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Biomedical subjects

C K Tan

Publications and source records attributed to C K Tan.

At least 109 records · Page 6Linked to original sources

Hypertext-based enhancement of medical and dental undergraduate learning.

The use of the microcomputer in medical education began about 1977. Since then man computer-assisted learning packages have been developed for preclinical and clinical subjects. The experiences of the authors with the Macintosh microcomputer in the development of courseware and tutorware on some aspects of Anatomy in the Department of Anatomy of the National University of Singapore are shared in the present paper. It describes how textual and instructive material can be prepared along with graphics support using a software called HYPERCARD (Apple Inc.). Elementary levels of animation can also be achieved. In this way it illustrates how a study of Anatomy, for example, can be made using the computer to "dissect" the human body.

Anatomy↗

DNA polymerases alpha and delta are immunologically and structurally distinct.

The relationship between DNA polymerases alpha and delta are evaluated immunologically by monoclonal antibody specifically against DNA polymerase alpha and murine polyclonal antiserum against calf thymus DNA polymerase delta. DNA polymerases alpha and delta are found to be immunologically distinct. The structural relationship between the proliferating cell nuclear antigen (PCNA)-dependent calf DNA polymerase delta and DNA polymerase alpha from human and calf was analyzed by two-dimensional tryptic peptide mapping of the catalytic polypeptides. The results demonstrate that the catalytic polypeptides of the PCNA-dependent calf polymerase delta and DNA polymerase alpha are distinct, unrelated, and do not share any common structural determinants. The immunological and structural relationship between a recently identified PCNA-independent form of DNA polymerase delta from HeLa cells was also assessed. This PCNA-independent human polymerase delta was found to be immunologically unrelated to human polymerase alpha but to share some immunological and structural determinants with the PCNA-dependent calf thymus polymerase delta.

Antibodies↗

Computer-enhanced learning in neuroanatomy.

The recent development of powerful microcomputers and the introduction of object-oriented programming languages has now made available to educationists software that can be easily used to design and develop computer-based learning material. We have developed courseware and tutorware in the field of neuroanatomy which are pedagogically structured and yet provide multiple paths of learning for the individual student. Neuroanatomy is a difficult subject to learn because of the structural intricacy and functional correlations that it entails. The courseware enables students to approach the subject at different levels of difficulty and progress at their own pace towards a comprehensive understanding of structure and function aided by text integrated with graphics, sound and animation. A significant advantage to authors of similar courseware is the option to update the contents easily when necessary in the future.

Computer-Assisted Instruction↗

A review of neurological complications in AIDS.

Involvement of the central nervous system is now being recognized as an important aspect of HIV infection. Acting as a sanctuary site, it may pose problems to effective therapeutic strategies. HIV-induced AIDS dementia complex is the commonest mode of presentation. Other causes include opportunistic infections and, more infrequently, malignancies. The precise diagnosis is often difficult to make and requires the judicious use of the CT scan. Treatment has been disappointing and is characterized by frequent relapses.

Acquired Immunodeficiency Syndrome↗

Infrared sensory neurons in the trigeminal ganglia of the python (Python reticulatus)--a horseradish peroxidase study.

The infrared neurons innervating the 5 maxillary, 6 mandibular and 4 mental pit organs of the python, Python reticulatus, have been identified by means of retrograde transport of horseradish peroxidase. The neurons innervating the first maxillary pit are located in the ophthalmic ganglion; those innervating the second maxillary pit are in both the ophthalmic and maxillary ganglia; the neurons innervating the rest of the maxillary pits are located in the maxillary part of the ganglia. Neurons innervating the mandibular and mental pits are all located in the mandibular part of the ganglia. None of the pits are bilaterally innervated by the trigeminal nerve.

Animals↗

Electron-microscopical study of the choroid plexus and epiplexus cells in cats following a cisternal injection of crotoxin complex.

The choroid plexus and its associated epiplexus cells in the fourth ventricle in cats were studied with scanning and transmission electron microscopy (SEM, TEM) following a cisternal injection of crotoxin complex (phospholipase A2). In SEM, the epiplexus cells of the control animals were predominantly stellate with long radiating processes. At 2 h after the administration of crotoxin complex, these radiating processes flattened out forming sheet-like membranes covering the ventricular surface of the choroid epithelial cells. The membranous coverings remained extended in 5-hour-survival cats. Numerous blebs of different sizes were observed in areas that were not covered by the cytoplasmic membrane in 5-hour animals. Some of the blebs appeared to have ruptured. In TEM, the microvilli of the choroid epithelial cells in crotoxin complex-treated rats were dilated. The luminal surface of the epithelial cells showed eruption of blebs filled with amorphous materials. Pinocytotic vesicles increased in number in the apical cytoplasm. The lumen of the ventricle often contained portions of cytoplasm believed to be derived from the extrusion of the blebs. These appeared to be engulfed by the overlying epiplexus cells. It was concluded that the injected crotoxin complex stimulated both the secretory as well as pinocytotic activity of the choroid epithelial cells. The phagocytosis of the secretory products from the epithelial cells by epiplexus cells suggests a close functional relationship between the two cell types.

Animals↗

Autoantibody to the proliferating cell nuclear antigen neutralizes the activity of the auxiliary protein for DNA polymerase delta.

Two murine monoclonal antibodies to the proliferating cell nuclear antigen (PCNA), a rabbit anti-N-terminal peptide antibody and human auto-antibody to PCNA reacted with the auxiliary protein for DNA polymerase delta from fetal calf thymus following SDS-polyacrylamide gel electrophoresis, confirming the identity of PCNA and the auxiliary protein. Undenatured auxiliary protein was immunoprecipitated by the human autoantibody, but not by the monoclonal antibodies, which were raised to SDS-denatured PCNA, nor by the anti-N-terminal peptide antibody, suggesting that the epitopes recognized by both the monoclonal antibodies and the anti-peptide antibody are not exposed in the native protein. The human anti-PCNA autoantibody neutralized the activity of the auxiliary protein for DNA polymerase delta, but did not inhibit the activity of pol delta itself. The ability of pol delta to utilize template/primers containing long stretches of single-stranded template was inhibited by the anti-PCNA autoantibody, whereas the activity of pol alpha on such templates was not affected, confirming the specificity of the auxiliary protein for pol delta. The ability of PCNA, a cell cycle-regulated protein, to regulate the activity of pol delta suggests a central role for pol delta in cellular DNA replication.

Animals↗

Apparent stimulation of calf thymus DNA polymerase alpha by ATP.

The mechanism by which millimolar concentrations of ATP stimulate the activity and increase the processivity of calf thymus DNA polymerase alpha has been investigated with poly(dA)/oligo(dT) as template/primer to eliminate possible effects due to primer synthesis. The effect of ATP on the rate of DNA synthesis with this template/primer was found to be dependent upon whether or not the ATP was neutralized and the species of buffer used in the reaction. The present studies suggest that ATP stimulation of calf thymus DNA polymerase can be attributed to changes in the pH of the reaction mixture, a shift in the magnesium ion optimum, or both. Furthermore, effects of ATP on the processivity of DNA polymerase alpha could be mimicked by lowering the pH of the reaction mixture.

Adenosine Triphosphate↗

Central projection of rat sciatic nerve fibres as revealed by Ricinus communis agglutinin and horseradish peroxidase tracers.

The central projection of afferent fibres in the rat sciatic nerve has been studied by means of the suicide transport of a lectin, Ricinus communis agglutinin 60 (RCA 60), and the transganglionic transport of horseradish peroxidase (HRP). The results obtained from these two methods are similar; however, the RCA method gave a more consistent and better localisation of the primary afferent terminals than the HRP method. The present study has shown that primary afferents from the sciatic nerve project predominantly to the ipsilateral gracile nucleus. In addition, they also project to several other brainstem nuclei; these include the contralateral nucleus gracilis, the ipsilateral main cuneate nucleus, the external cuneate nucleus and the presumptive nucleus z.

Animals↗

An auxiliary protein for DNA polymerase-delta from fetal calf thymus.

An auxiliary protein which affects the ability of calf thymus DNA polymerase-delta to utilize template/primers containing long stretches of single-stranded template has been purified to homogeneity from the same tissue. The auxiliary protein coelutes with DNA polymerase-delta on DEAE-cellulose and phenyl-agarose chromatography but is separated from the polymerase on phosphocellulose chromatography. The physical and functional properties of the auxiliary protein strongly resemble those of the beta subunit of Escherichia coli DNA polymerase III holoenzyme. A molecular weight of 75,000 has been calculated from a sedimentation coefficient of 5.0 s and a Stokes radius of 36.5 A. A single band of 37,000 daltons is seen on sodium dodecyl sulfate gel electrophoresis, suggesting that the protein exists as a dimer of identical subunits. The purified protein has no detectable DNA polymerase, primase, ATPase, or nuclease activity. The ability of DNA polymerase-delta to replicate gapped duplex DNA is relatively unaffected by the presence of the auxiliary protein, however, it is required to replicate templates with low primer/template ratios, e.g. poly(dA)/oligo(dT) (20:1), primed M13 DNA, and denatured calf thymus DNA. The auxiliary protein is specific for DNA polymerase-delta; it has no effect on the activity of calf thymus DNA polymerase-alpha or the Klenow fragment of E. coli DNA polymerase I with primed homopolymer templates. Although the auxiliary protein does not bind to either single-stranded or double-stranded DNA, it does increase the binding of DNA polymerase-delta to poly(dA)/oligo(dT), suggesting that the auxiliary protein interacts with the polymerase in the presence of template/primer, stabilizing the polymerase-template/primer complex.

Animals↗

Chemotherapy-radiotherapy combination in the treatment of carcinoma of the cervix.

Three hundred eligible patients with carcinoma of the cervix out of a total of 560, registered between July 1981 and June 1983 were randomized into receiving either radiotherapy alone or radiotherapy plus weekly injection of bleomycin 15 mg and mitomycin C4 mg. To date (22 Feb. 1985) patients have been evaluated for response to therapy at 3 months and 1 year from completion of treatment. Although both at 3 months and 1 year the combined modality treatment appears to be marginally better (68% and 71% at 3 months, 56% and 63% at 1 year), the long term results remain uncertain at present. Treatment by the addition of chemotherapy to radiation was however well tolerated with a few complications.

Adult↗

Experimental clinicopathological study of the Habu (Trimerusurus flavoviridis) venom. I. A light microscopic study of terminal degeneration in some brainstem nuclei of the cat following intracisternal injection of the venom.

Central neurotoxic effect of habu venom was studied in cats after intracisternal injections. Thirteen nuclei from the medulla oblongata, eleven from the pons and ten from the midbrain were observed. In the medulla oblongata, the nuclei most affected were the gracile and cuneate nuclei and the nucleus of the spinal tract of the trigeminal nerve; in the midbrain, degeneration was mainly observed in the superior and inferior colliculi. The present findings are discussed and correlated with the behavioral and physiological changes which have been reported previously.

Animals↗

Further studies on calf thymus DNA polymerase delta purified to homogeneity by a new procedure.

DNA polymerase delta from calf thymus has been purified to apparent homogeneity by a new procedure which utilizes hydrophobic interaction chromatography with phenyl-Sepharose at an early step to separate most of the calcium-dependent protease activity from DNA polymerase delta and alpha. The purified enzyme migrates as a single protein band on polyacrylamide gel electrophoresis under nondenaturing conditions. The sedimentation coefficient of the enzyme is 7.9 S, and the Stokes radius is 53 A. A molecular weight of 173K has been calculated for the native enzyme. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis of the homogeneous enzyme reveals two polypeptides of 125 and 48 kDa. This subunit structure differs from that of DNA polymerase delta prepared by our previous procedure, which was composed of subunits of 60 and 49 kDa [Lee, M. Y. W. T., Tan, C.-K., Downey , K. M., & So, A. G. (1981) Prog . Nucleic Acid Res. Mol. Biol. 26, 83-96], suggesting that the 60-kDa polypeptide may have been derived from the 125-kDa polypeptide during enzyme purification, possibly as the result of cleavage of an unusually sensitive peptide bond. DNA polymerase delta is separated from DNA polymerase alpha by hydrophobic interaction chromatography on phenyl-Sepharose; DNA polymerase delta is eluted at pH 7.2 and DNA polymerase alpha at pH 8.5. DNA polymerase delta can also be separated from DNA polymerase alpha by chromatography on hydroxylapatite; DNA polymerase alpha binds to hydroxylapatite in the presence of 0.5 M KCl, whereas DNA polymerase delta is eluted at 90 mM KCl.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Intestinal lymphangiectasia--a case report.

Primary intestinal lymphangiectasia is a rare cause of protein-losing enteropathy. We report here our first case, a young girl presenting at the age of ten months at the Department of Paediatrics, Singapore General Hospital with generalised oedema and diagnosed to have intestinal lymphangiectasia proven by intestinal biopsy. The literature on some aspects of the subjects is also reviewed.

Adolescent↗