively. The trio-genomes also allowed for haplotype phasing with high accuracy, which serves as references to the future genomic studies of OA and NB populations. In addition, high-frequency inherited CNVs specific to OA or NB were identified. One example is a 50-kb duplication in DEFA1B detected only in the Negrito trios, implying plausible effects on host defense against the exposure of diverse microbial in tropical rainforest environment of these hunter-gatherers. The CNVs shared between OA and NB groups were much fewer than those specific to each group. Nevertheless, we identified a 142-kb duplication in AMY1A in all the 15 samples, and this gene is associated with the high-starch diet. Moreover, novel insertions shared with archaic hominids were identified in our samples.

    CONCLUSION: Our study presents a full catalogue of the genome variants of the native Malaysian populations, which is a complement of the genome diversity in Southeast Asians. It implies specific population history of the native inhabitants, and demonstrated the necessity of more genome sequencing efforts on the multi-ethnic native groups of Malaysia and Southeast Asia.

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