FACULTY OF MEDICINE 2003 Research Report Anaesthesia Anatomy Biochemistry Community, Occupational & Family Medicine Diagnostic Radiology Medicine Microbiology Obstetrics & Gynaecology Ophthalmology Orthopaedic Surgery Otolaryngology Paediatrics Pathology Pharmacology Physiology Psychological Medicine Surgery OUR VISION THE NATIONAL UNIVERSIT Y OF SINGAPORE has a clear vision to strive towards a global knowledge enterprise – building synergies between, education, research and entrepreneurship. In line with this vision, the Faculty of Medicine endeavours to play a focal role in Singapore’s Life Science’s Initiative and Singapore Medicine by encouraging basic and translational research in the biomedical sciences which will contribute towards improvement in national healthcare and medical excellence. Cover image compliments of Professor Ariff Bongso RESEARCH HIGHLIGHTS Faculty Of Medicine Research Report 2003 65 Orthopaedic Surgery 70 Otolaryngology 74 Paediatrics 83 Pathology DEPARTMENTS 88 Pharmacology 13 Anaesthesia 94 Physiology 16 Anatomy 101 Psychological Medicine 22 Biochemistry 104 Surgery 28 Community, Occupational & Family Medicine 110 NUMI 35 Diagnostic Radiology 38 Medicine 45 Microbiology 50 Obstetrics & Gynaecology 57 Ophthalmology 02 05 FOREWORD PROGRAMMES 115 AWARDS & PRIZES 119 PATENTS 121 GRADUATE STUDENTS FOREWORD Faculty Of Medicine Research Report 2003 FOREWORD The National University of Singapore has a clear vision to strive towards a global knowledge enterprise – building synergies between education, research and entrepreneurship. In line with this vision, the Faculty of Medicine is proud to play a focal role in Singapore’s Life Science’s Initiative and Singapore Medicine by encouraging basic and translational research which will contribute towards improvement in national healthcare and medical excellence. This past year, one of the most significant events which the Faculty has had to contend with was the Severe Acute Respiratory Syndrome (SARS), a newly emerged infectious disease that first appeared in late 2002. As an integral part of the medical community, the Faculty of Medicine joined the battle against SARS by focusing on the virology and immunology of SARS. The University contributed its expertise in epidemiology and, together with the Singapore General Hospital, played a key role in confirming the identity of the etiological agent. With an eye to long-term vigilance, the Department of Medicine contributed a paper in Lancet (May 2003) reflecting the protean presentations experienced in a non-SARS hospital. The Faculty also wishes to highlight the achievements of the following Faculty members. Professor Ariff Bongso’s research in embryonic stem cell biology offers promise for the treatment of a variety of incurable disease through regenerative medicine. This earned him the Excellence for Singapore Award 2003. The discovery of the gene RUNX3, a family of human cancer genes that could suppress the growth of cancer cells in the stomach by Professor Yoshiaki Ito won him Japan’s most prestigious recognition of cancer research, the Tomizo Yoshida Award 2003. Another noteworthy faculty member’s achievement is that of Dr Allen Yeoh. His outstanding work in developing predictive models to determine the optimal treatment of Acute Lymphoblastic Leukaemia (ALL) – the most common form of childhood cancer won him the 2003 BMRC Young Investigator Award and the Gold Asian Innovation Award 2003. In terms of research output, the Faculty continues to win strong funding support from the National Medical Research Council (NMRC) and the Biomedical Research Council (BMRC). The Faculty attracted over $19.2 million in research funding in FY 2003/04. Moreover, the Faculty’s staff significantly increased the proportion of publications in top tier journals. In conclusion, the Faculty’s research drive continues with a key emphasis on multidisciplinary programmes involving other research institutes and centres in Singapore and internationally. Professor John Wong Dean Faculty of Medicine Faculty of Medicine Research Report 2003 3 SOURCE OF FUNDING AMOUNT (S$) A*STAR 5,355,070 Ministry of Education 1,890,151 Ministry of Health 10,063,877 Ministry of Defence 73,750 Defence Science & Technology Agency (DSTA) 319,808 Other Organisations 1,588,353 Total 19,291,009 Breakdown of Grant Funding Number of Publications 400 Tier 2 & Above 350 300 255 250 199 195 202 200 (75.0%) 177 150 129 134 135 100 (39.3%) (37.3%) (39.9%) 1996 1997 1998 (50.6%) (49.9%) (62.9%) (68.1%) 50 0 1999 2000 2001 2002 2003 Research Publications (International Referred) 4 Faculty of Medicine Research Report 2003 Year PROGRAMMES Faculty Of Medicine Research Report 2003 PROGRAMMES GERONTOLOGY RESEARCH PROGRAMME http://www.med.nus.edu.sg/research/progrsch/gerontology.shtml Research Theme: The Gerontology Research Programme (GRP) was formed to coordinate and facilitate multi-disciplinary research on a wide range of research topics. A systematic and coordinated programme of research activities on the health of the elderly population in Singapore, it aims to help understanding of the population aging transition and provide the scientific information needed for formulating strategies of disease prevention and health promotion. Under the GRP, multi-disciplinary research groups from all sectors of the healthcare system, are establishing cohorts of elderly subjects, both healthy and diseased, for gerontological research, at all levels of care: primary preventive, primary care, hospital, community hospital and nursing homes. A BMRC grant of $1.4 million was awarded for three years for the Singapore Longitudinal Aging Study (SLAS). Ongoing Projects, Collaborations and Activities in 2003: ‘Singapore Longitudinal Aging Study’: SLAS is the principal population- based longitudinal cohort study in the GRP. The GRP combines its research mission with social service at its SLAS study centre in South East Community Development Council by forging close community relations with local grass-root leaders and residents, and providing free health examination and talks. Papers have been published on the prevalence of dementia, trends in elderly suicides, use of Chinese herbal medicines, and others. ‘National Mental Health Survey of the Elderly 2003’. Collaborating institutions: Institute of Mental Health, NUS Department of Psychological Medicine. Researchers: Dr Chiam Peak Chiang, Assoc Prof Ng Tze Pin, Prof Kua Ee Heok. ‘Hospital readmissions, mortality and quality of life of COPD patients and their predictors’. Collaborating institutions: Ang Mo Kio Community Hospital and St Luke’s Hospital for the Elderly. Researchers: Dr David Yong, Dr Fong Ngan Phoon, Dr Sanjiv Kishore, Assoc Prof Ng Tze Pin. ‘Cognitive impairment, depression and functional outcomes of stroke patients in community hospital care’. Collaborating institutions: Singapore General Hospital and Tan Tock Seng General Hospital. Researchers: Assoc Prof Philip Eng, Dr Ong Kian Chung, Dr Cao Zhenying, Assoc Prof Ng Tze Pin. ‘Exercise and Cognitive Enhancement: Randomized Controlled Trial’. Collaborators: Dr Steven Graham (Department of Social Work and Psychology), Dr Tomasina Oh (English Language and Literature), Assoc Prof Ng Tze Pin. ‘Community-based Early Psychiatric Interventional Strategy (CEPIS)’. Collaborating institutions: Singapore Action Group of Elders Counselling Centre, Ministry of Community Development and Sports Elderly Division, NUS Department of Psychological Medicine. ‘Longitudinal Study of Cognitively Normal Elders Relating Brain Structure, Function and Cognition to Factors Known to Modulate Cognition in the Elderly’. Collborating institutions: Cognitive Neuroscience Laboratory, Department of Endocrinology, Singapore General Hospital, SGH Brain Centre. Researchers: Assoc Prof Michael Chee, Dr Tai E Shyong, Dr Donald Yeo. ‘Singapore-Sweden Collaborative Study of Cultural Differences in Aging’ Alzheimer's Disease Research Centre, Dept of Clinical Neuroscience and Elderly Care Research, Karolinska Institute: a intercountry comparative study of ethnic and cultural differences in aging. Assoc Prof Ng Tze Pin was invited to be a member of the Editorial Board of ‘Brain Aging - An International Journal’. HELICOBACTER PYLORI http://www.med.nus.edu.sg/research/progrsch/helicobacter_pylori.shtml Research Theme: To identify molecular mechanisms of pathogenesis of Helicobacter pylori and improve treatment. Specific themes 1. Molecular mechanisms of pathogenesis of H. pylori: why do only a minority of hosts develop disease. 2. Role of H. pylori in gastric cancer. 3. Epidemiologic studies on H. pylori and gastrointestinal diseases. 4. Diagnostics and therapeutics. 6 Faculty of Medicine Research Report 2003 Programme Activities: Research studies were undertaken to investigate the role of Helicobacter pylori in gastrooesophageal reflux disease. Investigators from the Departments of Medicine, Pathology and Microbiology collaborated to study the prevalence of H pylori infection, its topographic distribution, the presence of single or multiple strains of H pylori and genotypes as well as the pattern of associated gastritis in patients with GERD compared with those without this condition. The study found that the frequency and topographic distribution of H pylori were similar in patients with GERD and those in the control group with functional dyspepsia. H pylori colonisation of the cardia was less common in reflux patients than in ulcer patients. These results suggested that H pylori was unlikely to be aetiologically involved in GERD. LACTIC ACID BACTERIAL (LAB) INTEREST GROUP http://www.med.nus.edu.sg/research/progrsch/lab.shtml Research Theme: Intestinal lactic acid bacteria as probiotics and vectors for gene therapy. Programme Activities: T he programme was initiated in August 1998. Members of the programme have secured the following research grants. 1. Assoc Prof Bay BH (PI), Dr R Mahendran, Assoc Prof Lee YK. Effect of lactic acid bacteria in the tumorigenesis of bladder and breast cancer. Supported by NMRC. 2. Dr Lim CK (PI), Assoc Prof Lee Yuan Kun. Cloning of human genes into lactobacilli. Supported by SRS. 3. Assoc Prof Lee YK (PI), Assoc Prof Tan HM. Lactic acid bacteria as animal probiotics. Supported by Kemin Industies (A) Pte Ltd. 4. Assoc Prof Lee YK (PI), Dr Lu JH. Host-bacteria and bacteria -bacteria interactions in human gastrointestinal tract. Supported by NMRC. 5. Assoc Prof Lee YK (PI), Prof J Kwang, Assoc Prof Ng ML, Dr Lim CK. Gene expression and colonization of lactic acid bacteria in gastrointestinal tract. Supported by NMRC. 6. Assoc Prof Lee YK (PI), Assoc Prof Bay Boon Huat, Dr R Mahendran. Modulation of the development and progression of cancer by lactobacilli. Supported by NMRC. The LAB Interest Group is in collaboration with the following research groups: 1. Asthma and Allergy Research Programme, NUS Development of prophylatic and therapeutic vaccines for asthma and allergy. 2. Immune response to allergens in early childhood in relation to environmental factors. 3. Medical Nutrition Group, Karolinska Institute, Sweden Host microbe cross-talk focuses on colon cancer. 4. Functional Food Center, Turku University, Finland Bacterial adhesion and gene expression in human colonocytes: target for probiotic development. Publications: 1. Salminen S, Playne M, Lee YK (2003) Successful Lactobacilli: Human Studies on Probiotic efficiency. In: Handbook of Functional Dairy Products. Ed. Shortt C, O Brien. CRC Press, Boca Raton, Fl. Pp. 13-32. 2. Lee YK, Puong KY, Ouwehand AC, Salminen S (2003) Displacement of bacteria pathogens from mucus and Caco-2 cell surface by lactobacilli. Journal of Medical Microbiology 52: 925-930. LIVER RESEARCH GROUP http://www.med.nus.edu.sg/research/progrsch/hepliver_work_grp.shtml Research Theme: Investigate liver development, physiology and liver disease. Faculty of Medicine Research Report 2003 7 Programme Activities: The Division of Gastroenterology played a major role as “anchor tenant” of the group providing guidance, coordination and resources to ensure individual members were able to constructively pursue their research activities. The group has expanded and two major themes have emerged as focus of research activity. The first is liver cell differentiation and function, and the second is liver disease complications especially hepatocellular carcinoma and cirrhosis. Members of the group are taking a variety of approaches to these subjects and followup meetings will enable cross fertilization of ideas and consolidation of research strategy. Such approaches include cell culture approaches, proteomics, microarray, animal models and molecular biology techniques. Additional members of the group now include Cao Tong and Alexis Heng from Dentistry, Chen Chien-Shing from Oncology-Haematology, Dennis Wang from Surgery, Evelyn Koay and Zhang Daohai from Molecular Diagnostics, Wang Naidy and Shen Shali from Physiology and Robert Hewitt from Pathology/Tissue Repository. We look forward to a fruitful and productive collaboration. NEURODEGENERATION http://www.med.nus.edu.sg/research/progrsch/neurodegeneration.shtml Research Theme: To study factors which contribute to, or modulate, degeneration of the nervous system. Research is centered on the calcium hypothesis of aging and dementia, and examines factors that contribute to, or modulate calcium influx into neurons. The role of calcium dependent and free radicals in events leading to neurodegeneration, and the role of glial cells in propagating neuronal injury are also examined. In addition to calcium, an accumulation of iron and cholesterol oxidation products can also be toxic to neurons, and research is carried out, to elucidate iron and cholesterol metabolism in the brain. Programme Activities: Collaborative projects have been carried out between members of the group, resulting in several papers in premium journals, book chapters, and awards at international conferences. Individual members have also been awarded several grants for research on cell models of neurodegenerative diseases, and translational research, on the development of antioxidants to treat neurological disorders. NEUROPSYCHOPHARMACOLOGY http://www.med.nus.edu.sg/research/progrsch/neuropsychopharmacology.shtml Research Theme: The pharmacology of drugs that may exert neural, psychological and behavioural changes in animals and human. Programme Activities: 1. Department of Pharmacology has Noldus EthoVision Pro Version 2.3, a behavioural video tracking system and water maze, radialarm mazes, and elevated-plus mazes for assessment of cognitive function and anxiety in both rats and mice. 2. Department of Neurology, NUS has a clinical phase 1/2 trial on a new drug in acute ischemic stroke. 3. Local Meetings: There were formal and informal meetings with various programme members to discuss collaborations and grant application. 4. Regional collaboration: Prof Kua and Assoc Prof Tan are involved in International Study on Psychotropic Drug Prescription in psychiatric patients. 5 . International meetings: President of CINP (Collegiums International Neuropsychopharmacologicum) is planning to set up a regional committee for CINP. Assoc Prof Tan was invited to participate. 6. Hosting of Neurospsychiatrists from Japan. Students passed PhD candidature qualifying exams under the supervision of the Faculty of Neuropsychopharmacology Programme: Vivek Verma “Comparison of the effects of typical and atypical antipsychotics on the locus coeruleus and prefrontal cortex” Lim Ee Peng, Alice “Investigating the Cognitive Effects of Atypical Antipsychotics - The Noradrenergic Hypothesis” Tessi Sherrin ”Role of Cholecystokinin-B and Corticotropin Releasing Hormone Receptor in anxiety, depression and suicide” 8 Faculty of Medicine Research Report 2003 NITRIC OXIDE STUDY GROUP http://www.med.nus.edu.sg/research/progrsch/nitric_oxide.shtml Research Theme: Nitric Oxide Programme Activities: Nitric Oxide (NO) is a free radical messenger with a half-life of only a few seconds. It is synthesized as a bi-product by the biosynthetic enzyme nitric oxide synthase (NOS) from its precursor arginine. Nitric Oxide has been implicated to play an important role in the control of eye movements in awake feline. The superior colliculus exhibits dense immuno-label for NOS, which is co-localized with other neurotransmitters, including acetylcholine and glutamate. Using an amperometric method, the functional properties of NO released from neurons can be measured in living rat superior colliculus slices. We found that NO is released from neurons in the superior colliculus in the presence of arginine. We also found that the release of NO can be triggered by the application of glutamate or acetylcholine in the same region of the slice. The responses varied from single to multiple releases, which could last for up to hundreds of seconds. The multiple releases could have been produced by a local feedback system and/or by an intrinsic trap-release mechanism of NO by s-nitrosothiols. Previous studies have demonstrated that glutamate is associated with the local excitatory circuitry in the superior colliculus that commands saccades and that the visual input to this circuitry can be enhanced by acetylcholine. The present experiments extend these findings by providing evidence that NO may contribute to the initiation of saccades by modulating these excitatory glutamatergic and cholinergic circuits in the superior colliculus. (Sheu Fwu-Shan’ group) PROGRAMME IN ENVIRONMENTAL MICROBIOLOGY http://www.med.nus.edu.sg/research/progrsch/environmental.shtml Research Theme: Genomics and proteomics of environmental microorganisms, detection of environmental bacteria and viruses by flow cytometry and molecular approaches. Programme Activities: New Grant Funding obtained: Collaboration amongst members on development of flow cytometry for differentation of viable and non-viable bacteria, isolation of enzymes with better catalytic properties for the degradation of aromatic hydrocarbons, determination of genes influenzing biofilm formation in Pseudomonas aeruginosa. Proteome mapping of aromatic hydrocarbon -induced response in Pseudomonas alcaligenes P25X. Patents: 1. Yeo CC, Wong MV, Feng Y, Song KP, Poh CL. Molecular characterization of an inducible gentisate 1,2- dioxygenase gene, xInE, from Pseudomonas alcaligenes NCIMB 9867. Gene. 2003 Jul 17;312:239-48. 2. Teo JW, Zhang LH, Poh CL. Cloning and characterization of a novel lipase from Vibrio harveyi strain AP6. Gene. 2003 Jul 17;312:181-8. 3. Teo JW, Zhang LH, Poh CL. Cloning and characterization of a metalloprotease from Vibrio harveyi strain AP6. Gene. 2003 Jan 16;303:147-56. PROGRAMME IN INFECTIOUS DISEASES (PID) http://www.med.nus.edu.sg/research/progrsch/infectious.shtml Research Theme: Molecular strategies for the diagnosis, epidemiology and prevention of infectious diseases. Faculty of Medicine Research Report 2003 9 Programme Activities: By RT-PCR using universal enterovirus primers, and by a newly developed semi-nested assay using EV71-specific primers, the predominant causative agent of the hand, foot and mouth disease (HFMD) outbreak in Singapore in 2000 was identified to be enterovirus type 71 (EV71). The complete viral genomes of a virulent and a nonvirulent EV71 strain isolated from the HFMD outbreak were sequenced, and a structural model of EV71 predicted. A study on the “infectomics” of EV71 infection of rhabdomyosarcoma cells by differential display RT-PCR has been successfully concluded. Mapping of EV71 epitopes and development of specific EV71 monoclonal antibodies are in progress. Suitable EV71 structural gene targets have been successfully cloned into DNA vaccine constructs, while animal immunization, challenge and protection studies (in collaboration with Johns Hopkins Singapore) are approaching completion. To develop DNA vaccines against dengue, DNA constructs containing structural and nonstructural genes of dengue viruses have been cloned, and shown to be expressed in eukaryotic cells. Interactions between dengue viral and host cellular proteins are being investigated. Methods to improve the yield of DNA vaccine plasmids are being analyzed in collaboration with the Bioprocessing Technology Centre. Host immune responses to dengue infections and flaviviral vaccines have been evaluated using several immunological assays. In conjunction with the Ministry of Health and the NUS Department of Community, Occupational and Family Medicine, a national seroepidemiological survey of Chlamydia pneumoniae infections in a large cohort comprising more than 1,000 subjects in Singapore has been published. This survey revealed a high prevalence of IgG antibodies in the Singapore population especially in males and in older age groups. Several immunological assays are being evaluated and compared for the detection of antibodies to Chlamydia pneumoniae. Other ongoing projects include sequencing of the elongation factor Tu gene and a novel gene from Bartonella henselae; toxigenesis in Clostridium difficile; periodontal disease; and immunopathogenesis of Mycobacterium tuberculosis. TISSUE ENGINEERING http://www.med.nus.edu.sg/research/progrsch/tissue_engine.shtml Research Theme: Musculoskeletal tissue regeneration and repairs. Programme Activities: 1 ) Isolation, Culture and Characterization of Mesenchymal Stem Cells (PI: Prof EH Lee) Mesenchymal stem cells (MSCs) have been isolated, cultured and used to repair defects of the musculoskeletal system, including bone, cartilage and tendon/ligament. Several experiments have been conducted to demonstrate the ability of MSCs to regenerate these tissues in animals. We are currently collaborating with researchers from research institutions including IMCB and GIS in the characterization of these stem cells. 2) Functional Tissue Mechanics (PI: Assoc Prof James Goh) We have set up a facility for the objective evaluation of regenerated and repaired tissues and more importantly for invitro engineered tissues. This is an important aspect, which is often neglected, in tissue engineering research. Regenerated or engineered tissues are required to function in-situ and are usually subjected to certain in-service load. Therefore it is vital that the new tissue has similar mechanical properties as the normal tissues and is able to withstand the in-service loads. Specialised testing apparatus are required to conduct these tests. Furthermore, in conjunction with the NUS Division of Bioengineering, theoretical models using computational bioengineering techniques to predict loading stresses have been developed. 10 3) Clinical Trial on Autologous Chondrocyte Transplantation (PI: Prof EH Lee) Following promising outcomes from previous clinical trials, a Therapeutic Tissue Engineering Lab (including a Class 10K Cleanroom) has been set up by the department in NUH. Chondrocytes have been successfully expanded in-vitro and used to treat cartilage defects in the knee. The procedure for the procurement of biopsy has been established and practiced, and the cells isolated from these have shown great proliferating ability. Millions of viable cells can be harvested from cell culture for autologous cell implantation. To date, more than 70 patients have been treated using this technique in Singapore. More than 86% of our patients showed significant improvement in the SF 36, ICRS Cartilage Injury Evaluation Package 2000 and IKDC Knee Examination form 2000 evaluation. 4) Osteochodral Repair / Regeneration (PI: Prof EH Lee) The NUS Dept of Orthopaedic Surgery and the Division of Bioengineering worked together to develop a bioresorbable scaffold specifically designed for articular bone/cartilage tissue substitutes. The objective of this project to develop a cell culture system that allows the tissue engineering of cartilage attachedto subchondral bone. They also attempted to evaluate the biologicaland biomechanical properties of the engineered articular bone/cartilage interphase tissue in an animal model. Faculty of Medicine Research Report 2003 5) Ligament (PI: Assoc Prof James Goh) The NUS Dept of Orthopaedic Surgery and Division of Bioengineering are collaborating to develop a tissue-engineered ligament. Mesenchymal stem cells are harvested and expanded and are seeded directly onto a scaffold made of bioabsorbable material such as a combination of polylatic acid and poly (-caprolactone). The whole construct is then incubated to further expand the number of cells. An important consideration in tissue engineered ligament is to induce fibroblast formation with the cell aligned longitudinally. In addition, the group is designing and developing an apparatus to provide cyclic tensile stimulus to enhance orientation of the cells and collagen fibers for engineering ligaments. 6) Tendon (PI: Assoc Prof James Goh) We have conducted a rabbit experiment to evaluate the effect of marrow stromal cell-seeded knitted PLGA scaffold for Achilles tendon repair. At 12 weeks post-operation, Results showed that MSCs/knitted PLGA scaffold induced tendon-like tissue formation. Tissues showed organized bundles of highly crimped fibers. The volume of PLGA scaffold has reduced and synovial cells were observed along the surface of the neo-tenodons. The results indicated that marrow stromal cell-seeding knitting PLGA fiber scaffold is promising for tendon regeneration. 7) Spine (PI: Assoc Prof HK Wong) The NUS Dept of Orthopaedic Surgery and the Division of Bioengineering are collaborating to design and develop the spinal implant for fusion based on a bioabsorbable material. This implant will be sufficiently strong to support the requisite loads. Using tissue engineering techniques either osteoblasts or mesenchymal stem cells are seeded into the 3D scaffold of the bioabsorable material. With the introduction bone growth factor, e.g. bone morphogenic protein (BMP), bone formation and fusion will be enhanced. In the future, with the success of the tissue-engineered osteochondral complex, a biological disc replacement may be possible. 8) Muscle (PI: Dr James Hui) Isolation and culture of Muscle-derived stem cells from rabbit are being carried out and applied in experiments such as limb lengthening in rabbits. Some preliminary results were obtained. VENOM AND TOXIN RESEARCH PROGRAMME http://www.med.nus.edu.sg/research/progrsch/venom_toxin.shtml Research Theme: From Venoms to Drugs, From Toxins to Therapeutics. Programme Activities: Purification, biochemical and pharmacological characterization as well as molecular aspects of research involving cloning, sequencing and expression of new toxins are actively being done by the academic staff with the help of research fellows, research assistants and postgraduate students. A range of novel toxins from different species of scorpions, spiders and cone shells have been isolated, purified, sequenced and the synthetic toxins being screened for novel biological activities. Several channel toxins, specific for sodium, potassium or calcium channels, have been extensively studied with respect to their structure, mode of action, and localization of the functional site. On detection of toxins, the working prototype on ISFET has been established, miniaturized and packaged. Solid phase Micro Extraction (SPME) techniques are also being established and used to detect marine toxins in collaboration with the Defence Science Organization. Crystallographic studies are in progress on stonus toxin and phospholipase A2 toxins from an Australian Elapid. A novel antitoxic and anti-inflammatory protein has been discovered from a nonvenomous snake serum, which forms the basis for cloning studies, leading to production of a recombinant protein that is proven useful as a therapeutic agent for snake envenomation and inflammatory diseases. Further studies are in progress to develop this protein with therapeutic potential into a potent anti-inflammatory drug or as an investigative tool for structure-function studies. Many interesting peptides have been characterized from conus venom. Patents: Gopalakrishnakone P, Thwin MM, Ong WY, Sato K. (2003) Phospholipase A2-inhibitory peptide with anti-arthritic and neuroprotective activities. US Provisional Application No. 60/466,421 /INTRO Ref: GOPAL P 08-US/PRV. Filing Date: 30 April 2003. Faculty of Medicine Research Report 2003 11 Anaesthesia 13 Anatomy 16 Biochemistry 22 Community, Occupational & Family Medicine 28 Diagnostic Radiology 35 Medicine 38 Microbiology 45 Obstetrics & Gynaecology 50 Ophthalmology 57 Orthopaedic Surgery 65 Otolaryngology 70 Paediatrics 74 Pathology 83 Pharmacology 88 Physiology 94 Psychological Medicine 101 Surgery 104 National University Medical Institutes 110 DEPARTMENTS Faculty Of Medicine Research Report 2003 DEPARTMENT OF Anaesthesia THE DEPARTMENT’S RESEARCH FOCUS IS ON THE FOLLOWING: a) PAIN RESEARCH Professor Lee Tat Leang and team will be focusing on pain research, both of acute and chronic pain in both animal models and in humans. The mechanisms of pain, the peptides involved, the processing pathway are being studied, with the view of developing agents that would interrupt this pathway. b) CARDIOTHORACIC OUTCOME DATABASE The present database started in January 2003, and is expected to reach critical mass in late 2004. The database is done in collaboration with the Cardiothoracic Department. Of interest is the neurological outcome, which is an area of intense interest in the literature. The database will generate research ideas both in basic and clinical studies to improve outcomes. c) CLINICAL RESEARCH Clinical studies have been the mainstay of our research to date. These research are in the areas of the airway, pharmacology of anaesthesia agents, sedation as well as coagulation. Many of these studies are done in collaboration with NUH clinical staff, on the 18,000 patients who are seen by the Department each year. Faculty of Medicine Research Report 2003 13 The immune response to cardiopulmonary bypass in diabetic patients Project Description Principal Investigator Co-Principal Investigator Collaborators Grants Awarded in 2003 The effect of different heparins and activators on activated clotting time Principal Investigator Co-Principal Investigator Collaborators : Dr Dave Kang Song Chua (NUH) : Dr Ti Lian Kah : Dr Sophia Ang Bee Leng, Ms Ng Bok Lan (NUH) Principal Investigator Co-Principal Investigators : Dr Tan Chee Keat (NUH) : Dr Eugene Liu, Prof Lee Tat Leang Principal Investigators To evaluate the use of dexmedetomidine for conscious sedation in dental surgery The influence of neuromuscular blockade on the incidence of air leakage and gastric insufflation from the laryngeal mask airway during positive pressure ventilation Principal Investigator Co-Principal Investigator Collaborator : Dr Winston Tan Kwong Shen : Dr Ti Lian Kah, Prof Lee Tat Leang, Assoc Prof Ho Kee Hai Principal Investigator Co-Principal Investigator Collaborators Women have a poorer outcome after cardiac surgery: A result of size or gender? : Dr Ti Lian Kah : Dr Dave Kang Song Chua (NUH) Investigation of the use of dexmedetomidine for conscious sedation for cataract surgery Principal Investigator Collaborators : Dr Pua Hwee Leng (NUH) : Dr Ti Lian Kah : Dr Vincent Yeo (NUH) : Mary Ho (NUH) : Dr Ti Lian Kah : Dr Chiu Jen Wun (KKWCH), Ms Karen Ho Ban Shian Plasma levels and clinical efficacy of different doses of intraendotracheal cuff lignocaine Principal Investigators Principal Investigator Collaborator : Dr Sim Chin Keng (NUH), Prof Lee Tat Leang : Dr Xu Pei Chang (NUH) The effect of cerebrospinal fluid on coagulation – Does it differ for obstetric patients? Ongoing Projects Principal Investigator Collaborators The role of acupuncture in the treatment of neck pain Collaborator Intramuscular injection of Botulinum toxin A (Botox Allergen) for the treatment of frozen shoulder : Dr Constance Tham (NUH) : Assoc Prof Cheong Keng Fatt : Dr Helen Isaac, Assoc Prof Shabbir Moochhala (DMRI) : Dr Sophia Ang Bee Leng (NUH) : Dr Ti Lian Kah, Dr Eugene Liu, Assoc Prof Paul Chew Effect of erythromycin, metoclopramide or combination therapy on gastric emptying in the critically ill neurosurgical patients Principal Investigator Co-Principal Investigator : Dr Ng Huey Ping (NUH) : Assoc Prof Chen Fun Gee Factors affecting the biospectral index and isoflurane concentrations during cardiopulmonary bypass Principal Investigator Monitoring locomotion effects of neuropeptides : Dr Ng Huey Ping (NUH), Assoc Prof Cheong Keng Fatt : Dr Eugene Liu Identifying neuropeptide receptors locations in chronic pain models 14 Faculty of Medicine Research Report 2003 P r o c e s s i n g p a t h wa y o f n o c i c e p t i n a n d n o c i s t a t i n from prepronociceptin Principal Investigator Collaborators : Dr Tessy Joseph : Prof Lee Tat Leang, Dr Shinro Tachibana Characterization of clinically significant peptides present in human cerebrospinal fluid (CSF) Principal Investigator Collaborators : Dr Shinro Tachibana : Prof Lee Tat Leang, Dr Siau Chiang (NUH), Dr Tessy Joseph, Ms S Rama, Assoc Prof Peter Wong Hypothermia and traumatic brain injury Principal Investigator Collaborators : Assoc Prof Cheong Keng Fatt : Dr Chou Ning, Assoc Prof Koh Kwong Fah, Assoc Prof Shabbir Moochhala (DMRI) Analysis of the levels of nocistatin and nociceptin, in animal models of chronic pain Principal Investigator Collaborators Cheong KF, Tham C Anaesthetic management of a child with Hallermann-Streiff Francois syndrome. Paediatr Anaesth. 2003;13(6):551-2. Mackensen GB, Ti LK, Phillips-Bute BG, Mathew JP, Newman MF, Grocott HP Cerebral embolization during cardiac surgery: impact of aortic atheroma burden. Br J Anaesth. 2003;91(5):656-61. Teo A, Koh KF Coronary steal syndrome (Letter to Editor) Anaesthesia 2003;58: 95-6. Ti LK, Cheong KF, Chen FG The timing for the use of heparinase and thromboelastography to prevent excessive bleeding after coronary artery bypass graft surgery – Response. J Cardiothorac Vasc Anesth. 2003; 17: 414-5. : Prof Lee Tat Leang : Dr Shinro Tachibana, Assoc Prof Peter Wong, Assoc Prof Samuel Tay Effect of acupuncture in cutaneous blood flow Principal Investigator Collaborators Cheong KF, Tham SL Anaesthetic management of a child with Hallermann-Streiff Francois syndrome. Paediatr Anaesth. 2003;13(3):274-5. : Prof Lee Tat Leang : Dr Xu Pei Chang, Dr Qiao Tian Ru International Publications Staff Profile Associate Professor & Head Professor Associate Professor Assistant Professors : : : : Senior Research Fellow Research Fellows : : Research Assistant : Ti LK, Mackensen GB, Ti LK, Grocott HP, Laskowitz DT, Phillips-Bute BG, Milano CA, Hilton AK, Newman MF, Mathew JP Apolipoprotein E4 increases aortic atherom a burden in cardiac surgical patients. J Thoracic Cardiovascular Surgery 2003;125(1): 211-3. Contact Information Contact Person Telephone : : Facsimile E-mail Postal Address : : : Homepage : Microdialysis of neuropeptides Faculty of Medicine Research Report 2003 Chen Fun Gee Lee Tat Leang Cheong Keng Fatt Ti Lian Kah Eugene Liu Hern Choon Shinro Tachibana Tessy Joseph Kazi Ahsan Jamil Lee Chun Mei 15 Dr Ti Lian Kah 6772-4207 6772 4208 6777-5702 anatilk@nus.edu.sg Department of Anaesthesia National University Hospital 5 Lower Kent Ridge Road Singapore 119074 http://www.med.nus.edu.sg/ anaeweb DEPARTMENT OF Anatomy THE DEPARTMENT HAS FOCUSED ON 3 MAJOR AREAS OF RESEARCH : Neuroscience Venoms and Toxins Cancer Cell Biology To enhance the research environment in the Department, existing laboratories have been upgraded and new laboratories have been set up. In striving to improve the quality of research, the academic staff in the Department has adopted a multidisciplinary approach by collaborating with researchers from other NUS departments, and local and foreign institutions. There is also active research collaboration with scientists/clinicians of local hospitals. In order to promote the entrepreneurial spirit, efforts have also been made to explore the possibility of acquiring patents that have biomedical applications. Staff members of the Department have been very active in research and participate in multidisciplinary and programmatic research. The research output from the Department has been remarkable and a good number of the research findings have been published in excellent journals such as “Cell”, an achievement that bears testimony to the potential and research capabilities of the staff members. The academic staff have published more than 50 papers in international journals and 3 patents have been filed. Total amount of research funds received by the Department for the year 2003 is $838,608. 16 Faculty of Medicine Research Report 2003 Global gene expression analysis of the human genome following exposure to sarin Project Description Principal Investigator Grants Awarded in 2003 The expression of IL-6 in the nerve fibers in the myocardium in response to biomechanical stimuli might be a novel target to treat heart failure Principal Investigator Collaborator : Assoc Prof Samuel Tay Sam Wah : Dr He Beiping New therapeutics for PLA2-related disorders : a PLA2-inhibitory peptide as potential candidate drug for modulation of rheumatoid arthritis (a pilot study) Principal Investigator Collaborator Principal Investigator Collaborators Ongoing Projects Development of non-pathogenic lactobacillus as a potential vector : Prof P Gopalakrishnakone A. Evaluation of the Haffkine Polyvalent Antivenom against Naja sumatrana (Black Spitting Cobra) venom B. Naja sumatrana venom effects on rabbit cornea Principal Investigator Collaborators : Prof P Gopalakrishnakone : Dr Gregory Chan WM (TTSH), Dr Ng Yee Kong, Mr Arul Earnest (TTSH), Mr Francis Lim (Singapore Zoological Gardens), Assoc Prof Shabbir Moochhala (DMRI) Role of the choroid plexus in the development of brain white matter damage (periventricular leukomalacia) following hypoxic injury in the neonatal brain Principal Investigator Collaborator : Dr George Yip Wai Cheong : Assoc Prof Bay Boon Huat, Dr Tan Puay Hoon (SGH) : Prof Sit Kwok Hung Development of bactericidal peptides against Burkholderia pseudomallei Principal Investigator : Prof P Gopalakrishnakone : Dr Maung Maung Thwin Characterisation of the biological roles of different heparin sulphate species in breast cancer development and metastasis Directing difluorocytidine to the commitment point to kill cancer cells Principal Investigator : Prof P Gopalakrishnakone Principal Investigator Collaborators Evaluation of metallothionein as a molecular and prognostic biomarker of breast cancer Principal Investigator Collaborators : Assoc Prof Bay Boon Huat : Assoc Prof Vincent Chow, Dr Tan Puay Hoon (SGH) Elucidation of functional metallalothionein mRNA isoforms in breast myoepithelial, premalignant and malignant cells in vitro Principal Investigator Collaborator : Assoc Prof Charanjit Kaur : Dr Lu Jia (DMRI/DSTA) Tissue Culture Lab Faculty of Medicine Research Report 2003 : Assoc Prof Bay Boon Huat : Assoc Prof Lee Yuan Kun, Dr Ratha Mahendran, Dr ST Dheen 17 : Assoc Prof Bay Boon Huat : Assoc Prof Vincent Chow Molecular bases for gestational diabetes-induced changes in the nervous and visual systems of developing mouse embryos Analysis of T-Box genes and their roles in the development of vertebrate embryos Principal Investigator Collaborator Principal Investigator Collaborators : Assoc Prof Samuel Tay Sam Wah : Dr ST Dheen : Dr ST Dheen : Assoc Prof V Korzh (IMCB), Dr K Swaminathan (DBS/IMCB) Indirect transplantation of mesenchymal stem cells into the hypoglossal nuclei after unilateral nerve avulsion - Prototype model for treating neurodegenerative diseases Analysis of regulatory factors involved in neurotoxicity in neurodegenerative diseases Principal Investigator Collaborators Principal Investigator Collaborators : Assoc Prof Samuel Tay Sam Wah : Dr ST Dheen, Dr He Beiping, Dr Ji Junfeng Investigation of neuronal response and glial reaction in the central nervous system and its target visceral organs with special reference to urinary bladder Neurotoxic effects of domoic acid in rats Principal Investigator Collaborator : Assoc Prof Charanjit Kaur : Mr C Ananth Principal Investigator Collaborator Characterization of heparan sulphate in the regulation of spinal neurulation Principal Investigator : Dr George Yip : Dr He Beiping Principal Investigator Roles of microglia in the diabetic visual system with special reference to the retina Principal Investigator Collaborators : Dr Ng Yee Kong : Prof Ling Eng Ang, Dr Zeng Xiao Xia (IMCB) : Prof P Gopalakrishnakone Multidisciplinary approach to design of a potent anti-inflammatory agent for therapeutic applications Principal Investigator Collaborators : Dr Liang Feng Yi : Prof P Gopalakrishnakone : Assoc Prof Khoo Hoon Eng Application of microarray technology to divulge the molecular mechanisms of drug resistance in mycobacteria Principal Investigator Systematic in situ expression mapping of novel genes and molecular, functional characteristics of area-/cell type-specific genes in central nervous system : Prof Ling Eng Ang : Dr Ng Yee Kong Defibrinating proteinase from animal venom Principal Investigator Collaborator Stimulus specific microglial activation : a possible mechanism to modulate perineuronal microenvironment Principal Investigator : Dr ST Dheen : Prof Ling Eng Ang, Assoc Prof Samuel Tay Sam Wah : Prof P Gopalakrishnakone : Dr Maung Maung Thwin, Dr B Cheng International Publications Phan TT, Lim IJ, Sun L, Chan SY, Bay BH, Tan EK, Lee ST Quercetin inhibits fibronectin production by keloid-derived fibroblasts. Implication for the treatment of excessive scars. J Dermatol Sci. 2003; 33 (3) : 192-4. Cherian MG, Jayasurya A, Bay BH Metallothioneins in human tumors and potential roles in carcinogenesis. Mutat Res. 2003; 533(1-2) : 201-9. Review. Tai SK, Tan OJ, Chow VT, Jin R, Jones JL, Tan PH, Jayasurya A, Bay BH Differential expression of metallothionein 1 and 2 isoforms in breast cancer lines with different invasive potential: identification of a novel nonsilent metallothionein-1H mutant variant. Am J Pathol. 2003; 63(5) : 2009-19. Neuroscience Lab 18 Faculty of Medicine Research Report 2003 Du HY, Olivo M, Tan BK, Bay BH Ananth C, Gopalakrishnakone P, Kaur C Hypericin-mediated photodynamic therapy induces lipid peroxidation and necrosis in nasopharyngeal cancer. Int J Oncol. 2003;23 (5) : 1401-5. Induction of inducible nitric oxide synthase expression in activated microglia following DA-induced neurotoxicity in the hippocampus. Neuroscience Lett. 2003 ;338 (1) : 49-52. Selvarajan S, Bay BH, Mamat SB, Choo A, Chuah KL, Sivaswaren CR, Tien SL, Wong CY, Tan PH Al-Saleh SS, Kaur C, Ling EA Detection of HER2/neu gene amplification in archival paraffinembedded breast cancer tissues by fluorescence in situ hybridization. Histochem Cell Biol. 2003;120 (3) : 251-5. Response of neurons and microglia/macrophages in the area postrema following exposure to hypobaric hypoxia. Neuroscience Lett. 2003; 346:77-80. Lian Q, Tay SSW, ST Dheen Phan TT, Sun L, Bay BH, Chan SY, Lee ST Dietary compounds inhibit proliferation and contraction of keloid and hypertrophic scar-derived fibroblasts in vitro: therapeutic implication for excessive scarring. J Trauma. 2003;54 (6) : 121224. Enhanced expression of transforming growth factor-beta isoforms in the neural tube of embryos derived from diabetic mice exposed to cyclophosphamide. Neuroscience Lett. 2003;351, (1) : 51-5. Van Dong L, Quyen le K, Eng KH, Gopalakrishnakone P Huang J, Tan PH, Thiyagarajan J, Bay BH Prognostic significance of glutathione S-transferase-pi in invasive breast cancer. Mod Pathol. 2003;16 (6) : 558-65. Jayasurya A, ST Dheen, Yap WM, Tan NG, Ng YK, Bay BH Inducible nitric oxide synthase and bcl-2 expression in nasopharyngeal cancer: correlation with outcome of patients after radiotherapy. Int J Radiat Oncol Biol Phys. 2003 1;56(3): 837-45. Immunogenicity of venoms from four common snakes in the south of Vietnam and development of ELISA kit for venom detection. J Immunol Methods 2003; 282 (1-2) :13-31. Wei S, Ong WY, Thwin MM, Fong CW, Farooqui AA, Gopalakrishnakone P, Hong W Group IIA secretory phospholipase A2 stimulates exocytosis and neurotransmitter release in pheochromocytoma-12 cells and cultured rat hippocampal neurons. Neuroscience 2003; 121 (4) : 891-8. Lin VC, Jin R, Tan PH, Aw SE, Woon CT, Bay BH Progesterone induces cellular differentiation in MDA-MB-231 breast cancer cells transfected with progesterone receptor complementary DNA. Am J Pathol. 2003;162 (6) : 1781-7. Du HY, Bay BH, Olivo M Biodistribution and photodynamic therapy with hypericin in a human NPC murine tumor model. Int J Oncol. 2003;22 (5): 1019-24. Nirthanan S, Charpantier E, Gopalakrishnakone P, Gwee MC, Khoo HE, Cheah LS, Kini RM, Bertrand D Neuromuscular effects of candoxin, a novel toxin from the venom of the Malayan krait (Bungarus candidus). Br J Pharmacol. 2003; 139 (4) : 832-44. Nirthanan S, Gopalakrishnakone P, Gwee MC, Khoo HE, Kini RM Non-conventional toxins from Elapid venoms. Toxicon 2003; 41(4) : 397-407. Review. Phan TT, Lim IJ, Bay BH, Qi R, Longaker MT, Lee ST, Huynh H Role of IGF system of mitogens in the induction of fibroblast proliferation by keloid-derived keratinocytes in vitro. Am J Physiol Cell Physiol. 2003;284 (4) : C860-9. Ananth C, Gopalakrishnakone P, Kaur C Protective role of melatonin in domoic acid-induced neuronal damage in the hippocampus of adult rats. Hippocampus 2003; 13 (3) : 375-87. Ananth C, ST Dheen, Gopalakrishnakone P, Kaur C Distribution of NADPH-diaphorase and expression of nNos, NMethyl-D-Aspartate (NMDAR1) and Non-NMDA glutamate receptor (GlutR2) genes in the neurons of the hippocampus following Domoic Acid-induced lesions in adult rats. Hippocampus 2003; 13 : 260-72. Faculty of Medicine Research Report 2003 Rodriguez I, Lesaicherre M, Tie Y, Zou Q, Yu C, Singh J, Meng LT, Uppili S, Li SF, Gopalakrishnakone P, Selvanayagam ZE Practical integration of polymerase chain reaction amplification and electrophoretic analysis in microfluidic devices for genetic analysis. Electrophoresis 2003; 24(1-2) : 172-8. Paaventhan P, Joseph JS, Nirthanan S, Rajaseger G, Gopalakrishnakone P, Kini MR, Kolatkar PR Crystallization and preliminary X-ray analysis of candoxin, a novel reversible neurotoxin from the Malayan krait Bungarus candidus. Acta Crystallogr D Biol Crystallogr. 2003; 59(3) : 584-6. Batulan Z, Shinder GA, Minotti S, He BP, Doroudchi MM, Nalbantoglu J, Strong MJ, Durham HD High threshold for induction of the stress response in motor neurons is associated with failure to activate HSF1. J Neurosci. 2003; 23(13) : 5789-98. 19 Arundine M, Sanelli T, He BP, Strong MJ NMDA induces NOS 1 translocation to the cell membrane in NGFdifferentiated PC 12 cells. Brain Res. 2003; 976(2) : 149-58. Strong MJ, Sopper MM, He BP In vitro reactive nitrating species toxicity in dissociated spinal motor neurons from NFL (-/-) and hNFL (+/+) transgenic mice. Amyotroph Lateral Scler Other Motor Neuron Disord. 2003; 4 : 81-9. Yap CC, Liang F, Yamazaki Y, Muto Y, Kishida H, Hayashida T, Hashikawa T, Yano R CIP98, a novel PDZ domain protein, is expressed in the central nervous system and interacts with calmodulin-dependent serine kinase. J Neurochem. 2003; 85 : 123-134. Lu J, S Moochhala, M Shirhan, KC Ng, AL Teo, MH Tan, XL Moore, MC Wong, EA Ling Neuroprotection by aminoguanidine after lateral fluid-percussive brain injury in rats : a combined magnetic resonance imaging, histopathologic and functional study. Neuropharmacology, 2003; 44 : 253-63. Lan CT, LC Hsu, CN Cheng, HL Chuang, EA Ling Synaptic remodeling in the dorsal motor nucleus of the vagus nerve following vagal – hypoglossal nerve anastomosis in the cat. J Comp Neurol, 2003; 458 : 195-207. QD Hu, BT Ang, M Karsak, WP Hu, XY Cui, T Duka, Y Takeda, W Chia, S Natesan, YK Ng, EA Ling, T Maciag, D Small, R Trifonva, R Kopan, H Okano, M Nakafuku, S Chiba, H Hirai, JC Aster, M Schachner, C J. Pallen, K Watanabe, ZC Xiao F3/Contactin acts as a functional ligand for notch during oligodendrocyte maturation. Cell 2003; 115 : 1-20 ET Ang, PTH Wong, S Moochhala, YK Ng Neuroprotection associated with running: Is it a result of increased endogenous neurotrophic factors? Neuroscience 2003; 118(2) : 335-45. Shi L, Tang GP, Gao SJ, Ma YX, Liu BH, Li Y, Zeng JM, Ng YK, Leong KW, Wang S Repeated intrathecal administration of plasmid DNA complexed with polyethylene glycol-grafted polyethylenimine led to prolonged transgene expression in the spinal cord. Gene Ther. 2003; 10(14) : 1179-88. Ren MQ, Ong WY, Wang XS, Watt F A nuclear microscopic and histochemical study of iron concentrations and distribution in the midbrain of two age groups of monkeys unilaterally injected with MPTP. Exp. Neurol. 2003; 184(2) : 947-54. Farooqui AA, Ong WY, Horrocks LA Plasmalogens, docosahexaenoic acid and neurological disorders. Adv Exp Med Biol. 2003;544 : 335-54. Lu J, S Moochhala, M Shirhan, KC Ng, MH Tan, AL Teo and EA Ling Nitric oxide induces macrophage apoptosis following traumatic brain injury in rats. Neuroscience Lett. 2003; 339 : 147-50. McRae A, EA Ling Cerebrospinal fluid and serum anti-microglial antibodies : prospects for early diagnosis of Alzheimer’s disease. Expert Review of Neurotherapeutics, 2003; 3 : 89-99. Chin CM, J Hu, EA Ling, MK Li, D Png The effect of chronic bladder outlet obstruction on expression of nitric oxide synthase in the guinea pig bladder wall to study its relationship to detrusor instability. Euro Urol, 2003; 1: 219. (European Urology Supplement 2). Hsu J, YS Lee, CN Chang, HL Chuang, EA Ling, CT Lan Sleep deprivation inhibits expression on NADPH-d and NOS while activating microglia and astroglia in the rat hippocampus. Cells Tissues Organs, 2003; 173, (4) : 242-54. DY Nie, ZH Zhou, BT Ang, FYH Teng, G Xu, T Xiang, CY Wong, L Zeng, Y Takeda, TL Xu, YK Ng, C Faivre-Sarrailh, B Popko, EA Ling, M Schachner, K Watanabe, CJ Pallen, BL Tang, ZC Xiao Nogo-A at CNS paranodes is a ligand of Caspr: possible regulation of K+ channel localization. The EMBO Journal 2003; 22 (21): 5666-5678 20 Ong WY, Lu XR, Horrocks LA, Farooqui AA, Garey LJ Induction of astrocytic cytoplasmic phospholipase A2 and neuronal death after intracerebroventricular carrageenan injection, and neuroprotective effects of quinacrine. Exp. Neurol. 2003; 183 (2) : 449-57. Ong WY, Goh EW, Lu XR, Farooqui AA, Patel SC, Halliwell B Increase in cholesterol and cholesterol oxidation products, and role of cholesterol oxidation products in kainate-induced neuronal injury. Brain Pathol. 2003;13 (3) : 250-62. Wang XS, Ong WY, Connor JR Quinacrine attenuates increases in divalent metal transporter-1 and iron levels in the rat hippocampus, after kainate-induced neuronal injury. Neuroscience 2003;120 (1) : 21-9. Thwin MM, Ong WY, Fong CW, Sato K, Kodama K, Farooqui AA, Gopalakrishnakone P Secretory phospholipase A2 activity in the normal and kainate injected rat brain, and inhibition by a peptide derived from python serum. Exp Brain Res. 2003; 150 (4) : 427-33. Ong WY, Lu XR, Ong BK, Horrocks LA, Farooqui AA, Lim SK Quinacrine abolishes increases in cytoplasmic phospholipase A2 mRNA levels in the rat hippocampus after kainate-induced neuronal injury. Exp Brain Res. 2003; 148 (4) : 521-4. Faculty of Medicine Research Report 2003 Staff Profile Professor and Head Professor : : Ling Eng Ang P Gopalakrishnakone Associate Professors : Assistant Professors : Teaching Assistant Professorial Fellow Part-time Tutors : : : Adjunct Staff : Bay Boon Huat Charanjit Kaur K Rajendran Ong Wei Yi Tay Sam Wah, Samuel Voon Chee Tet, Francis He Beiping Liang Fengyi Ng Yee Kong S Thameem Dheen Yip Wai Cheong, George S Dinesh Kumar Sit Kwok Hung Chia Chin Soon, John Gurmit Singh Wong Wai Chow Leung King Chor, Thomas Lu Jia Tan Puay Hoon Tang Feng Ru Xiao Zhicheng Research Fellows : Research Assistants : Anita S Jayasurya Kellathur Nadathur Srinivasan Koilan Subramaniyan Maung Maung Thwin Chu Haiying Fu Di Gao Qing HSR Prasad Kandasamy Matheswaran Le Khac Quyen Liao Dongmei R Perumal Samy Viswanathan Sivakumar Zhang Bin Contact Information Contact Person : Telephone Facsimile Email Postal Address : : : : Homepage : Prof Ling Eng Ang Head, Department of Anatomy 6874-3200 6778-7643 anthead@nus.edu.sg Department of Anatomy Faculty of Medicine National University of Singapore, Singapore 117597 http://www.med.nus.edu.sg/ ant/index.htm Faculty of Medicine Research Report 2003 21 MISSION STATEMENT DEPARTMENT OF Biochemistry “To enhance the international stature of NUS and Singapore through excellence in research, teaching and scholarship in biochemistry, cell and molecular biology” UNDERGRADUATE AND POSTGRADUATE PROGRAMMES In addition to teaching in the medical and dental courses, the Department offers General Education Modules and undergraduate Life Sciences courses leading to BSc and BSc Honours with majors in Biomedical Sciences and Molecular Biology. The degrees of Master of Science (MSc) and Doctor of Philosophy (PhD) are awarded on the basis of independent but supervised research and coursework. Most postgraduate students are supported by NUS research scholarships/studentships. The Department also provides research attachments for students from junior colleges (Science Research Programme), polytechnics (Training Programme), NUS undergraduates (Undergraduate Research Opportunities Programme in Science and Medicine), University Scholars Programme and overseas undergraduates and visiting scientists. The Department also actively participates in the activities of NUS Graduate School for Integrative Sciences and Engineering (NGS). RESEARCH The Department is well equipped for research. The main areas of research include: Biochemistry of free radicals and antioxidants; Biochemistry and molecular biology of venoms and toxins; Biochemistry and biophysics of membranes and lipoproteins; Biochemistry of ubiquitination and the proteasome, especially in relation to neurodegenerative disease; Detoxification and drug metabolising enzymes; Intracellular protein trafficking; Lipidomics, Proteomics and Transcriptomics; Molecular neurobiology; Mammalian signal transduction and regulation of apoptosis; Molecular biology of bacterial and viral pathogens; Sterol metabolism and atherosclerosis; Tumour immunology. The Department has established collaborative research with many overseas groups, other departments and research institutes within and outside NUS, with government departments and private industries. Staff members also hold joint appointments in University of Melbourne, University of London, Institute of Molecular and Cell Biology (IMCB), National Cancer Centre and Johns Hopkins University School of Medicine. Staff from institutions such as IMCB, Bioinformatics Institute, Johns Hopkins Singapore, ES Cell International Pte Ltd, Singapore General Hospital, National Neuroscience Institute and the National Cancer Centre hold adjunct appointments in the Biochemistry Department. 22 Faculty of Medicine Research Report 2003 Project Description Grants Awarded in 2003 Substrate specificity and substrate recognition by MRP4 and MRP5 Principal Investigator : Dr Theresa Tan Syntaxins at the trans-golgi network/endosome and their roles in neuronal/glial membrane traffic Redox dependence of Bcl-2 Principal Investigator Principal Investigator Functions of small GTPases and their Interacting Partners in the brain : Dr Jeffrey Armstrong : Dr Tang Bor Luen Functional roles of CD38/ADP-ribosyl cyclase and its metabolites in the rat models of liver cirrhosis Principal Investigator Principal Investigator Nitroproteomics: A novel approach towards the understanding of nitrosative stress and NO regulation in cellular processes and human diseases : Assoc Prof Chang Chan Fong Host pathogen interaction in infection by Burkholderia pseudomallei Principal Investigator : Dr Gan Yunn Hwen Establishing and identifying important dietary and TCM –based antioxidants in the human body Principal Investigator Principal Investigatior Principal Investigator : Assoc Prof Khoo Hoon Eng : Dr Song Jianxing Synthetic minimized ribozymes and double-stranded RNA interference (RNAi) approaches for sequence-specific control of Hepatitis B viral gene expression Principal Investigator : Dr Yeong Foong May : Prof Barry Halliwell Understanding the dynamic nature of the gradual unfolding of CHABII and designing functional mimetics for protein-protein interaction between EphrinB2 and its binding partner Principal Investigator : Dr Matthew Whiteman The role of chromosome condensation in maintenance of genomic stability Ongoing Projects Mitochondrial DNA polymorphisms from ancient skeletons Principal Investigator : Dr Tang Bor Luen Studies of function and regulation of human ADP-ribosyl cyclases in normal and abnormal cells using inducible adenoviral gene expression system Principal Investigator : Assoc Prof Chang Chan Fong Expression cloning and functional expression of a novel endogenous ligand of human Bone Marrow Stromal Antigen 1/CD157 Principal Investigator : Assoc Prof Chang Chan Fong : Dr Theresa Tan Dr Whiteman – Expert on Nitric Oxide and Free Radicals in NUS Faculty of Medicine Research Report 2003 Preparing vials for injection into GCMS 23 Oxidative stress-induced cell injury in neurodegenerative diseases: Investigations of the involvement of ubiquitinproteasome pathway in excitotoxicity and amyloid ß-peptide mediated neuronal apoptosis Principal Investigator : Dr Steve Cheung Nam Sang Membrane proteins and drug resistance in Burkholderia pseudomallei Principal Investigator Principal Investigator Co-Principal Investigator : Dr Gan Yunn Hwen : Dr Chua Kim Lee : Dr Steve Cheung Nam Sang Oxidative stress in neuronal injury: Functional genomic and proteomic analysis in cultured neurons from genetically manipulated mice Principal Investigator Identification of virulence factors and vaccine candidates in Burkholderia pseudomallei Signal transduction pathways mediated by Mycobacterial Heat Shock Protein 65 Principal Investigator : Dr Gan Yunn Hwen Inhibition of proteasomal function as a mechanism of cell death in neurodegenerative disease. Induction by reactive oxygen species and the role of nitric oxide Principal Investigator : Prof Barry Halliwell : Dr Chua Kim Lee Diet-dependent mechanisms of colonic damage and protection Proteomics in human diseases: Application to hepatocellular carcinoma (HCC) Principal Investigator Principal Investigator Age-related diseases, iron and oxidative damage. The cholesterol-fed rabbit as a model of atherosclerosis and neurodegenerative disease : Assoc Prof Chung Ching Ming, Maxey Regulation of tumor cell response to apoptosis by reactive oxygen intermediates Principal Investigator Principal Investigator : Prof Barry Halliwell : Prof Barry Halliwell : Dr Marie-Véronique Clément Expression and functional studies on venom nerve growth factor Investigate superoxide anion dependent survival pathway(s) in tumour cells Principal Investigator Principal Investigator Agonists and antagonists of aquaporins and related ion channels from toxins : Dr Marie-Véronique Clément : Prof K Jeyaseelan Intracellular Acidification and Decrease in Superoxide Anion: Novel mechanism for Bypassing Bcl-2 Protection in Tumor cells Principal Investigator Principal Investigators Anti-microbial and anti-parasitic peptides in Scorpion hemolymph and venom : Dr Marie-Véronique Clément, Assoc Prof Shazib Pervaiz Determination of the 3-dimensional structure of the kinase domain of isozymes of protein kinase C superfamily kinases by X-ray cystallography Principal Investigator Principal Investigator : Prof K Jeyaseelan Procoagulant phospholipase A2 from snake venoms Principal Investigator Co-Principal Investigator : Dr Duan Wei : Prof K Jeyaseelan : Prof K Jeyaseelan : Dr A Armugam Pharmacological characterisation of a lethal factor (Stonustoxin, SNTX) from Stonefish venom Principal Investigator : Assoc Prof Khoo Hoon Eng Strategies to improve co-expression of multiple genes for gene therapy with internal ribosome Principal Investigator : Dr Caroline Lee Guat Lay Identification of the proteins involved in intracellular trafficking of lysosomal/late endosomal cholesterol Principal Investigator : Assoc Prof Li Qiu-Tian Life Sciences Lab 8 (MD7) 24 Faculty of Medicine Research Report 2003 Liposome-encapsulated drugs for delivery to the brain Principal Investigator Towards a bioartificial kidney device Principal Investigator Co-Principal Investigator : Prof Sit Kim Ping : Dr Theresa Tan NMR-based design and discovery of drug-like molecules for EPH receptor-ephrinB mediated signalling network controlling embryonic patterning, neuronal targeting and human tumor development Principal Investigator : Dr Song Jianxing Role of adenosine in cell death Principal Investigator : Assoc Prof Tan Chee Hong Liposome-ATPase complexes for the study of palytoxin action Principal Investigator : Assoc Prof Tan Chee Hong Transport of sulphate conjugates Principal Investigator : Dr Theresa Tan Molecular, cellular and preclinical investigations of molecules involved in inhibition of CNS neuronal regeneration. Principal Investigator : Dr Tang Bor Luen Molecular characterization of alternatively spliced GFR-2 receptor isoforms Principal Investigator International Publications : Assoc Prof Li Qiu-Tian Charmian, Cher, DN., Armugam, A., Lachumanan, R., Wintour-Coghlan, M. and Jeyaseelan, K Pulmonary inflammation and edema induced by phospholipase A2: Global gene-analysis and effects on aquaporins and Na+/K+ ATPase. Journal of Biological Chemistry, (2003)278: 352-31360. Chai, PC., Long, LH. and Halliwell, B Contribution of hydrogen peroxide to the cytotoxicity of green tea and red wines. Biochemical, and Biophysical Research Communications (2003) 304 : 650-654. Chua, K L, Y Y Chan and Gan Y H Flagella: A virulence determinant in Burkholderia pseudomallei. Infection and Immunity, (2003) 71:1622-1629. Clement, M V, Hirpara, J L and Pervaiz, S Decrease in intracellular superoxide sensitizes Bcl-2-overexpressing tumor cells to receptor and drug-induced apoptosis independent of mitochondria. Cell Death and Differentiation, (2003)10 : 1273-1285. Giannakis, E, Jokiranta T S, Male D A, Ranganathan S, Ormsby R J, Fischetti V A, Mold C and Gordon D L A common site within factor H SCR 7 responsible for binding heparin, C-reactive protein and streptococcal M protein. European. Journal of Immunology, (2003) 33: 962-969. : Assoc Prof Too Heng-Phon Go, M L and Li Q T Nitric oxide and peroxynitrite in ageing: Mediators of bone and cartilage damage in osteoporosis and osteoarthritis? Principal Investigator : Dr Matthew Whiteman Identification of the molecular mechanism by which free radicals and other reactive species affect cells from human joints: Relevance to the pathology of rheumatoid arthritis and osteoathritis Principal Investigator : Dr Matthew Whiteman Functional analysis of Ncr1p & Vps4p in endocytic sterol sorting and transport in yeast Principal Investigator : Dr Robert Yang Hongyuan Functional analysis of Ncr1p, a NPC1 ortholog in the yeast Saccharomyces cerevisia Principal Investigator Interaction of the antimalarial agents halofantrine and lumefantrine with lipid bilayers. Chemical & Pharmaceutical Bulletin, (2003) 51: 241-246. Gwee, P C, Tang K, Chua J M, Lee E J D, Chong S S and Lee C G Simultaneous Genotyping of Seven Single Nucleotide Polymorphisms (SNPs) in the MDRI gene by Single Tube Multiplex Minisequencing. Clinical Chemistry, (2003) 49: 672-676. Halliwell, B Oxidative stress in cell culture: an under-appreciated problem? FEBS Letters, (2003) 540: 3-6. Halliwell, B Plasma antioxidants. Health benefits of eating chocolate? Nature (2003) 426: 787-788. : Dr Robert Yang Hongyuan Hyun DM, Lee MH, Halliwell B and Jenner, P Proteasomal inhibition causes the formation of protein aggregates containing a wide range of proteins, including nitrated proteins. Journal of Neurochemistry, (2003) 86 : 363-373. Faculty of Medicine Research Report 2003 25 Jeyaseelan K, Poh SL, Nair R, Armugam A Ong W Y, Goh W S, Lu X R, Farooqui A A, Patel S C and Halliwell B Structurally conserved alpha-neurotoxin genes, encode functionally diverse proteins in the venom of Naja sputatrix. FEBS Letters, (2003) 533 :333-341. Increase in cholesterol and cholesterol oxidation products, and role of cholesterol oxidation products in kainate-induced neuronal injury. Brain Pathology, (2003) 13: 250-262. Khoo H E Peng T, Liu ZM, Yan LN, Peng MH, Li LQ, Liang RX, Wei ZL, Halliwell B and Ong CN Implementation of problem-based learning in Asian medical schools and students' perceptions of their experience. Medical Education, (2003) 37: 401-409. Lee C G L, Ren J, Cheong, I SY, Jin,R, Ban, K HK, Ooi, L LPJ, Nuchprayoon, I, Lee K-H, Dang MC, Dang CV and Lee L L Oxidative DNA damage in peripheral leukocytes and its association with expression and polymorphisms of hOGG(1): A study of adolescents in a high risk region for hepatocellular carcinoma in China. World Journal of Gasteroenterology, (2003) 9: 2186-2193. Expression of the FAT10gene is highly up-regulated in hepatocellular carcinoma and other gastrointestinal and gynecological cancers. Oncogene, (2003) 22: 2592-2603. Poon KL, Richardson M, Lam CS, Khoo H E and Korzh V Lim Y P, Hoog JO, Gardner P, Ranganathan S, Andersson S, Subbiah S, Tan T W, Hide W and Weiss AS Rawlingson A, Shendi K, Greenacre S A, England T G, Jenner A M, Poston R N, Halliwell B. and Brain S D The S-Star trial bioinformatics course - An on-line learning success. Biochemistry and Molecular Biology Education, (2003) 31: 20-23. Functional significance of inducible nitric oxide synthase induction and protein nitration in the thermally injured cutaneous microvasculature. American Journal of Pathology, (2003) 162: 1373-1380. Expression pattern of neuronal nitric oxide synthase in embryonic zebrafish. Gene Expression Pattern, (2003) 3 : 463-466. Lee B T K, Tan T W and Ranganathan S MGAlignIt: a web service for the alignment of mRNA/EST and genomic sequences. Nucleic Acids Research, (2003) 31: 3533-3536. Rose P, Whiteman M, Huang SH, Halliwell B and Ong CN ß- phenylethyl isothiocyanate-mediated apoptosis in hepatoma HepG2 cells. CMLS, Cellular and Molecular Life Science (2003) 60: 1489-1503. Liu H, Armugam A, Jeyaseelan K, Kouloulas I and Wintour E M Aquaporin gene expression and regulation in the ovine fetal lung. Journal of Physiology – London, (2003) 551: 503-514. Selvanayagam N, Gopalakrishnakone P, Gwee M C E, Khoo H E and Kini R M Non-conventional toxins from Elapid venoms. Toxicon, (2003) 41: 397-407. Minqin R, Watt F, Huat BTK and Halliwell B Correlation of iron and zinc levels with lesion depth in newlyformed atherosclerotic lesions. Free Radical Biology and Medicine, (2003) 34 : 746-752. Minqin R, Watt F, Tan BKH and Halliwell B Trace elemental distributions in induced atherosclerotic lesions using nuclear microscopy. Nuclear Instruments and Methods in Physics Research B ,(2003) 210: 336-342. Nie D Y, Zhou Z H, Ang C B T, Teng Y H F, Xu G, Xiang T, Wang C Y, Zeng L, Takeda Y, Xu T L, Ng Y K, Faivre-Sarrailh C, Popko B, Ling E A, Schachner M, Watanabe K, Pallen C J, Tang B L and Xiao Z C Song J Tyrosine-phosphorylation of the well-packed ephrinB cytoplasmic ß- hairpin for reverse signaling. Journal of Biological Chemistry, (2003) 278: 24714-24720. Tan H H, Low P S, Tan Y S, Tong M C, Saha N, Yang H and Heng C K ABCA1 gene polymorphisms and their associations with Coronary Artery Disease and Plasma Lipids in males from 3 ethnic populations in Singapore. Human Genetics, (2003)113 : 106-117. Tang G P, Zeng J M, Gao S J, Ma Y X, Shi L, Li Y, Too H P and Wang S Nogo-A at CNS paranodes is a ligand of Caspr: possible regulation of K+ channel localization. European Molecular Biology Organisation Journal, (2003) 22: 5666-5678. Polyethylene glycol modified polyethylenimine for improved CNS Gene Transfer: Effects of PEGyclation Extent. Biomaterials, (2003) 24 :2351-2362. Nirthanan S, Charpantier E, Gopalakrishnakone P, Gwee M C E, Khoo H E, Cheah L S, Kini R M and Bertrand D Too H P Pharmacological Effects of Candoxin A Novel Toxin from the Venom of the Malayan Krait (Bungarus candidus) at the neuromuscular Junction. British Journal of Pharmacology, (2003) 139 : 832-844. 26 Real time PCR quantification of GFRa2 alternatively spliced isoforms in murine brain and peripheral tissues. Brain Research Molecular, (2003) 114: 146-153. Faculty of Medicine Research Report 2003 Too H P Assistant Professors : Research Fellows : Adjunct Staff : From genes to therapeutics: educating the government and the public, a Singapore experience. BioEssays, (2003) 25: 913-917. Vivek G, Tan T W and Ranganathan S XdomView: protein domain and exon position visualization. Bioinformatics, (2003) 19: 159-160. Wee L M, Long L H, Whiteman M L and Halliwell B Factors affecting the ascorbate- and phenolic-dependent generation of hydrogen peroxide in Dulbecco's modified Eagles medium. Free Radical Research, (2003) 37: 1123-1130. Wei C L, Khoo H E, Lee K H and Hon W M Enhanced expression of heme oxygenase-1 in cirrhotic liver. Journal of Pathology, (2003) 199: 324-334. Whiteman M, Rose P and Halliwell B Inhibition of hypochlorous acid-induced oxidative reactions by nitrite: Is nitrite an antioxidant? Biochemical and Biophysical Research Communications (2003) 303: 1217-1224. Whiteman M, Rose P, Siau JL and Halliwell B Nitrite-mediated protection against hypochlorous acid-induced chondrocyte toxicity. Arthritis Rheumatism (2003) 48: 3140-3150. Whiteman M L, Siau J L and Halliwell B Lack of tyrosine nitration by hypochlorous acid in the presence of physiological concentrations of nitrite. Journal of Biological Chemistry, (2003) 278: 8380-8384. Armstrong Jeffrey Cheung Nam Sang, Steve Clement, Marie-Veronique Duan Wei Gan Yunn Hwen Lee Guat Lay, Caroline Liou Yih-Cherng (jointly with DBS) Song Jianxing (jointly with DBS) Tan May Chin, Theresa Tang Bor Luen (jointly with IMCB) Wenk Markus (jointly with DBS) Whiteman, Matthew Yang Hongyuan, Robert Arunmozhiarasi Armugam Choy Meng Syan Colin Peter Rose Jenner, Andrew Lee Chung-Yung Jetty Lin Haishu Peng Zhao Feng Zhu Yimin Chatterjee, Subroto Colman, Alan Malcom Paterson Sven Petterson Hong Wanjin Cai Mingjie Cao Xinmin Kanaga Sabapathy Jiang Yun Jin Li Kuo Bin Liu Jianhua Ichiro Maruyama Pawan Kuman Dhar Gunaretnam Rajagopal Woo WH, Yang HY, Wong KP and Halliwell B Sulphite oxidase gene expression in human brain and in other human and rat tissues. Biochemical and Biophysical Research Communications (2003) 305: 619-623. Contact Information Contact Persons : Telephone : Facsimile E-mail : : Postal Address : Homepage : Staff Profile Professor & Head Professor & Deputy Head Professor Associate Professors Senior Lecturer : : : : : Barry Halliwell Kandiah Jeyaseelan Sit Kim Ping Chang Chan Fong Chung Ching Ming, Maxey Khoo Hoon Eng Li Qiutian Ranganathan, Shoba Tan Chee Hong Teo Tian Seng Tan Tin Wee Too Heng-Phon Raghunath Michael (jointly with BIE) Chua Kim Lee Faculty of Medicine Research Report 2003 27 Profs Barry Halliwell / Kandiah Jeyaseelan Head / Deputy Head of Department 6874-3240 6874-3243 6874-3682 6779-1453 bchsec@nus.edu.sg / bchaaw@nus.edu.sg Department of Biochemistry Faculty of Medicine National University of Singapore MD7, 8 Medical Drive Singapore 117597 http//www.med.nus.edu.sg/ bioweb/biochemistry/ homepage.htm DEPARTMENT OF Community, Occupational & Family Medicine INTRODUCTION The Department continued with its major research emphasis on chronic diseases (cancer and cardiovascular diseases, diabetes, myopia), environmental and occupational health, and health services research. In the area of cancer, the areas of interest are dietary factors and geneenvironment interactions, while in cardiovascular diseases, the focus on obesity, genes and atherosclerosis remains. In environmental health, major interests that have developed are the health effects of reactive oxygen species, cancer chemoprevention, and the use of salivary biomarkers. 28 Faculty of Medicine Research Report 2003 Project Description Dietary and genetic factors in asthma and chronic bronchitis in the Singapore Chinese Health Study Principal Investigators Grants Awarded in 2003 Collaborators Psychological and Behavioural Responses of Healthcare Workers in Singapore to the SARS Outbreak / The Occupational Health of Healthcare Workers in Singapore Following the SARS Outbreak Principal Investigators Collaborators : Prof David Koh, Assoc Prof Calvin Fones : Assoc Prof Chia Sin Eng, Assoc Prof Lim Meng Kin Establishing a Singapore Twin Register for Genomics Research Principal Investigator Collaborators : Assoc Prof Chia Kee Seng : Adj Assoc Prof Eric Yap, Prof Lee Hin Peng, Prof Edison Liu, Adj Assoc Prof Chew Suok Kai Ongoing Projects -Aminolevulinic Acid Dehydratase (ALAD) polymorphism and susceptibility of workers exposed to inorganic lead and its effects on the haematological, renal and neurobehavioral functions Principal Investigator Collaborators Principal Investigators Principal Investigator Collaborators Collaborators The Role of Dietary Isothiocyanates in Chemoprevention: A Mechanistic Study Principal Investigator Collaborators : Assoc Prof Chia Sin Eng : Adj Assoc Prof Eric Yap, Assoc Prof Chia Kee Seng Concurrent Cohort Study of the Environmental and Genetic Risk Factors for Myopia in Singapore School Children Anti-Carcinogenic Activity of Chrysanthemum Morifolium Extract: Nuclear Factor-Kappa B as the Molecular Target : Dr Shen Han Ming : Dr Xianglin Shi (Center for Disease Control, USA), Assoc Prof Ang Siau Gek (Dept of Chemistry), Assoc Prof Lai Yee Hing (Dept of Chemistry) : Dr Koh Woon Puay, Dr Stephanie London (National Institute of Environmental Health Studies, USA) : Prof Lee Hin Peng, Prof Mimi Yu (University of Southern California) : Prof Ong Choon Nam : Dr Matt Whiteman, Dr Peter Rose : Assoc Prof Saw Seang Mei, Assoc Prof Donald TH Tan : Dr Wu HM (DMRI), Dr Louis Tong (SNEC), Dr A Carkeet (SERI), Dr Chua WH (SNEC), Dr Hong Ching Ye, Assoc Prof Chia Kee Seng, Adj Assoc Prof Eric Yap (DMRI), Prof David Koh, Prof J Katz (Johns Hopkins University), Prof R A Stone (University of Pennsylvania) Prevalence and Risk Factors for Cataract in Sumatra, Indonesia Principal Investigator Co-Principal Investigators : Assoc Prof Saw Seang Mei : Prof David Koh, Dr Rahat Hussein (SNEC), Dr Alicia Fong (SNEC), Dr Chua Wei Han (SNEC), Dr Louis Tong (SNEC), Dr Llewylyn Lee (SNEC), Dr Cheng Jin Fong (SNEC), Dr Alan Fong (SNEC), Assoc Prof Donald Tan (SERI) Electrophoresis of DNA products after PCR amplification Faculty of Medicine Research Report 2003 29 Optimal Diabetes Management and Renal Complications Prevention (transferred from Dept of Medicine in August 2000) Principal Investigator Collaborators : Assoc Prof Goh Lee Gan : Assoc Prof Ng Tze Pin, Dr Helen Leong, Dr Sim Li San, Dr Elaine Tan, Dr Yvette Tan, Dr Tay Ee Guan Collaborators Principal Investigator Collaborator : Prof David Koh : Prof Ong Choon Nam, Ms Vivian Ng, Mr Ong Her Yam, Assoc Prof Chia Sin Eng : Prof Lee Hin Peng : Dr Shanta Emmanuel (National Health Group Polyclinics) Singapore Cardiovascular Cohort Study : Prof David Koh, Assoc Prof Saw Seang Mei : Prof Ong Choon Nam, Assoc Prof Chia Sin Eng, Assoc Prof Wong Mee Lian, Dr Hong Ching Ye, Assoc Prof Adeline Seow, Dr Jeannette Lee Principal Investigator Collaborators : Dr Jeannette Lee : Adj Assoc Prof Kenneth Hughes, Adj Assoc Prof Chew Suok Kai (Ministry of Health), Dr Derrick Heng (Ministry of Health), Ms Tan Bee Yian (Ministry of Health) Effect of Feverfew on two nasopharyngeal cancer cell lines with distinct growth characteristics and cyclooxygenase-2 expression Carcinogenic heterocyclic amines in the Chinese diet: development of an instrument for exposure assessment in population-based studies Principal Investigator Co-Principal Investigator Collaborators : Prof Lee Hin Peng, Prof Mimi C Yu (University of Southern California) : Dr Koh Woon Puay, Assoc Prof Adeline Seow World Health Organisation Development of WHO PRO Guidelines on Prevention and Control of Non-Communicable Diseases in Primary Health Care Health Survey of Villagers Living in the Vicinity of a Pulp and Paper Mill, Sumatra, Indonesia Principal Investigators Principal Investigators Co-Principal Investigators Salivary biomarkers of occupational stress Principal Investigator Collaborators NUS-USC Cohort Study of Diet and Cancer : Assoc Prof Adeline Seow : Dr Koh Woon Puay : Dr Zhao Bin (DMRI), Dr Mark Knize (University of California), Prof Edmund Lee, Prof Lee Hin Peng Principal Investigator Collaborator Anti-cancer effects of parthenolide in human colorectal cancer and nasopharyngeal cancer cells: involvement of cyclooxygenase2 and fatty acid synthase through the NFκB pathway. Principal Investigators Collaborators Collection of saliva from children for study of stress biomarkers : Prof Ong Choon Nam : Dr Shen Han Ming : Dr Shen Han Ming, Prof Ong Choon Nam : Dr Young Wang (Johns Hopkins Singapore), Prof Daniel W Chan (Johns Hopkins Singapore), Dr Lin Zhong Ning (Sun Yat Sen University of Medical Science, China) Workplace assessment of a Sewage Treatment Plant following the SARS outbreak 30 Faculty of Medicine Research Report 2003 The Role of Oxidative DNA Damage and Micronutrients in Colorectal Carcinogenesis. Principal Investigator Collaborators : Prof Ong Choon Nam : Prof Barry Halliwell, Dr Shen Han Ming A Preliminary Investigation of Antioxidative Effects of Common Dietary Flavonoids in a Colon Cell Line. Principal Investigator Collaborator : Prof Ong Choon Nam : Dr Shen Han Ming D S Q Koh, M K Lim and S E Chia SARS Health care work can be hazardous to health. Occupational Medicine, 53, no.4 (2003): 241-243. D S Q Koh and S M Lee Good medical practice for occupational physicians. Occupational and Environmental Medicine, 60 (2003): 1-2. D S Q Koh, H Wang, J Lee, K S Chia, H P Lee and C L Goh Sexually transmitted diseases and their associated risk behaviours among male clients of female commercial sex workers in Singapore Epidemiology and health services research. Basal cell carcinoma, squamous cell carcinoma and melanoma of the skin – Analysis of the Singapore Cancer Registry data 1968 – 1997. British Journal of Dermatology, 148, no.6 (2003): 1161-1166. Principal Investigator Collaborators D S Q Koh and T C Aw : Assoc Prof Wong Mee Lian : Dr Roy Chan (National Skin Centre), Adj Assoc Prof Chew Suok Kai (Ministry of Health), Dr Mark Barrett, Prof David Koh, Ms Sharon Wee, Mr Thiyagarajan Jayabaskar Surveillance in occupational health. Occupational and Environmental Medicine, 60 (2003): 705-710. D S Q Koh, V A C Ng, L H Chua, Y Yang, H Y Ong, S E Chia Can salivary lead be used for biological monitoring of lead exposed individuals? Occupational and Environmental Medicine, 60 (2003): 696-698. International Publications Koh W P, J M Yuan, C L Sun, D Van Den Berg, A L H Seow, H P Lee and M C Yu Araki S, D P K Ng, B Krolewski, L Wyrwicz, J J Rogus, L Canani, Y Makita, M Haneda, J H Warram, A S Krolewski Angiotensin I-converting enzyme (ACE) gene polymorphism and breast cancer risk among Chinese women in Singapore. Cancer Research, 63 (2003): 573-578. Identification of a common risk haplotype for diabetic nephropathy at the protein kinase C-beta1 (PRKCB1) gene locus. Journal of A m e r i c a n S o c i e t y o f N e p h r o l o g y, 1 4 , n o. 8 ( 2 0 0 3 ) : 2015-2024. S E Chia, L M Shi, O Y Chan, S K Chew and B H Foong Parental occupations and non-chromosomal single, chromosomal single and multiple birth defects: A population-based study in Singapore from 1994 to 1998. American Journal of Obstetrics and Gynecology, 188 (2003): 425-433. C Y Hong, K Hughes, K S Chia, V A C Ng and S L Ling Urinary alpha1-microglobulin as a marker of nephropathy in type 2 diabetic Asian subjects in Singapore. Diabetes Care, 26, no.2 (2003): 338-342. Katz J, O D Schein, B Levy, T Cruisculllo, S M Saw, U Rajan, T K Chan, C Y Khoo A randomized trial of rigid gas permeable contact lenses to reduce progression of children’s myopia. American Journal of Ophthalmology, 136 (2003): 82-90. Faculty of Medicine Research Report 2003 Koh W P, M B Taylor, S K Chew, M C Phoon, K L Kang, V T Chow Chlamydia pneumoniae IgG seropositivity and clinical history of ischemic heart disease in Singapore. Journal of Microbiol Immunol Infect, 36, no.3, (2003): 169-174. Leo Y S, M Chen, B H Heng, C C Lee, N Paton, B Ang, P Choo, S W Lim, A E Ling, M L Ling, B K Tay, P A Tambyah, Y T Lim, G Gopalakrishna, S Ma, L James, P L Ooi, S Lim, K T Goh, S K Chew, C C Tan Severe acute respiratory syndrome – Singapore, 2003. Morbidity and Mortality Weekly Report (MMWR), 52, no.18 (2003): 405-410. Lim M K and D S Q Koh SARS and occupational health in the air. Occupational and Environmental Medicine, 60 (2003): 539-540. Lim M K Two horsemen of the apocalypse. Reflections on the Iraq War, SARS and humanity’s place among the stars. Foresight, The journal of future studies, strategic thinking and policy, 5, no.4 (2003): 3-4. 31 Lipsitch Marc, T Cohen, B Cooper, J M Robins, S Ma, L James, G Gopalakrishna, S K Chew, C C Tan, M H Samore, D Fisman and M Murray Transmission dynamics and control of severe acute respiratory syndrome. Science, 300 (2003): 1966-1970. Mak K H, K S Chia, J D Kark, T Chua, C Tan, B H Foong, Y L Lim and S K Chew Ethnic differences in utilization of coronary revascularization procedures and in survival following acute myocardial infarction in Singapore. European Heart Journal 24 (2003): 151-160. Ruan YJ, L W Chia, A E Ling, B V Vinsensius, H Thoreau, S Y Se Thoe, J M Chia, P Ng, P C Kuo, L Lim, T Zhang, K P Chan, L E L Oon, M L Ng, Y S Leo, F P L Ng, E C Ren, L W Stanton, P M Long, E T Liu Comparative full-length genome sequence analysis of 14 SARS coronavirus isolates and common mutations associated with putative origins of infection. The Lancet, Published online (2003): 1-7. Saw S M, G Gazzard, K G AuEong and D S Q Koh Utility values and myopia in teenage school students. British Journal of Ophthalmology, 87 (2003): 341-345. Ng D P K, J H Warram and A S Krolewski Transforming growth factor-beta1 as a genetic susceptibility locus for advanced diabetic nephropathy in type 1 diabetes mellitus: An investigation of multiple known DNA sequence variants. American Journal of Kidney Diseases, 41 (2003): 22-28. Saw S M, G Gazzard, D S Friedman, P J Foster, J Devereux, M L Wong and S Seah Awareness of glaucoma and health beliefs of patients suffering primary acute angle-closure. British Journal of Ophthalmology, 87 (2003): 446-449. Ng D P K, J H Warram, A S Krolewski To: Rippin JD, Patel A, Belyaev ND, Gill GV, Barnett AH. Bain SC (2003) Nitric oxide synthase gene polymorphisms and diabetic nephropathy. Diabetologia, 46: 426-428. Diabetologia, 46, no.12 (2003): 1706. Saw S M, D T H Tan Interventions to retard myopia progression. Author’s reply. Ophthalmology, 110 (2003): 1287-1288. Saw S M, H Rahat, G Gazzard, D S Q Koh, D Widjaja, D T H Tan Ng S C, J M Gomez, V S Rajadurai, S M Saw, S H Quak Establishing enteral feeding in preterm infants with feeding intolerance: a randomized controlled study of low-dose erythromycin. Journal of Pediatric Gastroenterol Nutrition, 27, no.5 (2003): 554-558. Causes of low vision and blindness in rural Indonesia. British Journal of Ophthalmology, 87 (2003): 1075-1078. Saw S M, C Y Hong, J Lee, M L Wong, M F Chan, A Cheng, K H Leong Awareness and health beliefs of women towards osteoporosis. Osteoporosis International, 14, no.7 (2003): 595-601. Ng T P, M L Wong, C Y Hong, K T Koh, L G Goh The use of complementary and alternative medicine by asthma patients. QJM, 96 (2003): 747-754. Saw S M, G Gazzard, D Friedman Interventions for angle closure glaucoma: An evidence-based update. Ophthalmology, 110 (2003): 1869-1878. Ng V A C, D S Q Koh, Q Fu, S E Chia Effects of storage time on stability of salivary immunoglobulin A and lysozyme. Clinica Chimica Acta, 338 (2003): 131-134. Ng V A C, D S Q Koh, S E Chia Examination stress, salivary cortisol and academic performance. Psychological Reports, 93 (2003): 1133-1134. Saw S M A synopsis of the prevalence rates and environmental risk factors for myopia. Clinical Exp. Optometry, 86 (2003): 289-294. (Invited Review). Ng V A C, D S Q Koh, B Mok, S E Chia, L P Lim Suk, W A, K M Ruchirawat, K Balakrishnan, M Berger, D Carpenter, T Damstra, J Pronczuk de Garbino, D S Q Koh, P J Landrigan, I Makalinao, P D Sly, Y Xu, B S Zheng Salivary biomarkers associated with academic assessment stress among dental undergraduates. Journal of Dental Education, 67, no.10 (2003): 1091-1094. Environmental threats to children’s health in Southeast Asia and the Western Pacific. Environmental Health Perspectives, 111, no.10 (2003): 1340-1347. Phua K H Tai E S, J M Ordovas, D Corella, M A M P Yap, E Chan, X Adiconis, S K Chew, L M Loh and C E Tan Health care financing in the Asia-Pacific region. Public Administration and Policy, 11, no.2 (2003): 13-36. 32 The TaqIB and -629C - A polymorphisms at the cholesterol ester transfer protein locus. Associations with lipid levels in a multiethnic population. The 1998 Singapore National Health Survey. Clinical Genetics, 63, no.1 (2003): 19-30. Faculty of Medicine Research Report 2003 Tan Y K, T C Wee, W P Koh, Y T Wang, P Eng, W C Tan and A L H Seow Wong H L, A Seow, K Arakawa, H P Lee, MC Yu, S A Ingles Survival of patients with lung cancer: A comparison by staging, histology and smoking status among Chinese women in Singapore. Lung Cancer, 40 (2003): 237-246. Vitamin D receptor start codon polymorphism and colorectal cancer risk: effect modification by dietary calcium and fat in Singapore Chinese. Carcinogenesis, 24 (2003): 1091-1095. Wang H, K S Chia, W B Du, J J Lee, R Sankaranarayanan, R Sankila, I Sng, A L H Seow and H P Lee Wong M L, I Lubek, B D Chemn, S Kros, S Pen and M Chhit Population-based survival for cervical cancer in Singapore, 19681992. American Journal of Obstetrics and Gynecology, 188 (2003): 324-329. Social and behavioural factors associated with condom use among direct sex workers in Siem Reap. Sexually Transmitted Infections, 79, no.2 (2003): 163-165. Wong T Y and D T H Tan Wilder-Smith A, K T Goh, T M S Barkham and N I Paton Virulence of the Hajj associated W135 outbreak strain: estimates of attack rate in a defined population and the risk of developing invasive disease in carriers. Clinical Infectious Diseases, 36 (2003): 679-683. Wilder-Smith A and K T Goh The SERI-ARVO meeting and future challenges of ophthalmic research in Asia. British Journal of Ophthalmology, 87 (2003), 379-380. Wong T Y, R Klein, A R Sharrett, T A Manolio, L D Hubbard, E K Marino, L Kuller, G Burke, R P Tracey, J F Polak, J S Gottdiener and D S Siscovick W135 meningococcal disease in a traveler: A case report. Journal of Travel Medicine, 10 (2003): 59. The prevalence and risk factors of retinal microvascular abnormalities in older people: The Cardiovascular Health Study. Ophthalmology, 110 (2003): 658-666. Wilder-Smith A and Ziad Memish Wong T Y, P J Foster, G J Johnson and S K L Seah Meningococcal disease and travel. International Journal of Antimicrobial Agents, 21 (2003): 102-106. Refractive errors, ocular dimensions and age-related cataract: The Tanjong Pagar Survey. Investigative Ophthalmology and Visual Sciences, 44 (2003): 1479-1485. Wilder-Smith A W135 meningococcal carriage in Hajj pilgrims: The Singapore experience. International Journal of Antimicrobial Agents, 2 (2003): 112-115. Wong T Y, B E K Klein, R Klein, M Knudtson and K Lee Wilder-Smith A, T M S Barkham, A Earnest and N I Paton Wu, A H, A L H Seow, K Arakawa, D Van Den Berg, H P Lee and M C Yu Meningococcal carriage in returning Umra pilgrims from Saudi Arabia. Journal of Travel Medicine, 10 (2003): 147-149. HSD17B1 and CYP17 polymorphisms and breast cancer risk among Chinese women in Singapore. International Journal of Cancer, 104, no.4 (2003): 450-457. Refractive errors, intraocular pressure and glaucoma. Ophthalmology, 110 (2003): 211-217. Wilder-Smith A, T M S Barkham, S Ravindran and N I Paton Persistence of W135 N. meningitides carriage in returning Hajj pilgrims: Risk of early and late transmission to household contacts. Emergency Infectious Diseases, 9, no.1 (2003): 123-126. Yap W H, A W N Tay, S Brenner and B Venkatesh Molecular cloning of the pufferfish (Takifugu rubripes) Mx gene and functional characterization of its promoter. Immunogenetics, 54 (2003): 705-713. Wilder-Smith A, T Barkham, S K Chew and N I Paton Absence of N meningitidis W135 of the electrophoretic type 36 in pilgrims returning from the year 2002 Hajj. Emerging Infectious Diseases, 9, no.6 (2003). Zhang M Z, A S M Lim and T Y Wong A pilot study of lens extraction in the management of acute primary angle-closure glaucoma. American Journal of Ophthalmology, 135 (2003): 534-536. Wilder-Smith A Current status of ‘essential obstetric care’ activities internationally: A literature review. Tropical Doctor, 33, no.3 (2003): 135-138. Faculty of Medicine Research Report 2003 33 Staff Profile Professor & Head Professors : : Associate Professors : Assistant Professors Clinical Associate Professors : : Joint Professor (with GIS) : Joint Associate Professor (with Dept of Psychological Medicine) : Joint Associate Professor (with Dept of Ophthalmology) : Adjunct Professor : Adjunct Associate Professors : Adjunct Senior Research Fellows : Adjunct Fellows : Contact Information Koh Soo Quee, David Lee Hin Peng Ong Choon Nam Chia Kee Seng Chia Sin Eng Goh Lee Gan Lim Meng Kin Phua Kai Hong Saw Seang Mei Seow Ling Hui, Adeline Wong Mee Lian Koh Woon Puay Lee Jen Mai, Jeannette Ng Peng Keat, Daniel Shen Han Ming Goh Kee Tai Emmanuel, Shanta Liu, Edison TB For higher degrees by research: Contact Person Telephone Facsimile Email : : : : Prof Ong Choon Nam 6874-4982 6779-1489 cofongcn@nus.edu.sg For taught programmes: (a) MMed (Public Health) Contact Person Telephone Facsimile Email : : : : Assoc Prof Lim Meng Kin 6874-4981 6779-1489 coflimmk@nus.edu.sg (b) MMed (Occupational Medicine) Contact Person Telephone Facsimile Email : : : : Assoc Prof Chia Sin Eng 6874-4970 6779-1489 cofcse@nus.edu.sg Ng Tze Pin (c) MMed (Family Medicine) Contact Person Telephone Facsimile Email : : : : Assoc Prof Goh Lee Gan 6874-4978 6779-1489 cofgohlg@nus.edu.sg Wong Tien Yin Jean-Paul M F Deslypere Chan Nang Fong Chan, Roy Cheong Pak Yean Chew Suok Kai Hughes, Kenneth Lee Hock Siang Lee, Lionel KH Lim Lean Huat Wilder-Smith, Annelies Yap, Eric Yap, Mabel Cheah Peh Yean Alice Tay Chan, Gregory Chin Khong Wee, Justin Tan Say Beng For research centres/units: (a) Centre for Environmental and Occupational Health Research Contact Person : Prof Ong Choon Nam Telephone : 6874-4982 Facsimile : 6779-1489 Email : cofongcn@nus.edu.sg 34 (b) Centre for Molecular Epidemiology Contact Person : Telephone : Facsimile : Email : Assoc Prof Chia Kee Seng 6874-4971 6779-1489 cofcks@nus.edu.sg (c) Health Service Research Contact Person Telephone Facsimile Email : : : : Assoc Prof Phua Kai Hong 6874-4984 6779-1489 cofpkh@nus.edu.sg For all other enquiries: Contact Person : Telephone Facsimile Email : : : Prof David Koh Head, Department of Community, Occupational and Family Medicine 6874-4988/9 6779-1489 cofhead@nus.edu.sg Postal Address : Homepage : Faculty of Medicine Research Report 2003 Faculty of Medicine (MD3) National University of Singapore 16 Medical Drive Singapore 117597 http://www.med.nus.edu.sg/ cof/cofintro.htm DEPARTMENT OF STRATEGIC RESEARCH INITIATIVES Diagnostic Radiology Our Department’s research is strongly multidisciplinary, a feature of Radiology both as a clinical specialty and a research discipline. We have established research collaborations with departments in Medicine as well as Engineering. Our research revolves around two main themes: 1. Breast Cancer Imaging & Biology 2. Advanced Image Reconstruction & Quantitation However, there are also other individual areas of specific research enquiry, viz., 1. Development & validation of functional Magnetic Resonance Urography in children 2. Development of a paediatric Asian bone age atlas The clinical work and research of our Department is intricately entwined with that of the Department of Diagnostic Imaging in the National University Hospital. As such, most of our research involves collaboration between the University and Hospital departments and their staff, and is difficult to completely separate. SUMMARY The Department of Diagnostic Radiology is based within the Department of Diagnostic Imaging at the National University Hospital. As such it has access to state of the art imaging equipment for both normal and abnormal human imaging, in any part of the body. It is also a very busy clinical department, and thus has access to a wealth of clinical material for imaging-based research in many different key conditions, notably breast and other cancers, cardiovascular diseases, orthopaedic conditions and brain pathology. Traditionally our Department has focused on clinical imaging research. However, increasingly we are collaborating with other faculties such as Engineering and Science, in an effort to develop quantitative imaging and research into disease biology as it relates to imaging. Faculty of Medicine Research Report 2003 35 Virtual Spine Workstation - Development of advanced 3D modelling of the human spinal column using CT and MRI data Project Description Principal Investigator Collaborator Grants Awarded in 2003 Features of Tumour Aggression in Ductal Carcinoma In Situ of the Breast: Correlation between in vivo Magnetic Resonance Imaging, in vitro Magnetic Resonance Spectroscopy, Histology and Gene Expression Analysis Principal Investigator Collaborators : Assoc Prof Wang Shih-chang : Mr Philip Iau TC, Assoc Prof Evelyn Koay, Dr Manuel Salto-Tellez, Carolyn Mountford (Sydney Uni IMRR), Ms Irene Lim (NUH), Assoc Prof Ong Sim Heng (Electrical and Computer Engineering) Evaluation and development of MR urography for evaluation of paediatric urinary anomalies and dysfunction Principal Investigator Collaborators : Prof Yap Hui Kim : Dr David Stringer (NUH), Dr Borys Shuter Imaging of Articular Cartilage Autografts in the Human Knee MRI of autologous cartilage implants in patients with articular cartilage ulcers Principal Investigators Collaborator Principal Investigator Collaborator : Assoc Prof Wang Shih-chang : Dr James Hui, Dr David Stringer (NUH) Use of 3D multislice CT for the evaluation of ancient Angkorian skeletons Principal Investigator Collaborators Principal Investigator Collaborators Semi-Automated Hippocampal Volumetry in Patients with Early Dementia Collaborators : Dr Borys Shuter : Yvonne Ho (NUH) : Assoc Prof Wang Shih-chang : Dr Sudhakar Venkatesh (NUH), Assoc Prof Rethy Chhem (Uni Western Ontario Radiology), Dr Kyle Latinis, Ms Wong Kit Mui (NUH) Optimisation and efficacy of visualisation of pulmonary thromboembolic disease using multislice CT pulmonary a ngi ogr a phy Development of an Asian Bone Age Atlas Principal Investigator : Prof Lee Eng Hin, Dr James Hui : Assoc Prof Wang Shih-chang Development of a clinical bowel motility tracer using an adsorbed radioisotope Ongoing Projects Principal Investigator Collaborators : Prof Teoh Swee Hin (Mechanical Engineering) : Assoc Prof Wang Shih-chang : Assoc Prof Wang Shih-chang : Dr Sudhakar Venkatesh (NUH), Dr Goh Poh Sun, Ms Wong Kit Mui (NUH) Advanced 3D Image Reconstruction for Breast MRI - Automated 3D registration of contrast-enhanced breast MRI : Dr Martha Chiu (Stanford University Psychology) : Dr Borys Shuter, Assoc Prof Wang Shih-chang, Dr June LM Chong (NUH), Yeh Ing Berne (NUH) Principal Investigators Collaborator Professor Rethy Chhem cleaning the Pre-Angkonian Skeletal Parts : Dr Yan Chye Hwang (Electrical and Computer Engineering), Mr Tan Ek Tsoon (Electrical and Computer Engineering) : Assoc Prof Wang Shih-chang Electrophoresis of DNA products after PCR amplification 36 Faculty of Medicine Research Report 2003 I Yttrium-90 SIR Sphere Therapy for Unresectable Liver Malignancy - High dose intra-arterial selective internal radiation therapy for unresectable liver malignancy. Evaluation of outcomes and dosimetry methodology Principal Investigator Collaborator : Assoc Proc Wang Shih-Chang : Dr Borys Shuter International Publications Lim EH, Aggarwal A, Agasthian T, Wong PS, Tan C, Sim E, Tan L, Goh PS, Wang SC, Khoo KL, Mukherjee A, Khoo SM, Chua G, Nilsson B, Lee KH, Tan P Feasibility of using low-volume tissue samples for gene expression profiling of advanced non-small cell lung cancers. Clin Cancer Res. 2003;9:5980-7. Ong AW, Isaac JR, Goh PS Duodenal trauma. J Trauma. 2003;55:802. Yoon KH, Goh PS An unusual cause of loin pain in a patient with systemic lupus erythematosus. J Rheumatol. 2003;30:634-5. Thamboo T, Tan K, Wang S, Salto-Tellez M Extra-hepatic embolisation of Y-90 microspheres from selective internal radiation therapy (SIRT) of the liver. Pathology 2003; 35:351-3. Salto-Tellez M, Zhang D, Chiu LL, Wang SC, Nilsson B, Koay ES Immunocytochemistry versus molecular fingerprinting of metastases. Cytopathology 2003;14:186-90. Zhang JL, Zhang L, Koh TS, Shuter B Estimation of renal scintigraphy parameters using a linear piecewise-continuous model. Phys Med Biol. 2003;48:N167-72. Friedman L, Finlay K, Popovich T, Chhem RK Sonographic findings in patients with anterior knee pain. J Clin Ultrasound. 2003;31:85-97. Babyn PS, Chu WC, Tsou IY, Wansaicheong GK, Allen U, Bitnun A, Chee TS, Cheng FW, Chiu MC, Fok TF, Hon EK, Gahunia HK, Kaw GJ, Khong PL, Leung CW, Li AM, Manson D, Metreweli C, Ng PC, Read S, Stringer DA Severe acute respiratory syndrome (SARS): chest radiographic features in children. Pediatr Radiol. 2004;34:47-58. E-publication 2003, Nov 18. Wong PS, Leow CK, Goh PS, Chan N Staff Profile Inferior vena cava leiomyosarcoma. Eur J Cardiothorac Surg. 2003;23:241. Goh LA, Chhem RK, Wang SC, Chee T Iliotibial band thickness: sonographic measurements in asymptomatic volunteers. J Clin Ultrasound 2003;31:239-44. Diong, C.H., Lenny K.A. Tan, and C.M.U. Leh Associate Professor & Head Professor Professor (in Bioengineering) Assistant Professor Senior Research Scientist Axial bifurcation in a bicephalic Chelonia mydas embryo. Chelonian Conservation and Biology: International Journal of Turtle and Tortoise Research 2003; 4(3): 55-57. Venkatesh SK, Riederer B, Chhem RK, Cardinal E, Wang SC Reactivation in post-traumatic chronic osteomyelitis: ultrasonographic findings. Can Assoc Radiol J 2003;54:163-8. Wang Shih-chang Tan Kheng Ann, Lenny Sheppard, Colin Goh Poh Sun Shuter, Borys Contact Information Contact Person Telephone Email : : : Ms Koh Wai Leng 6772-4210 dnrsec@nus.edu.sg Contact Person Telephone Email Facsimile : : : : Mdm Cheong May Lee 6772-5207 cheongml@nuh.com.sg 6779-7101 Postal Address : Homepage : Department of Diagnostic Radiology National University Hospital 5 Lower Kent Ridge Road Singapore 119074 http://www.med.nus.edu.sg/ diagrad/ Using multi-detector CT to aquire high resolution scans of the Pre-Angkorian Skeleton Faculty of Medicine Research Report 2003 : : : : : 37 SUMMARY DEPARTMENT OF Medicine Year 2003 has been a particularly difficult one for the Department of Medicine as we were directly impacted by the outbreak of SARS in many ways. Academic staff in the Department with clinical duties was actively involved in clinical care during the outbreak. Teaching and research activities were severely curtailed as staff movement was severely constrained. Nevertheless, the Department persevered and managed to do some epidemiological work on SARS even while our infectious disease physicians seized the opportunity to contribute to medical knowledge on this novel coronavirus in print. The sero-epidemiological study saw success in both publication as well as modest external funding, albeit retrospectively. We even managed to innovate in the area of clinical teaching sans patients. Another impact of this viral outbreak was the effect on the economy and funding streams. The Department had enjoyed success in competitive funding but given the relative paucity of funds, we were still able to garner A*STAR funding of just under $500,000 for collaborative GI cancer work. Industry partnerships continued apace but many of our research groups have found that continued work will be hampered by lack of funding. Output has remained healthy despite the modest number of fulltime academic and research staff, especially given the added load of clinical work and intensive clinical teaching. These being issues that few of our sister faculties have had to grapple with. 38 Faculty of Medicine Research Report 2003 Project Description Grants Awarded in 2003 Comparison of expression of nitric oxide synthase and cystathionine gamma-lyase genes in human internal thoracic arteries from normotensive and hypertensive patients Principal Investigator Collaborators : Prof Philip Moore : Dr GD Webb, (United Kingdom), Prof Vernon Oh Min Sen, Dr W. Maung Maung Aye (NUH), Dr Reida El Oakley (NUH), Dr Elizabeth A. Taylor, Dr Shanthi Wasser A review of drug-related hospital admissions to a general medicine service Principal Investigator Co-Principal Investigators : Prof Vernon Oh Min Sen : Ms Josephine Lee (NUH), Dr Grant Sklar Host and viral factors contributing to hepatitis B outcomes in a cohort study Principal Investigator : Assoc Prof Lim Seng Gee Establishment of a Gastric Cancer Epidemiology, Clinical and Genetics Programme (GCEP) for population-based studies to identify clinical, serologic, pathological and genetic markers which can be used to define an optimal approach to gastric cancer screening Principal Investigator Co-Principal Investigator The role of gastric mucosal cyclo-oxygenase and prostaglandin in the pathogenesis of gastroduodenitis and ulcer disease in uremic patients Principal Investigator : Assoc Prof Ho Khek Yu Development of the Transplantation Medical Research Center at NUS/NUH: Therapeutic Applications in Hematological Malignancies and Solid Tumours with Non-Myeloablative Transplantation (NMT) Principal Investigator Collaborators : Assoc Prof Chen Chien-Shing : Dr Lim Hong Liang (NUH), Dr Tan Lip Kun (NUH), Dr Tan Poh Lin (NUH), Dr Liu Te Chih (NUH) The effect of combining angiotensin receptor blocker and ACE-inhibitor on proteinuria in type 2 diabetic patients with nephropathy Principal Investigator Co-Principal Investigators : Prof Lim Pin : Dr Florence Tan (NUH), Dr JJ Mukherjee (NUH) Effect of transdermal botulinum toxin on sweat secretion in subjects with hyperhidrosis Principal Investigator Co-Principal Investigator Metabolic characteristics of non-diabetic first degree relatives of patients with type 2 diabetes mellitus in different ethnic groups in Singapore Principal Investigator Co-Principal Investigator Collaborators : Prof Lim Pin : Dr Florence Tan (NUH) : Dr Stanly Liew (NUH), Dr Mary Jean Tan (NUH) Isolating DNA from serum samples : Assoc Prof Yeoh Khay Guan : Assoc Prof Ho Khek Yu : Dr Einar Wilder-Smith : Dr Elaine Lim Ongoing Projects Raxoxifene HCL or placebo in post-menopausal women at risk for major cardiovascular events Principal Investigator : Assoc Prof Lim Yean Teng Plasmid isolation from E.coli bacteria Faculty of Medicine Research Report 2003 39 WISDOM Principal Investigator Co-Principal Investigator Immunological alterations in patients undergoing HBeAg seroconversion : Assoc Prof Lim Yean Teng : Dr Tan Huay Cheem Principal Investigator The Clinical Utility of Cardiac Neurohormones in the Diagnosis of Congestive Heart Failure Principal Investigators : Dr Carolyn Lam, Assoc Prof Ling Lieng His, Assoc Prof Sunil Sethi, Assoc Prof Lim Tow Keang : Prof Vernon Oh Min Sen : Dr Elizabeth A. Taylor, Dr Eric PH Yap, MJ Caulfield : Assoc Prof Lim Seng Gee : Dr Desmond Wai (NUH) Predictors of fibrosis and histological activity index in chronic hepatitis B : Assoc Prof Lim Seng Gee : Dr Desmond Wai (NUH) : Dr Frank J. Peter : Assoc Prof Lim Seng Gee : Dr Frank J. Peter : Assoc Prof Lim Seng Gee Cancer Therapeutics Research Group Principal Investigator : Assoc Prof Lim Seng Gee Outcome measures in hepatitis B related liver disease: Health related Quality of Life and financial burden – the impact of disease progression and intervention Principal Investigator Principal Investigator Collaborator Principal Investigator Collaborator : Assoc Prof Thai Ah Chuan Characterization of quasispecies in the genome of Hepatitis B virus and their relation to disease outcome Principal Investigator : Dr Lee Yin Mei : Assoc Prof Lim Seng Gee Lack of classic precore and core promoter mutations in patients undergoing HBeAg seroconversion The natural history of HBeAg positive versus HBeAg negative chronic hepatitis B patients Principal Investigator Principal Investigator Collaborator Principal Investigator Collaborator Asian Young Diabetes Study (ASDIAB) study (Novo Nordisk) Principal Investigator Natural history of anti-HBe positive patients Risk factors for mortality in patients with hepatitis B reactivation Establishment of families of Singaporean Chinese subjects to identify candidate genes in essential hypertension by genomic search – ‘The NUSIGHT Study’ Principal Investigator Co-Principal Investigators : Assoc Prof Lim Seng Gee : Prof Wong Eu Li, John Angiogenesis in Osteosarcoma Principal Investigator Collaborators : Prof Robert Pho : Dr Ivor Lim, Dr Phan Toan Thang, Assoc Prof Kong Hwai Loong Cardiac neuronehormones in hospitalized breathless patients Principal Investigator Collaborators : Dr Carolyn Lam : Assoc Prof Ling Lieng His, Assoc Prof Lim Tow Keang Development of a hepatitis B database Principal Investigator : Assoc Prof Lim Seng Gee International Publications Ajay K Kakkar, M Levine, HM Pinedo, R Wolff and Wong JEL Venous thrombosis in cancer patients : Insights from the FRONTLINE survey, The Oncologist (2003) 8:381-388. Brun C, D Suter, C Pauli, P Dunant, H Lochmuller, J Burgunder, D Schumperli and J Weis U7snRNAs induce correction of mutated dystrophin pre-mRNA by exon skipping. Cellular and Molecular Life Sciences, 60 (2003): 557-566. Examining Histological specimens using a light microscope 40 Faculty of Medicine Research Report 2003 Chen CS, K Seidel, M Boeckh, J Clark, D Madtes, J Wagner, R Witherspoon, C Anasetti, FR Appelbaum, W Bensinger, HJ Deeg, JE Sanders, R Storbs, J Wade, M Siadak, MED Flowers and KM Sullivan Incidence and risk factors for developing pneumonia late after autologus and allogeneic hematopoietic stem cell transplantation. Krauss J K, TJ Loher, R Weigel, H H Capelle, S Weber and J, Burgunder Stimulation of the posteroventral lateral globus pallidus internus in non-DYT1 generalized dystonia and choreoathetosis: 2-years follow-up. Journal of Neurosurgery, 98 (2003): 785-792. Lee CG, J Ren, IS Cheong, KH Ban, LL Ooi, Tan S Yong, A Kan, I Nuchprayoon, R Jin, K H Lee, M Choti and LA Lee Chua Ai Ping and K H Lee. Activated Drotrecogin Alfa For Treatment Of Severe Sepsis in Singapore. Critical Care and Shock, 6, no.2 (2003):67-74. Expression of the FAT10 gene is highly upregulated in hepatocellular carcinoma and other gastrointestinal and gynecological cancers. Oncogene, 22, no.17 (2003): 2592-2603. Fisher DA, MH Chew, YT Lim and PA Tambyah Preventing local transmission of SARS: lessons from Singapore. Medical Journal of Australia, 178 (2003): 555-8. Fisher DA, TK Lim, YT Lim, KS Singh and PA Tambyah A typical presentation of SARS. Lancet (2003); 361(9370):1740. Hsu SI and WG Conser Chronic Progression of Tubulointerstitial Damage in Proteinuric Renal Disease is Mediated by Complement. Activation: A Therapeutic Role for Complement Activation? Journal of the American Society of Nephrology, 14 (2003): S186-S191. (Supplement on Proceedings of the 1st NKF Singapore International Summit on the Prevention of Renal and Related Diseases). Habib AG and PA Tambyah Community acquired Klebsiella pneumoniae central nervous system infections in adults in Singapore. European Journal of Clinical Microbiology & Infectious Diseases, 22 (2003): 486-8. Ho KH and BKC Ong A community-based study of headache diagnosis and prevalence in Singapore. Cephalalgia, 1 (2003): 6-13. Hum A, HL Teoh and EC Lim Thyrotoxicosis-associated propriopinal myoclonus : video presentation. European Journal of Neurology (2003), Vol 10, Suppl 1:81 Khoo Ai-Leng, Lai-San Tham, KH Lee and Gek-Kee Lim Acute Liver Failure with Concurrent Bupropion and Carbimazole Therapy. Annals of Pharmacotherapy, 37,no.2 (2003): 220-223. Khoo KL, GS Chua, A Mukhopadhyay and TK Lim Transbronchial needle aspiration: Initial experience in routine diagnostic bronchoscopy. Respiratory Medicine (2003): 1200-4. Lee YM, PA Tambyah, KH Lee, KC Tan and SG Lim Successful treatment of Xylohypha bantiana brain abscess mimicking invasive cerebral aspergillosis in a liver transplant recipient. Journal of Infections (2003), Nov, 47(4):348-51. Lee YM, CB O’Brien, N Yamashiki, M Behro, D Weppler Tzakis A and ER Schiff Preservation injury patterns in liver transplantation is associated with poor prognosis. Transplant Proceedings (2003); 35(8): 2964-6. Leong SS, EK Tan, KW Fong, EPV Wilder-Smith, YK Ong, BC Tai. L Chew, SH Lim, J Wee, KM Lee, KF Foo, P Ang and PT Ang Randomized double-blind trial of combined modality treatment with or without Amifostine in unresectable stage III non-small cell lung cancer. Journal of Clinical Oncology, (2003); 21(9):176774. Liew CF and JS Cheah Thyrotoxicosis-induced hyperferritinaemia. Hospital Medicine (2003):64-114. Liew CF, ES Seah, KP Yeoh, KO Lee and SD Wise Lean, non-diabetic Asian Indians have decreased insulin sensitivity and insulin clearance, and raised leptin compared to Caucasians and Chinese. International Journal of Obesity (2003), 27:784-9. Lim E Headache – It’s more than meets the eye : Orbital lesion masquerading as SUNCT, Cephalagia (2003) 23(7):58-560. Lim E, YS Wong, YL Lo and SH Lim Atypical Brown-Sequard Syndrome after Trauma : Case report and review of the literature. Clinical Neurology and Neurosurgery (2003) 105:2 : 143-145. Lim E and YS Wong Khoo SM and TK Lim Prescribing and administration of nebulized bronchodilators: A prospective audit in a university hospital. Respirology 8 (2003): 205-207. Faculty of Medicine Research Report 2003 Post-traumatic paroxysmal exertional dystonia : Case report and review of literature. Parkins Related Disorders (2003), 9:6: 371-373. 41 Lim EC, HL Teoh and YS Wong Paroxysmal exercise-induced dystonia occurring after trauma : Video report and literature. European Journal of Neurology (2003), Vol 10, Supp 1:84. Millward M, M Boyer, M Lehnert, S Clarke, D Rischin, BC Goh, Wong JEL, E McNeil and J Bishop Docetaxel and carboplatin is an active regimen in advanced nonsmall cell lung cancer: a phase II study in Caucasian and Asian patients. Annals of Oncology (2003), 14:449-4545. Lim EH, Cheong, RS Lim, TS Wu and HL Kong Oxaplatin/Fluorouracil/Leucovorin in advanced colorectal carcinoma : an asian experience. Annals of Pharmacotherapy (2003), 12:1909-12. Lim CC, WL Lee, YS Leo, KE Lee, KP Chan, AE Ling, H Oh, AP Auchus, NI Paton, F Hui and PA Tambyah Late clinical and magnetic resonance imaging follow up of Nipah virus infection. Journal of Neurology Neurosurgery and Psychiatry 74 (2003): 131-3. Lim LG and KY Ho Gastrooesophageal reflux disease at the turn of millennium. World Journal of Gastroenterology (2003);9:2135-6. Lim MC, SM Brooke and RM Sapolsky gp120 neurotoxicity fails to induce heat shock defences,while the over expression of hsp70 protects against gp120. Brain Research Bulletin (2003), 61:183-8. Lim TK, A Mukhopadhyay, Annie Gough, KL Khoo, SM Khoo, KH Lee and Gamini Kumarasinghe Nash RA, R Dansey, J Storek, GE Georges, JD Bowen, LA Holmberg, GH Kraft, MD Mayes, KT McDonagh, CS Chen, DiPersio J LeMaistreC, S Pavletic, KM Sullivan, J Sunderhaus, DE Furst and PA McSweeney Epstein-Barr Virus-Associated Post-Transplant Lymphoproliferative Disorder after High-Dose Immunosuppresive Therapy and Autologous CD-34 Selected Hematopoietic Stem Cell Transplantation for Severe Autoimune Diseases. Biological Blood Marrow Transplant (2003)9:583-91. Oh VMS and TK Lim Singapore experience of severe acute respiratory syndrome: specific clinical problems affecting health workers and the community. Clinical Medicine (2003), September-October, 3(5):44851. Ong WY, XR Lu, BKC Ong, LA Horrocks, A A Farooqui and SK Lim Quinacrine abolishes increases in cytoplasmic phospholipase A2 mRNA levels in the rat hippocampus after kinate-induced neuronal injury. Experimental Brain Research, 148, 4 (2003): 521-524. Radojevic V, AM Humm, KM Rosler, T Lauterburg and J Burgunder Role of clinical judgement in the application of a nucleic acid amplification test for the rapid diagnosis of pulmonary tuberculosis. Chest, 124, no.3 (2003): 902-908. Abnormal trafficking of sarcolemmal proteins in alpha-glucosidase deficiency. Acta Neuropathologica, 105 (2003): 373-380. Luo N, LH Chew, KY Fong, DR Koh, SC Ng, K H Yoon, S Vasoo, SC Li and J Thumboo ERCP in patients with periampullary diverticulum. Hepatogastroenterology (2003), May-June 50(51):625-8. A comparison of the EuroQol-5D and the Health Utilities Index mark 3 in patients with rheumatic disease. Journal of Rheumatology, 30, 10 (2003): 2268-2274. Ramirez SPB, TT Durai and SI Hsu Luo N, LH Chew, KY Fong, DR Koh, SC Ng, KH Yoon, S Vasoo, SC Li and Thumboo, J Rajnakova A, PM Goh, SS Ngoi and SG Lim Paradigms of public-private partnerships in end-stage renal disease care: The National Kidney Foundation Singapore. Kidney International, Supplement 83, 63 (2003): S101-S107. Validity and reliability of the EQ-5D self-report questionnaire in English-speaking Asian patients with rheumatic diseases in Singapore. Quality of Life Research, 12, 1 (2003): 87-92. Singh K, LY Hsu, JS Villacian, A Habib, D Fisher and PA Tambyah Luo Nan, CSL Fones, J Thumboo and SC Li Ramirez SPB, SI Hsu and W McClellan Factors influencing health-related quality of life of Asians with anxiety disorders in Singapore. Quality of Life Research (2003). Taking a public health approach to the prevention of end-stage renal disease: The NKF Singapore Program. Kidney International, Supplement 83, 63 (2003):S61-S65. Severe acute respiratory syndrome lessons from Singapore. Emerging Infectious Disease (2003), (10):1294-8. Maracellin, PTT Chang, SG Lim, MJ Tong, W Sievert, ML Shiffman, L Jeffers, Z Goodman, MS Wulfsohn, S Xiong, J Fry and C L Brosgart Adefovir dipivoxil for the treatment of hepatitis B e antigenpositive chronic hepatitis B. New England Journal of Medicine, 348, 9 (2003): 808-816. 42 Faculty of Medicine Research Report 2003 Sng JH, AB Ali, SC Lee, D Zahar, JEL Wong, G Cross, V Blake, A Sharif and PTC Iau BRCA1 2841/5insA is a recurring mutation with a founder effect in Singapore Malay women with early onset breast/ovarian cancer. European Journal of Cancer, 1, (4) (2003): 3 Sng JH, AB Ali, D Zahar, SC Lee, JEL Wong, V Blake, A Sharif, G Cross and PTC Iau BRCA1 c.2845insA is a recurring mutation with a founder effect in Singapore Malay women with early onset breast/ovarian cancer. Journal of Medical Genetics, 40, (10) (2003): e117. Tambyah PA, KS Singh, AG Habib, KS Chia and YT Lim SARS: understanding the coronavirus: accuracy of WHO criteria was similar in a "non-SARS" hospital in Singapore. British Medical Journal, 327(2003): 620. Tambyah PA, AG Habib, TM Ng, H Goh and G Kumarasinghe Community-acquired methicillin-resistant Staphylococcus aureus infection in Singapore is usually “healthcare associated”. Infection Control and Hospital Epidemiology (2003), 24(6):436-8. Tan EK, Chan LL, Yu GX, Rumpel H, EPV Wilder-Smith and MC Wong Vascular parkinsonism in moyamoya: microvascular biopsy and imaging correlates. Annals of Neurology (2003), 54:836-40. Wilder-Smith EPV and WL, A Chow Water-immersion wrinkling is due to vasoconstriction. Muscle & Nerve 2003, 27 (2003): 307-311. Wilder-Smith EPV and WL, A Chow Water-immersion and EMLA cause similar digit skin wrinkling and vasoconstriction. Journal of Microvascular Research (2003), 66:68-72. Wilder-Smith EPV, S Fook-Chong, SE Chew, A Chow and Y Guo Vasomotor dysfunction in carpal tunnel syndrome. Muscle & Nerve, 28, 5 (2003): 582-586. Wilder-Smith EPV, EK Tan, HY Law, Y Zhao, I Ng and MC Wong Spinocerebellar taxia type 3 presenting as an L-dopa Responsive Dystonia Phenotype in a Chinese family. Journal of the Neurological Sciences, 213 (2003): 25-28. Wilder-Smith EPV, VK Sharma, YC Chan, BKC Ong, EC Lim, HL Teoh and J Tan Incidence of preventable causes of hospital admissions due to epilepsy : a prospective study in Singapore. European Journal of Neurology (2003), Vol 10, Suppl 1:21. Wei C L, HE Khoo, KH Lee and W M Hon Tan WC, X Xiang, D Qiu, SF Lam, T P Ng and RG Hegde Enhanced Expression of Heme Oxygenase-1 in Cirrhotic Liver. Journal of Pathology, 199 (2003):324-334. Epidemiology of respiratory viruses in patients hospitalised with near fatal asthma, acute exceberation of asthma or chronic obstructive pulmonary disease. American Journal of Medicine, 115, 4 (2003):272-277. Wong JEL, Y Ito, P Correa, KCMJ Peeters, CJH van de Velde and J Macdonald Tan YJ, SP Lim, P Ng, PY Goh, SG Lim, YH Tan and W Hng CD81 engineered with endocytotic signals mediates HCV cell entry: implications for receptor usage by HCV in vivo. Virology (2003) ;308 (2):250-69. Teoh HL, Wilder-Smith EPV, EC Lim and J Tan Acute motor sensory neuropathy following dengue fever treated with plasmapheresis after failed immunoglobulin therapy. European Journal of Neurology (2003), Vol (1), Supp 1:182. Wai CT, KY Ho and KY Kwok Esophageal dislodgement of variceal ligator cap due to mismatch of sizes between the ligator cap and the endoscope. Endoscopy (2003), 39:151. Wai CT and KY Ho Therapeutic Strategies in Gastric Cancer. Journal of Clinical Oncology, December 1 Suppl, 21 (2003): 267-279. Wong JEL Are patients with cancer receiving adequate treatment for thrombosis. Results from Frontline. Cancer Treatment Reviews, Vol 29(2) (2003), 11-13. Zhang X, T Zhu, Y Chen, HC Mertani, KO Lee and PE Lobie Human growth hormone regulated HOXA1 is a human mammary epithelial oncogene. Journal of Biological Chemistry, (2003), 278:7580-7590. Zheng PY, J Hua, HC Ng, KG Yeoh and B Ho Expression of Lewis blood group antigen in Helicobacter pylori does not interfere with bacterial adhesion property. World Journal of Gasteroenterology, 9, no.1 (2003): 122-124.z Reply to Syn et al. Endoscopy (2003);35:796-7. Faculty of Medicine Research Report 2003 43 Staff Profile Associate Professor & Head Professors Adjunct Professors Associate Professors : : : : Adjunct Associate Professors : Assistant Professors : Hon Adjunct Assistant Professor Research Scientist Senior Research Fellow Adjunct Senior Research Fellow Adjunct Senior Fellows : : : : : Research Fellows : Adjunct Research Fellow : Adjunct Fellows : Contact Information Ong Kian Chung, Benjamin Chan Heng Leong Cheah Jin Seng Chia Boon Lock Jean Marc Burgunder Lee Kok Onn Lim Pin Liu Tak Bun, Edison Oh Min Sen, Vernon Tan Chorh Chuan Tan Wan Cheng Wong Eu Li, John Joseph Thomas August Feng Pao Hsii Yoshiaki Ito Ho Khek Yu Kong Hwai Loong Kueh Yan Koon Lee Jon Chon, Evan Lee Kang Hoe Lim Seng Gee Lim Tow Keang Lim Yean Teng Ling Lieng Hsi Suri, Rajiv Tambyah, Paul A Thai Ah Chuan Wilder-Smith, Einar Yeoh Khay Guan Fong Kok Yong Gwee Kok Ann Lobie, Peter Loong Si Chin Stephen Wise Thumboo, Julian (wef 15 July 2003) Lam Su Ping, Carolyn Lee Yin Mei Lim Hsuen, Elaine Low Fatt Hoe, Adrian Thumboo, Julian (up to 28 Feb 2003) Lim Gaik Bee Shanthi Wasser Steven Hsu I-Hong Li Baojie Chew Chin Hin Suresh Sahadevan Teoh Kheng Hoe, Gerald Qiu Diwen Lim Min Chin Ng Wee Chit (up to 30 Sept 2003) Erle Lim Chuen Hian Tai E Shyong Wong Soon Tee 44 Contact Person : Telephone Fascimile Email : : : Contact Person : Telephone Fascimile Email : : : Postal Address : Homepage : Faculty of Medicine Research Report 2003 Assoc Prof Benjamin KC Ong Head of Department 6772-4350 6779-4112 mdcongkc@nus.edu.sg Assoc Prof Einar Wilder-Smith Departmental Director (Research) 6772-4171 6779-4112 mdcwse@nus.edu.sg Department of Medicine Lower Kent Ridge Road Singapore 119074 http;//www.med.nus.edu.sg/ medi/index.htm SUMMARY Microbiology is increasingly gaining prominence in our lives. Topical reference to this scientific discipline is widespread, whether in life sciences, biotechnology, health or environmental issues, food production and safety, amongst many others. Much of the progress in Microbiology has accelerated remarkably with the availability of powerful techniques in molecular biology, cell biology, genetics and biocomputing. Microbiology is a vital discipline to the development of Life Sciences in Singapore. As such, the Department of Microbiology is strongly committed to serve Singapore's growing needs, by contributing to education, research, professional services and industry. The major Research Programmes within the Department are focused on Infectious Diseases and Immunology. Located within the Department are the WHO Collaborating Centre for Research and Training in Immunology; Bone Marrow and Cord Blood Registries; MOH Hepatitis B Testing Quality Assurance Centre; National Malaria Reference Centre, and the Human Genome Laboratory. To take advantage of the completion of the sequencing of the human genome and many microbial genomes, the Department is concentrating on microbial pathogenesis and on the development of molecular-based microbial diagnostics and vaccines. We are also involved in a bioengineering initiative in which bioinformatics and computation biology are utilized to unravel the interaction between microbial peptides and the host major histocompatibility antigens. Such precise biocomputational prediction may generate vaccines and immunotherapeutic procedures against important infectious diseases and cancers. The Department is blending powerful tools developed in the physical and computational sciences into biology to develop cuttingedge capabilities in the Life Sciences. Faculty of Medicine Research Report 2003 45 DEPARTMENT OF Microbiology Gene expression and colonization of lactic acid bacteria in gastrointestinal tract Project Description Principal Investigator Collaborators Grants Awarded in 2003 Pathogen Recognition and Signaling by Toll-like Receptors, A Family of Adjuvant Receptors for the Host Immune System to Sense Different Types of Pathogens Principal Investigator : Dr Lu Jinhua : Assoc Prof Vincent T.K. Chow Development of a SARS-associated virus replicon cell line for the identification of potential therapeutic agents for SARS Principal Investigator Collaborators : Dr Hung Siu Chun : Assoc Prof Vincent T. K. Chow, Prof Chan Soh Ha : Dr Hung Siu Chun : Assoc Prof Lee Yuan Kun : Dr Ooi Eng Eong (NEA) Diversity and molecular characterization of multiple antibiotic resistance determinants in Vibrio harveyi Principal Investigator : Assoc Prof Poh Chit Laa Degradation of phenolic wastes by Pseudomonas species via the gentisate pathway:cosmid cloning and genetic organization of the genes in P25X and P35X Principal Investigator Principal Investigator : Assoc Prof Poh Chit Laa Role of Tetraspanins (MacTSP and CD9) in Dendritic Cell Morphology and Functions : Assoc Prof Mary Ng Mah Lee Identification of functional domains on three-dimensional reconstructed flavivirus particles Principal Investigator Ongoing Projects Principal Investigator Principal Investigator Collaborator Structural and functional study of flavivirus attachment domain(s) and the cellular receptors Identification of human genomic DNA elements capable of mediating episome persistence in proliferating human cells Principal Investigator Ecology of Legionella in Singapore : Dr Lu Jinhua SARS coronavirus spike protein interaction with dendritic cells, macrophages and lung surfactant proteins A and D Principal Investigator Collaborator : Assoc Prof Lee Yuan Kun : Prof Jimmy Kwang (TLL), Assoc Prof Mary Ng Mah Lee, Dr Lim Chor Kiang : Assoc Prof Mary Ng Mah Lee The Human Genome Laboratory for the isolation and characterization of novel human genes Principal Investigator : Assoc Prof Vincent T. K. Chow : Dr Lu Jinhua Anti-Malarial Drug Discovery from Natural Product Extracts Host-bacteria and bacteria-bacteria interactions in the gastrointestinal tract Principal Investigator Collaborator Principal Investigator Collaborator : Assoc Prof Sim Tiow Suan : Dr Lee May Ann (DMERI) : Assoc Prof Lee Yuan Kun : Dr Lu Jinhua Microbial proteome from Pseudomonas species West Nile virus-infected Vero cells at 16 hrs post infection. Atomic Force Microscope image showing virus-induced clumping of cytoskeleton 46 Faculty of Medicine Research Report 2003 Investigation of Microbial Metabolic Pathways Based on Transcriptional Control of Gene Networks Principal Investigator Collaborators : Assoc Prof Sim Tiow Suan : Prof Vladimir B Bajic (A*STAR), Assoc Prof Sanjay Swarup (Dept of Biological Sciences) V T K Chow, M C Phoon Measurement of serum leptin concentrations in university undergraduates by competitive ELISA reveals correlations with body mass index and sex. Advances in Physiology Education. 2003 : 27(1-4):70-7. J J H Chu, and M L Ng International Publications Characterization of a 105-kDa plasma membrane associated glycoprotein that is involved in West Nile virus binding and infection. Virology, 312 (2003): 458-469. T Yap and M L Ng J J H Chu, B G H Choo , J W M Lee and M L Ng Immunopotentiating properties of lentinan (1–>3)-ß- D-glucan extracted from culinary-medicinal shiitake mushroom Lentinus edodes (Berk.) singer (Agaricomycetideae). International Journal of Medicinal Mushrooms, 5 (2003) : 339-358. Involvement of actin filaments in the budding of West Nile (Sarafend) virus. Journal of Medical Virology. 71(2003), 3 :463 - 472. Bongards C, B S Chew and N Lehming The TATA-binding protein is not an essential target of the transcriptional activators Gal4p and Gcn4p in Saccharomyces cerevisiae. Biochemical Journal, 370 (2003): 141-147. W Cao, Bobryshev, Y. V., Lord, R. S. A., Oakley, R. E. I.,S H Lee and Lu, J Dendritic cells in the arterial wall express C1q: potential significance in atherogenesis. Cardiovascular Research. 60 (2003) : 175-186. M Chan and T S Sim Recombinant Plasmodium falciparum NADP-dependent isocitrate dehyrdogenase is active and harbours a unique 26 amino acid tail. Experimental Parasitology, 103 (2003) : 120-126. H S Chin, J Sim, K I Seah and T S Sim Deacetoxycephalosporin C synthase isozymes exhibit diverse catalytic activity and substrate specificity. FEMS Microbiology Letters, 218, no. 2 (2003): 251-257. J J H Chu, and M L Ng The mechanism of cell death during West Nile virus infection is dependent on the initial infective dose. Journal of General Virology 84 (2003) : 3305-3314. R J Du and B Ho Surface localized heat shock protein 20 (HS1V) of Helicobacter pylori. Helicobacter, 8, no. 4 (2003): 257-267. Gibson-Kueh, S, P Netto, G H Ngoh-Lim, S F Chang, L L Ho, Q W Qin, F H C Chua, M L Ng and H W Ferguson The pathology of systemic iridoviral disease in fish. Journal of Comparative Pathology, 129 (2003): 111-119. L L Goh, R Koh, P. Loke, T S Sim Thermostable malae synthase of S. thermovulgaris, Journal of industrial Microbial Biotechnology, 30 (2003) : 577 – 581. L L Goh, P Loke, M Singh and T S Sim Soluble expression of a functionally active P. falcipain-2 fused to maltose binding protein in E. coli. Protein Expression and Purification 32 (2003) : 194 – 201. Y H Goo, Y C Sohn, D H Kim, S W Kim, M J Kang, D J Jung, E Kwak, N A Barlev, S L Berger, V T K Chow, R G Roeder, D O Azorsa, P S Meltzer, P G Suh, E J Song, K J Lee, Y C Lee and J W Lee Activating signal cointegrator 2 belongs to a novel steady-state complex that contains a subset of trithorax group proteins. Molecular and Cellular Biology, 23, no.1 (2003): 140-149. F C Han, M Gong, H C Ng and B Ho Identification of H. pylori strain specific DNA sequences between two clinical isolates from NUD and gastric ulcer by SSH. World Journal of Gasteroenterology, 9, no.8 (2003): 1747-151. Microarray analysis of enterovirus-71 infected rhabdomyosarcoma cells compared with uninfected cells. This facilitates high throughput screening to identify differentially regulated genes in order to provide insights into the molecular pathogenesis of EV71 infection Faculty of Medicine Research Report 2003 47 F C Han, H C Ng and B Ho M L Ng, S H Tan, E E See, E E Ooi and A E Ling Stability of randomly amplified polymorphic DNA fingerprinting in genotyping clinical isolates of Helicobacter pylori. World Journal of Gasteroenterology, 9, 9 (2003): 2021-2024. Proliferative growth of SARS coronavirus in Vero E6 cells. Journal of General Virology. 84 (2003) (Pt 12): 3291-303. W P Koh, Taylor M B, S K Chew, M C Phoon, K L Kang, V T K Chow Chlamydia pneumoniae IgG seropositivity and clinical history of ischemic heart disease in Singapore. Journal of Microbiology Immunology and Infection. 2003; 36(3):169-74. Y K Lee, P F Chew, B S Soh and L Y Tham Enhancing phagocystic activity of hemocytes and disease resistance in the prawn Penaeus mergciiensis by feeding spirulina platensis. Journal of Applied Phycology, 15 (2003): 1-9. Y K Lee, H El-Nezami, C A Haskard, S Gratz, K Y Puong and S Salminen Kinetics of adsorption and desorption of aflatoxin B1 on viable and non-viable bacteria. Journal of Food Protection, 65 (2003): 426-430. Y K Lee, K Y Puong, A C Ouwehand and S Salminen Displacement of bacterial pathogens from mucus and CaCo-2 cell surface by lactobacilli. Journal of Medical Microbiology, 52 (2003): 1-6. C G Li, P M L Ng, Y Zhu, B Ho and J L Ding Tandem repeats of sushi peptide with enhanced LPS-binding and –neutralising activities. Protein Engineering, 16 (2003): 629-635. C S Lim, K P Chan, K T Goh and V T K Chow Y J Ruan, C L Wei, A E Ling, V B Vega, H Thoreau, S Y Se Thoe, J S Chia, P Ng, K P Chiu, L Lim, Z Tao, K P Chan, L L E Oon, M M L Ng, Y S Leo, L F P Ng, E C Ren, L W Stanton, P M Long and E T Liu Comparative full length genome sequence analysis of 14 SARS coronavirus isolates and common mutations associated with putative origins of infection. Lancet, 361 (2003): 1779-1785. J Sim, E Wong, H S Chin and T S Sim Conserved structural modules and bonding network in isopenicillin N synthase related non-haem iron-dependent oxygenases and oxidases. Journal of Molecular Catalysis B-Enzymatic, 23 (2003): 17-27. J M Tan, E P Tock, V T K Chow The novel human MOST-1 (C8orf17) gene exhibits tissue specific expression, maps to chromosome 8q24.2, and is overexpressed/amplified in high grade cancers of the breast and prostate. Molecular Pathology. 2003 : 56 (2):109-15. S K Tai, O J Tan, V T K Chow, R Jin, J L Jones, P H Tan, A Jayasurya, B H Bay Differential expression of metallothionein 1 and 2 isoforms in breast cancer lines with different invasive potential: identification of a novel nonsilent metallothionein-1H mutant variant. American Journal of Pathology 2003; 163(5):2009-19. J W P Teo, L H Zhang and C L Poh Hemagglutinim-neuraminidase sequence and phylogenetic analyses of mumps virus isolates from a vaccinated population in Singapore. Journal of Medical Virology, 70, 2 (2003): 287-292. Cloning and characterization of a metalloprotease from Vibrio harveyi strain AP6. Gene, 303 (2003):147-156. C S Lim, G Kumarasinghe and V T K Chow J W P Teo, L H Zhang and C L Poh Sequence and phylogenetic analysis of SH, G and F genes and proteins of human respiratory syncytial virus isolates from Singapore. Acta Virologica, 47, 2 (2003): 97-104. Cloning and characterization of a novel lipase from Vibrio harveyi strain AP6. Gene, 312 (2003):181-188. B L Ng, S H Quak, M M Aw, K T Goh and B Ho What is True Community-Acquired Urinary Tract Infection? Comparison of Pathogens Identified in Urine from Routine Outpatient Specimens and from Community Clinics in a Prospective Study. European Journal of Clinical Microbiology & Infectious Diseases, 22 (2003): 242-245. Immune responses to differentiated forms of Helicobacter pylori in children with epigastric pain. Clinical and Diagnostic Laboratory Immunology, 10, no. 5 (2003): 866-869. M L Ng, S H Tan, E E See, E E Ooi and A E Ling Early events of SARS coronavirus infection in vero cells. Journal of Medical Virology. 71(3) (2003) : 323-31. 48 T Y Ti, G Kumarasinghe, M B Taylor, S L Tan, A Ee, C Chua and A Low L H Wang, B Ho and J L Ding Transcriptional regulation of a limulus Factor C: repression of an NFKB motif modulates its responsiveness to bacterial lipopolysaacharide. Journal of Biological Chemistry, 278 (2003): 49428-49437. Faculty of Medicine Research Report 2003 T Wagenaar, T, V T K Chow, C Buranathai, P Thawatsupha and C Grose The out of Africa model of varicella-zoster virus evolution: single nucleotide polymorphisms and private alleles distinguish Asian clades from European / North American clades. Vaccine, 21, 1112 (2003): 1072-1081. Fellow Senior Tutor SMF Postdoctoral Fellow Research Fellow Research Assistants : : : : : Lim Chor Kiang Justin Wong Soon Boon AMA Nasirudeen Li Jun Ang Yi Ting, Edlyn Aw Yong Koh Meng Koh Kai Shyang Liu Boping New Jen Yan Ng Seok Shin Raghavan Bhuvanakantham Zhao Jin C C Yeo, M V Wong, K P Song and C L Poh Molecular characterization of an inducible gentisate 1, 2dioxygenase gene, X1nE, from Pseudomonas alcaligenes NCIB 9867. Gene, 312 (2003): 239-248. H Yoshikawa, M Nagashima, K Morimoto, Y Yamanouti, E H Yap and M Singh Freeze-fracture and cytochemical studies on the in vitro cyst form of reptilian Blastocystis pythoni. Journal of Eukaryotic Microbiology, 50, no. 1 (2003): 70-75. Contact Information Contact Person Telephone Email : : : Ms Ong Shiao Ling 6874-3652 micosl@nus.edu.sg Contact Person Telephone Email : : : Ms Geetha Baskaran 6874-3275 micgb@nus.edu.sg Sequence and structural diversity in endotoxin-binding dodecapepeptides. Biochimica et Biophysica Acta, 1611 (2003): 234-242. Contact Person Telephone Email : : : Ms Siti Masnor 6874-7891 micsmm@nus.edu.sg P Y Zheng, J Hua, H C Ng, K G Yeoh and B Ho Contact Person Telephone Email : : : Kok Chun Yew 6874-3276 mickcy@nus.edu.sg Postal Address : Facsimile Homepage : : Department of Microbiology Faculty of Medicine National University of Singapore, 5 Science Drive 2 Singapore 117597 6776-6872 http://www.med.nus.edu.sg /mbio H X Yu, E C Ren and S H Chan Associations of HLA microsatellites with rheumatoid arthritis in Singaporean Chinese. Tissue Antigens, 62 (2003): 133-138. Y Zhu, B Ho and J L Ding Expression of Lewis blood group antigen in Helicobacter pylori does not interfere with bacterial adhesion property. World Journal of Gasteroenterology, 9, no.1 (2003): 122-124. Staff Profile Associate Professor & Head Professor Associate Professors : : : Associate Professorial Fellows : Assistant Professors : Vincent Chow Tak Kwong Chan Soh Ha Yap Eu Hian Mary Ng Mah Lee Ho Bow Lee Yuan Kun Sim Tiow Suan Poh Chit Laa Ren Ee Chee Tan Hai Meng Mulkit Singh Nga Been Hen Song Keang Peng Mark Taylor Seah Geok Teng Norbert Lehming Eugene Hung Siu Chun Kevin Tan Shyong Wei Wong Siew Heng Lu Jinhua Faculty of Medicine Research Report 2003 49 SUMMARY DEPARTMENT OF Obstetrics & Gynaecology The main goal of our research programs in the next few years is to set the stage for the Department to regain its international role as the pioneer of the most important clinical advances in the care of women. To this end, we have reorganized our research efforts to stay focused and yet be sufficiently broad to encompass new staff that will be recruited and new research opportunities that may arise in the future. The four strategic areas of focus are: 1. Cell-based Therapies including embryology, 2. Drug discovery / Reproductive Pharmacology and Early Phase Clinical Trials, 3. Reproductive Cancer Biology, Genomics, Proteomics and 4. Mechanisms of Reproductive Diseases. The cell-based therapies group continue to build on its successes with high impact publications and its leader Prof Bongso has taken a leading part in organizing the International Stem Cell Conference in Singapore in 2003. This international meeting comprised 500 leading researchers from around the globe and was aimed at encouraging interaction between local and international stem cell scientists. The NUS-Johns Hopkins Consortium on herbal drug development lead by Assoc Prof E.L. Yong has secured a planning grant from US NIH for the development of an international center for herbal research in Singapore. Dr Loy Chong Jin and Dr Gong Yin Han from this group have won the Young Scientist of the Year and Best Clinical Science poster prizes respectively at the 7th NUH/NUS ASM. They have published several seminal papers including one in the prestigious Proceedings of the National Academy of Sciences, USA. Dr Chong Yap Seng from the Mechanism of Disease group has secured funding from multidisciplinary group with Swedish investigators to study the influence of maternal diet on breast milk content and development in offspring. 50 Faculty of Medicine Research Report 2003 Project Description Grants Awarded in 2003 A survey on the Prevalence of Menstrual Disorder in Adolescent Girls in Singapore Principal Investigator Collaborator : Dr Annapoorna Venkat : Assoc Prof Joe Max Mongelli The influence of Maternal Ethnic Group and Diet on Breast Milk Fatty Acid Content Principal Investigator Collaborators : Dr Chong Yap Seng : Dr Chng Seo Yi, Prof Birgitta Strandvik, Em Prof LarsAke Hanson, Dr Marina Korotkova, Dr Gong Yinnah, Dr Mabel Deurenberg Yap, Prof Hugo Van Bever Antenatal Preparation of Postnatal Counselling - a Randomised Controlled Trial to Compare Strategies for Improving Breastfeeding Rates Principal Investigator Collaborators : Assoc Prof Mary Rauff : Ms Chan Yah Shih, Dr Chong Yap Seng, Dr Su Lin Lin, Dr Chang Yiong Huak NUH Clinical Research Database for Gynaecologic Oncology Principal Investigator : Dr Khalil Razvi Pre-clinical studies using hormone-responsive bioassays as surrogate biomarkers to measure selective estrogen receptor modulator (SERM) activity in serum following oral administration of flavonoid-enriched traditional Chinese herbal extracts Principal Investigator Collaborators Screening and characterization of photo-flavonoids and defined traditional Chinese herbal extracts for anti-SARS coronavirus activity and their use as therapeutic agents Principal Investigator Collaborators : Assoc Prof Yong Eu Leong : Dr Ooi Eng Wong, Dr Loh Yin Sze, Dr Gong Yin Han, Ms Shen Ping Transcriptome Analyses of Human Embryonic Stem Cells Using SAGE Principal Investigator Collaborator : Prof Ariff Bongso : Dr Chan Woon Khiong Use of 3D ultrasound scans to optimise successful embryo transfer in IVF Principal Investigator Collaborators : Dr Foong Lien Cheun : Assoc Prof Jothi Kumar, Assoc Prof Arijit Biswas Rapid diagnosis of common chromosomal aneuploidies (chromosomes 13, 18, 21, X and Y) using quantitative fluorescent polymerase chain reaction Principal Investigator : Dr Mahesh Choolani Perinatal Exposure to Organochlorine Pesticides and Polychlorinated Biphenyls in Singapore Principal Investigator Collaborators Excellence for Singapore Award, May 2003 : Assoc Prof Yong Eu Leong : Ms Shen Ping, Dr Gong Yin Han : Assoc Prof Joe Max Mongelli : Assoc Prof J Obbard, Dr A Loganath Prof Ariff Bongso receiving the Fellowship (ad eundem) of the Royal College of Obstetricians & Gynaecologists, September 2003 Faculty of Medicine Research Report 2003 51 Johns Hopkins University-National University of Singapore Center for Research on Complementary and Alternative Medicine (Planning Grant) (PICRC). United States National Institutes of Health, National Center for Complementary and Alternative Medicine (NIH-NCCAM) Sonographic changes in bone and biochemical markers of bone turnover during pregnancy and puerperium Principal Investigator Collaborators Identification of Uterine-specific Estrogen Responsive Genes involved in the pathogenesis of uterine fibroids : Assoc Prof Yong Eu Leong : Prof Ong Choon Nam, Dr Hong Yan (Temasek Life Sciences), Dr Goh Boon Cher (NUH), Dr Ronan Kelly, Dr Steven Wise (Eli Lilly –NUS) Ongoing Projects Spatial and temporal patterns of hormone disrupters in Singapore's marine environment: Molecular Cellular and human effects Principal Investigator Collaborators : Assoc Prof Yong Eu Leong : Ms Elissa Lim Lis Sa, Dr Loy Chong Jin, Assoc Prof Chan Eng Soon, Dr Elizabeth Taylor, Assoc Prof Jeffery Obbard, Dr Simon Pehkonen Principal Investigator Collaborator Principal Investigator Collaborators Principal Investigator Collaborators : Dr Stephen Chew Siong Lin : Assoc Prof Joe Max Mongelli : Dr Su Lin Lin : Assoc Prof Arijit Biswas, Dr K Vanaja : Ms Chan Yah Shih : Dr Citra N Mattar, Dr Chong Yap Seng, Assoc Prof Mary Rauff : Dr Chong Yap Seng : Dr Samuel Chong, Assoc Prof Arijit Biswas, Dr Heng Chew Kiat, Dr Caroline Lee The effect of early nutrition on infant adiposity – a prospective cohort study Principal Investigator Collaborators : Assoc Prof Mary Rauff : Dr Steven Ng Chin Yuen, Dr Chong Yap Seng, Dr Citra N Mattar Dr Stephen Chew, Dr Mabel Deurenberg-Yap, Assoc Prof Paul R M Deurenberg The efficacy of low dose misoprostol vaginal pessaries for cervical priming – a randomized controlled trial Development of a First Trimester Screening Program for Chromosomal Anomalies in Asian Pregnancies Principal Investigator Collaborator : Dr Loy Chong Jin : Assoc Prof Yong Eu Leong The use of misoprostol versus intra-amniotic prostaglandins for mid-trimester termination of pregnancy – a randomised controlled trial The effects of antenatal breast preparation on the successful initiation and continuation of breast-feeding in Singaporean mothers Principal Investigator Collaborators : Assoc Prof Joe Max Mongelli : Dr A Loganath Genetic epidemiology of preeclampsia Development of second-trimester ultrasound dating formulae for Asian pregnancies Principal Investigator Collaborator Principal Investigator Collaborator Principal Investigator Collaborators : Assoc Prof Joe Max Mongelli : Prof Victor Goh : Dr Chua Tsei Meng : Dr Tan Thiam Chye, Dr Chong Yap Seng, Assoc Prof Mary Rauff, Assoc Prof Arijit Biswas Molecular Mechanisms of Synergistic Action, and Clinical Effectiveness of compounds from the herb, sx, on androgen and estrogen-receptor function Principal Investigator Collaborator : Assoc Prof Yong Eu Leong : Assoc Prof Paul Heng Wan Sia (Dept of Pharmacy) Poor response to ovarian stimulation with follicle-stimulating hormone: possible genetic causes Principal Investigator Collaborator : Assoc Prof Ashim C. Roy : Prof Ng Soon Chye Organizers of the Minisymposium on Herbs and Human Health: Ancient Cures, Modern Science 52 Faculty of Medicine Research Report 2003 Functional Significance of Fas-FasL Pathway of Apoptosis in Normal and Malignant Trophhoblasts Principal Investigator Collaborators : Assoc Prof Joe Max Mongelli : Dr A Loganath, Mr Gangaraju Raja Shekhar Clinical application of 22-1-1 monoclonal antibody: Immunohistochemical detection of 22-1-1 antigen in gynaecological cancer specimens and its value in clinical management of such patients Principal Investigator Collaborators Feeder Free Growth of ES Cells or use of Human Feeder Cells Principal Investigator Collaborator : Prof Ariff Bongso : Mr Robert Klupacs (ES Cell International) To study the association between fibrinolytic and inhibitor level in maternal and fetal circulation and pregnancy outcome in preeclampsia in Medan, Indonesia Principal Investigator Collaborators : Mr Stephen Koh : Dr Thamrin Tanjung (University of North Sumatra), Prof Djaffar Siddik (University of North Sumatra), Assoc Prof PC Wong Development of autologous corporal tissue for male erectile dysfunction Principal Investigator Collaborators : Assoc Prof P Ganesan Adaikan : Dr Dietmar W Hutmacher, Assoc Prof Hanry Yu Mechanism, pathophysiology and possible treatment options for female sexual disorders Principal Investigator Collaborators : Assoc Prof P Ganesan Adaikan : Prof Ng Soon Chye, Dr Srilatha Balasubramanian Molecular Abnormalities of Luteinizing Hormone And Their Clinical Effects Principal Investigator Collaborators Principal Investigator Collaborators Principal Investigator Collaborators : Dr Foong Lian Cheun : Dr Vanaja K, Dr Chong Yap Seng Diagnosis of fetal growth retardation using 3- dimensional assessment of fetal liver volumes Principal Investigator Collaborators : Dr M Choolani : Assoc Prof Arijit Biswas, Assoc Prof Ananda, Assoc Prof Wong Yee Chee Principal Investigator Collaborators : Prof Kuldip Singh : Dr Fong Yoke Fai, Assoc Prof AC Roy, Dr WX Liao, Mr Stephen Koh, Dr Lindoff Claes, Assoc Prof Bertil Casslen Estrogen receptor subtypes in the growth of uterine leiomyomas Principal Investigator Collaborators : Assoc Prof Yong Eu Leong : Dr Bhagavath, Mr Lim Sai Kiang, Prof Ng Soon Chye To evaluate the efficacy and safety of vaginal misoprostol in terminating early first trimester unwanted pregnancy Principal Investigator Collaborator : Prof Kuldip Singh : Dr Fong Yoke Fai Characterization And Cloning of Transcription Cofactors Regulating Androgen Receptor Function (renewal) Principal Investigator Collaborators Faculty of Medicine Research Report 2003 : Dr Fong Yoke Fa : Assoc Prof Kuldip Singh, Dr WX Liao, Assoc Prof AC Roy, Assoc Prof KO Lee Use of the Levonogestrel-releasing Intrauterine System in the Treatment of Menorrhagia: Influence on MRNA and Antigen Expression of Plasminogen Activator Inhibitors in the Endometrium : Assoc Prof Arijit Biswas : Assoc Prof A C Roy Studies of the changes in peripheral vascular reactivity and skin blood flow in normal and abnormal pregnancy : Assoc Prof A C Roy : Dr Liao W X, Prof Ng Soon Chye A novel regimen to achieve Amenorrhoea using the levonorgestrelreleasing intrauterine system for combined hormone replacement therapy in premenopausal women and its correlation with MRNA expression of IGF-1, IGF-II and IGFBP-1 in the endometrium Effect of Norplant subdermal contraceptive implants on lipid metabolism – A randomised controlled study Principal Investigator Collaborator : Assoc Prof Tham KF : Dr Kenzo Sonoda, Dr Khalil Razvi, Prof Lee YS, Assoc Prof Lim Fang Kan, Assoc Prof Yong Eu Leong 53 : Assoc Prof Yong Eu Leong : Assoc Prof Jenster Guido, Mr F John Ghadessy, Prof Ng Soon Chye Effect of the Levonorgestrel Releasing Intrauterine System (LNGIUS) on Lipid Metabolism - A Randomised Controlled Study Principal Investigator Collaborators : Prof Kuldip Singh : Dr Fong Yoke Fai, Assoc Prof AC Roy Efficacy and safety of Growth Hormone Augmentation Therapy in Men and Women with Low GH Principal Investigator Collaborators : Prof Victor Goh Hng Hang : Dr Oei Pau Ling, Prof Ng Soon Chye Principal Investigator Collaborators : Prof Victor Goh Hng Hang : Mr Chan Poh Chong, Assoc Prof A Biswas, Ms Tain CF Principal Investigator Collaborators Principal Investigator Collaborators Principal Investigator Collaborator : Prof Ariff Bongso : Dr Fong Chui Yee Differential Gene Expressions in the Placentae in Singleton and Multiple Pregnancies with or without Intrauterine Growth Retardation Principal Investigator Collaborators : Prof Ng Soon Chye : Dr Nguyen BX, Dr Liao Swee Lian, Prof Edmund Lee, Dr S Moochhala Comprehensive evaluation of the effects of oestrogen in male reproductive health and disease : Dr Leena A Gole : Dr Annapoorna V, Mdm Sun Xiaoli Propagation and application of human embryonic stem cells for tissue engineering Principal Investigator Collaborator : Prof Victor Goh Hng Hang : Prof Ng Soon Chye, Dr Oei Pau Ling Cellular and Nuclear Reprogramming : Prof RNV Prasad : Mr Stephen Koh, Dr Vanaja K, Prof Ng Soon Chye Detection of Low Grade Mosaicism in Turner's Syndrome Using Fluorescence in situ Hybridization (FISH) Principal Investigator Collaborators : Assoc Prof Wong Yee Chee : Dr A Loganath, Mr G Raja Shekhar The social, behavioural, cognitive, physiological, biochemical, nutritional and endocrine determinants of the process of ageing in men and women in Singapore: Identifying basis for supplements, augmentation therapies, and lifestyle modification so as to delay the process of ageing and reduce the risk of age-related illnesses Changes in the Coagulation and Fibrinolytic Levels during the Menstrual Cycle and in Patients with Menorrhagia Principal Investigator Collaborators : Assoc Prof A C Roy : Dr WX Liao, Assoc Prof Joe Max Mongelli, Prof Ng Soon Chye Interaction between placental cell adhesion molecules and angiogenic factors in normal pregnancy, pre-eclampsia and fetal growth restriction Principal Investigator Collaborators An Animal Model To Evaluate The Feasibility And To Optimise The Conditions For In Utero Cord Blood Stem Cell Transplantation Using An Inbred Guinea Pig Strain Principal Investigator Collaborators Mitochondrial DNA Mutations and Gestational Diabetes Mellitus : Assoc Prof P Ganesan Adaikan : Prof Ng Soon Chye To Examine Appropriate Methods of Genetic Analysis In Mature Human Spermatozoa And For Rapid Prenatal Diagnosis In Samples Obtained By Specific Non-Invasive And Invasive Methods Principal Investigator Collaborators : Assoc Prof Arijit Biswas : Dr Nuruddin B Mohd, Dr Chan Woon Kiong Automated Micro-manipulation for Nuclear Reprogramming : Assoc Prof Clement Chan : Mr S Charnocks Jones, Assoc Prof AC Roy, Prof Ng Soon Chye Principal Investigator Collaborator : Prof Ng Soon Chye : Assoc Prof Tan Kok Kiong (Department of Electrical Engineering) Potential Release of Slow Release Progestin Systems for Long Term Treatment of Pelvic Pain Secondary To Endometriosis Non invasive prenatal diagnosis using fetal erythroblasts derived from first trimester maternal blood Principal Investigator Collaborators Principal Investigator Collaborators : Dr Fong Yoke Fai : Prof Kuldip Singh, Dr FH Loh 54 : Dr Mahesh A Choolani : Assoc Prof Arijit Biswas, Assoc Prof AC Roy Faculty of Medicine Research Report 2003 Genetic variability of estrogen receptor genes and human reproductive disorders MA Choolani, KO' Donoghue, S Kumar D Talbert, I Roberts, PR Bennett and NM FIsk Principal Investigator Collaborators Characterisation of primitive fetal erythroblasts for first trimester non-invasive prenatal diagnosis using fetal cells derived from maternal blood. Molecular Human Reproduction, 9,4 (2003) : 227-35. : Assoc Prof AC Roy : Prof Ng Soon Chye, Dr Liao WX A comparative study on the effect of a calcium-fortified drink (Pink Dolphin-Calcium), and calcium carbonate tablets on bone density in a population of adult Singaporean women who have osteopenia either at the spine or hip Principal Investigator Collaborators : Prof Victor Goh Hng Hang : Dr Oei Pau Ling, Dr Wong MT International Publications GS Condous, S Arulkumaran, I Symonds, R Chapman, A Sinha and R Khalil The Tamponade Test in the Management of Massive Postpartum Hemorrhage. Obstetrics and Gynecology, 101 (2003): 767-772. Y Gong , HS Chin, LS Lim, JS P Obbard and EL Yong Clustering of Sex Hormone Disruptors in Singapore's Marine Environment. Environmental Health Perspectives, 11 (2003) : 1448- 1453. SS Ho, KO' Donoghue, M Choolani PG Adaikan and B Srilatha Oestrogen-mediated hormonal imbalance precipitates erectile dysfunction. International Journal of Impotence Research, 15 (2003) : 38-43. Fetal cells in maternal blood: state of the art for non-invasive prenatal diagnosis. Ann Acad Med Singapore 2003;32:597-603; quiz 604. CJ Loy, KS Sim and EL Yong A Adebiyi, PG Adaikan and RNV Prasad Tocolytic and toxic activity of papaya seed extract on isolated rat uterus. Life Sciences, 74, 5 (2003): 581-592. Filamin-A localizes to the nucleus to regulate androgen receptor and coactivator functions. Proceedings of the National Academy of Sciences of the United States of America, 100 N(2003): 45624567. A Biswas Management of previous cesarean section. Current Opinion in Obstetrics and Gynaecology, 15,2 (2003) : 123-129 . KO’ Donoghue, M Choolani, J Chan, de la Fuente J, S Kumar, C Campagnoli, PR Bennett, IAG Roberts, NM Fisk A Biswas, OAC Viegas and AC Roy Identification of fetal mesenchymal stem cells in maternal blood: implications for non-invasive prenatal diagnosis and feto-maternal microchimaerism. Mol Hum Reprod 2003; 9:497-502. Effect of Implanon and Norplant subdermal contraceptive implants on serum lipids- A randomised comparative study. Contraception, 68,3 (2003): 189-193. (Original article, Randomized Controlled Trial). N Chen, WY Yip, LG Tan, SL Liow and SC Ng Influence of Multiple Electrical Pulses on Parthenogenetic activation and Subsequent in-vitro development of mouse oocytes. Theriogenology, 59,1 (2003): 472. R Casella, , MR Maduro, A Mifsud, LI Lipshultz, EL Yong and DJ Lamb Androgen Receptors Gene Polyglutamine Length is Associated With Testicular Histology in Infertile Patients. Journal of Urology, 169 (2003) : 224-227. M Choolani, J Chew, AEJ Yeoh , AE Kg Modern Medicine: To Share, To Educate, To Investigate. Editorial. Ann Acad Med Singapore 2003;32 (Suppl):S1. Faculty of Medicine Research Report 2003 Probst-Hensch, NM Fisk, H Wang, VHH Goh, ALH Seow, HP Lee and MC Yu Determinants of circulating insulin-like growth factor I and insulin liked growth factor binding protein 3 concentrations in a cohort of Singapore men and women. Cancer Epidemiology Biomarkers & Prevention, 12 (2003): 739-746. G Rajashekhar, A Loganath, AC Roy and YC Wong Over-expression and Secretion of Angiogenin in Intrauterine growth retardation Placenta. Molecular Reproduction and Development, 64, (2003):397-404. S Ranggapa, F Chen, EH Lee, TA Bongso and EKW Sim Transformation of adult mesenchymal stem cells isolated from the fatty tissue into cardiomyocytes. Annals of Thoracic Surgery, 75 (2003): 775-779. 55 M Richards, S Tan, CY Fong, A Biswas, WK Chan and TA Bongso Research Fellows : Adjunct Researcher Research Assistants : : Tain Chee Fei Leena A Gole Alexis Heng Boon Chin Chen Naiqing Liow Swee Lian Terry Tong Joyce P I Lim Srilatha Balasubramanian Fong Chui Yee Kalamegam Gauthaman Huang Sunan Shen Ping Ponnusamy Sukumar Gideon Khoo Joyce Elizabeth Mathew Lau Lang Chu Rajeev Kumar Sukumaran Gangaraju Raja Shekhar Loy Chong Jin Sim Kim Siew Mark Richards Manickam Arunkumar Shawna Tan Ai Lin Tan Hwee Hwee Nee Mary Ng Boon Leong, Robin Comparative evaluation of various feeders for prolonged undifferentiated growth of human embryonic stem cells. 21, 5 (2003): 546-556. BA Roopa, A Loganath and K Singh The effect of a levonorgestrel-releasing intrauterine system on angiogenic growth factors in the endometrium. Human Reproduction, 18,9 (2003): 1809-1819. K Singh, YF Fong, and F Song A viable alternative to surgical vacuum aspiration: repeated doses of intravaginal misoprostol over 9 hours for medical termination of pregnancies up to eight weeks. British Journal of Obstetrics & Gynaecology, 110, 2 (2003); 175-180. KK Tan, S Huang, TH Lee and SY Lim A discrete-time iterative learning algorithm for linear time-varying systems. Engineering Applications of Artificial Intelligence, 16, 3 (2003): 185-190. EL Yong, CJ Loy and KS Sim Androgen receptor gene and male infertility. Human Reproduction Update, 9 (2003): 1-7. Contact Information Staff Profile Associate Professor & Head Professors : : Associate Professors : Assistant Professors : Senior Lecturers : Research Professors : Research Associate Professors : Senior Research Fellow : P C Wong Ng Soon Chye R N V Prasad Kuldip Singh Wong Yee Chee Mary Rauff A Ilancheran Jothi Kumar Yong Eu Leong Lim Fang Kan Joe Max Mongelli A Biswas Mahesh A Choolani Khalil Razvi Oei Pau Ling Chong Yap Seng Fong Yoke Fai Stephen Chew Siong Lin Foong Lian Cheun Ariff Bongso Victor Goh Hng Hang A C Roy P Ganesan Adaikan Loganath Annamalai 56 Contact Person : Telephone Facsimile Email Postal Address : : : : Homepage : Faculty of Medicine Research Report 2003 Assoc Prof P C Wong Head of Department 6772-4261 6779-4753 obgsec@nus.edu.sg Department of Obstetrics & Gynaecology Faculty of Medicine National University of Singapore Singapore 119260 http://www.obgyn.nus.edu.sg INTRODUCTION Research efforts in the Department of Ophthalmology remain closely integrated with the Singapore Eye Research Institute (SERI), an NUS affiliated national research institute, as all NUS Dept of Ophthalmology staff currently play leading roles in the direction of SERI, the national coordinating body for ophthalmic and vision research in Singapore. The Department’s research efforts have also been augmented with the opportunities for close interaction with affiliated SERI participants, which include eye departments from both medical clusters, the Defence Medical Research Institute (DMRI) and the Optometry Centre of the Singapore Polytechnic. This report focuses on specific research achievements by NUS Department of Ophthalmology staff in 2003. SUMMARY OF RESEARCH ACHIEVEMENTS IN 2003 In 2003, Department staff were successful in securing 9 new research grants and continued to support 25 ongoing research projects. In general, research in 2003 continued to focus on major eye diseases of specific relevance to our region, and included projects in myopia, ocular surface stem cells, retinal vascular disorders, cataract surgery, ocular infections and glaucoma. Department staff also published a total of 51 scientific papers in peer reviewed international journals with a mean impact factor of 2.601. RESEARCH HIGHLIGHTS IN 2003 1. First Combined Meeting between SERI and the Association for Research in Vision and Ophthalmology (ARVO) The Department actively participated in a major research meeting event in February 2003 - the First Combined Meeting between SERI, and the Association for Research in Vision and Ophthalmology (ARVO). ARVO is the leading forum for ophthalmic research in the world, and until now, has always been held only in the US. Deemed a great success, the SERI-ARVO meeting was the first such meeting to be held outside the USA, with more than 800 delegates from 36 countries who attended. Dept staff were integral in the planning and conduct of the meeting, and ran a series of oversubscribed teaching workshops in ophthalmic research methodologies. 2. Ocular Surface Stem Cell Transplantation Program Our ocular surface stem cell program has been successful in performing the first few cultured conjunctival stem cell transplants. In 2003, over 20 transplants have been performed with good success, and 3 out of 4 manuscripts have been accepted, or are in press, slated for publication in 2004. These include 2 papers on new serum-free culture methods in Investigative Ophthalmology and Visual Science (IOVS), and Current Eye Research, and 1 clinical paper on cultured conjunctival stem cell transplantation in Transplantation. Faculty of Medicine Research Report 2003 57 DEPARTMENT OF Ophthalmology 3. Completion of active phase of ATOM RCT We have completed 2 year follow-up of all 400 patients in this major RCT on the use of atropine eyedrops in retarding myopia progression in schoolchildren. Results are spectacular, with atropine shown to be highly effective in retarding myopia progression and eyeball elongation, and also having a good safety profile. This study was highlighted at the 2003 ARVO meeting in Florida, and a manuscript has been submitted to the New England Journal of Ophthalmology. ATOM is now in its final stage of 3rd year observational follow-up, and a new RCT is being planned to evaluate bilateral treatment in children and reduced therapeutic concentrations of atropine. DEPARTMENT OF Ophthalmology 4. New Pilot Clinical Trial on NeuroVision Technology NeuroVision Correction Technology (NVT) is a novel interactive computerbased visual enhancement program based on sound neural science and visual psychophysics principles which has shown to improve visual acuity and contrast sensitivity in adult amblyopia in a FDA RCT. We embarked on a pilot study in collaboration with DMRI to evaluate the use of NVT in improving vision in individuals with low myopia not exceeding –1.5D. Results are extremely encouraging, with 80% of individuals showing improvement in unaided visual acuity, and a major RCT is planned in collaboration with DMRI and the SAF. Further studies on amblyopia and pediatric myopia are planned. Funded by EDBI and Temasek Holdings, this Israeli start-up will form a local joint venture based in Singapore in early 2004 and initiate clinical treatment programs and clinical trials in collaboration with SERI, SNEC and DMRI. 5. Genomics and Proteomics Research in SERI While our genomics work in myopia and pterygium are progressing well, a major highlight of 2003 has been our success in developing a core proteomics platform at SERI labs through an NMRC program grant to purchase a proteomics mass spectrometer. A major focus for 2004 will be on the use of new proteomic technologies to pursue fundamental research on tears, ocular surface diseases and myopia. 58 Faculty of Medicine Research Report 2003 Project Description Grants Awarded in 2003 Genes characterizing pterygium: A common ocular surface disease Principal Investigator Co-Principal Investigator : Assoc Prof Donald Tan : Dr Leonard Ang, Dr Phan Thong Thang, Prof Roger W. Beuerman, Prof Robert Lavker (USA) Retinal Microvascular Abnomalities and Risk of Cardiovascular Disease Principal Investigator Collaborator : Dr Wong Tien Yin : Assoc Prof Ng Tze Pin, Assoc Prof Saw Seang Mei : Assoc Prof Donald Tan : Dr Bill Chan A proteomics facility for SGH Principal Investigator Co-Principal Investigators : Prof Roger W. Beuerman : Assoc Prof Donald Tan, Malcolm Paterson (Singhealth), Dr Xiao (SERI), Dr Eric Yap (DMRI), Lei Zhao (SERI) A Twelve-Month, Multicenter, Randomised, Double-Masked Study to Evaluate the Efficacy and Safety of Once-daily Instillation of Travoprost 0.004%/Timolol 0.5% and Latanoprost 0.005%/Timolol 0.5% Eye Drops in Subjects with Open-Angle Glaucoma or Ocular Hypertension Principal Investigator Co-Principal Investigator Collaborators : Dr Simon Thom (Imperial College London) : Dr Wong Tien Yin Retinal Vascular Markers And Cerebrovascular Morbidity In An Elderly Singapore Community: The Singapore Longitudinal Study of Aging (SLAS) Principal Investigator Collaborators Principal Investigator Collaborator : Prof Roger W. Beuerman : Assoc Prof Donald Tan Tissue engineering of conjunctival and corneal stem cells for clinical transplantation and immortalised ocular surface epithelial stem cell derivation Principal Investigator Collaborators A Singapore pilot study to evaluate the efficacy of a computerized system for the vision improvement of people with low myopia : Assoc Prof Paul Chew : Dr Steve Seah (SNEC) : Dr Lennard Thean (NUH), Dr Clement Tan (NUH), Dr Lim Boon Ang (SNEC), Dr Joseph Manuel (NUH), Dr Loon Seng Chee (NUH), Dr Yeong Suet Ming (NUH) Prospective Clinical Trial Assessing the Efficacies of 2 Accommodative Intraocular Lenses (IOLs) – (CrystalensTM and AkkomodativeR HumanOptics) – in Elective hacoemulsification Cataract Surgery Principal Investigator : Assoc Prof Chee Soon Phaik Investigation of the Role of the Myocilin Gene in Primary Angle Closure Glaucoma Principal Investigator Collaborators : Dr Aung Tin : Assoc Prof Paul Chew, Dr Seah SK Opening Ceremony of the First SERI-ARVO Meeting on Research in Vision and Opthalmology with Guest of Honor, Deputy Prime Minister Tony Tan Faculty of Medicine Research Report 2003 Tissue-engineered Cultured Conjunctival Sheet about to be used for ocular surface transplantation 59 To evaluate the efficacy of autologous 20% human serum drops in a variety of ocular surface disorders Ongoing Projects The prevalence and causes of visual impairment in Sumatra, Indonesia Principal Investigator Collaborators : Assoc Prof Saw Seang Mei : Dr Rahat Husain, Dr Gus Gazzard (UK), Dr Maria Andjani, Dr Daniel Widjaja, Mr Mohd. Farook, Prof David Koh, Assoc Prof Chia Sin Eng, Assoc Prof Wong Mee Lian, Dr Hong Ching Ye, Dr Jeanette Lee, Assoc Prof Donald Tan Principal Investigators Collaborator Multi-Ethnic Study of Atherosclerosis – Eye Study (MESA-Eye) Principal Investigators Principal Investigator : Prof Ronald Klein (UW) A s s e s s m e n t o f N o v e l M a r ke r s i n P t e r y g i u m a n d Normal Conjunctivae Principal Investigators Collaborators : Prof Ronald Klein (UW), Dr Wong Tien Yin Retinal microvascular changes and systemic vascular disease A prospective, randomized trial evaluating the operational efficacy of LASIK vs. PRK for the correction of low and moderate myopia in the Singapore Armed Forces Principal Investigators : Dr Ti Seng Ei (SNEC), Assoc Prof Donald Tan : Dr Tang Jia-Yng : Assoc Prof Donald Tan, LTC (Dr) Benjamin Seet (SAF) : Dr Chan Wing Kwong (SNEC), Dr Andrew Carkeet (SERI), Assoc Prof Saw Seang Mei, Dr Julian Theng (SNEC), Mr Mohd. Farook : Assoc Prof Donald Tan, Dr Wong Tien Yin Corneal Disease and Corneal Transplantation Database Principal Investigator Collaborator : Assoc Prof Donald Tan : Dr Prathiba Assessment of Novel Markers in Pterygium and Norm Conjunctivae Principal Investigator Collaborators : Assoc Prof Donald Tan : Prof Duncan Smith, Prof Roger Beuerman Stem cell research program (Outram Campus) Principal Investigators Collaborators Primate Model of Experimental Myopia: Phase I-Genes and Early Myopia in the Primate (Extension) : Assoc Prof Lee Seng Teik (SGH), Assoc Prof Donald Tan : Assoc Prof Tay Sun Kuie, Assoc Prof Wong Meng Cheong, Dr Shirley Moore, Dr Colin Song (SGH), Dr Xiao Zhi Cheng (SGH) Principal Investigator Co-Principal Investigator Collaborators A Prospective Comparison of Primary Angle Closure: Glaucoma Vs Primary Open Angle Glaucoma in Singapore Principal Investigator Collaborators : Assoc Prof Paul Chew : Dr Jovina See (Singhealth), Dr Gus Guzzard (UK), Dr Wong Hon Tym (TTSH), Assoc Prof Saw Seang Mei, Dr Aung Tin, Dr Robert Ritch (US), Dr David Garway-Heath (UK) Collaborator Transplantation of Autologous Cultured Conjunctival Cells for Pterygium Surgery Principal Investigator Collaborators : Assoc Prof Donald Tan : Prof Roger W. Beuerman, Dr Leonard Ang Atropine in the treatment of Myopia (ATOM) Study Principal Investigator Collaborators A Study to assess the affect of glaucoma on postural control with age matched normal subjects Principal Investigators : Prof Roger W. Beuerman : Assoc Prof Donald Tan : Ms A. Barathi (SERI), Prof Wallace Foulds (SERI) : Assoc Prof Donald Tan : Dr Vivian Balakrishnan, Dr Chua Wei Han (SNEC), Dr Louis Tong (SNEC), Dr Yvonne Ling (SNEC) Dr Quah Boon Long (SNEC), Assoc Prof Saw Seang Mei : Assoc Prof Paul Chew, Dr Valerie Peres (CNRS) : Dr Noor Shabana 60 Faculty of Medicine Research Report 2003 A 3rd-year Extension to a One Year Multi-Center, Double-Masked, Placebo-Controlled,Parallel, Safety and Efficacy Study of 2% Pirenzepine Ophthalmic Gel in Children with Myopia Clinical Comparison of the Sovereign Phacoemulsification System with Whitestar vs the Legacy System with Advantec Neosonic For Cataract Extraction Principal Investigator Collaborators Principal Investigator : Assoc Prof Donald Tan : Dr Vivian Balakrishnan, Dr Chua Wei Han (SNEC), Dr Louis Tong (SNEC), Dr Quah Boon Long (SNEC) Retinal Vascular Abnormalities As Predictors Of Cardiovascular Disease Principal Investigator Analysis of Ocular Surface and Human Tears in Normal and Diseased Eyes. Principal Investigator Co-Principal Investigator Collaborators : Prof Roger W. Beuerman : Assoc Prof Donald Tan : Dr Bill Lam, Zhou Lei (SERI), Xiong Xiang (SERI), Dr Julian Theng (SNEC), Dr Ti Seng Ei (SNEC), Dr Ian Yeo (SNEC) Detection of Early Glaucoma in Myopic Optic Nerve Heads of East Asians using the Heidelberg Retina Tomograph II Principal Investigator Collaborators : Assoc Prof Paul Chew : Dr Zheng Ce, Dr Wong Hon Tym (TTSH), Dr David Garway-Heath (UK) Systemic Autonomic Functions and Postural Stability in AngleClosure Glaucoma Principal Investigator Collaborators : Assoc Prof Paul Chew : Dr Valerie Peres (CNRS), Dr Noor Shabana, Dr Jovina See (Singhealth), Dr Clement Tan (NUH), Assoc Prof James Goh, Dr Ho Ching Lin (SNEC), Assoc Prof E. Wilder Smith Changes in the Refractive Components in Myopic & Emmetropic Eyes Principal Investigator Co-Principal Investigator Collaborators : Assoc Prof Saw Seang Mei : Assoc Prof Donald Tan : Dr Chua Wei Han (SNEC), Dr Louis Tong (SNEC), Dr Wu Hui Min (DMRI), Dr Hong Ching Ye, Dr Andrew Carkeet (SERI), Dr Rose Vaithinathan (SHS) Principal Investigator Collaborators : Dr Aung Tin : Prof Shomi Bhattacharya (London), Prof Koji Okada (Japan), Dr G Kumaramanickavel (India) Phase 2 study of Pirenzepine Ophthalmic Gel in controlling myopia progression Principal Investigator Collaborators : Assoc Prof Donald Tan : Dr Vivian Balakrishnan, Dr Chua Wei Han (SNEC), Dr Louis Tong (SNEC), Dr Quah Boon Long (SNEC) A Multi-Centre, Investigator-Marked, Randomised, Parallel, 6-Month Study (With treatment Extended to 12 months) of the Safety & Efficacy of Lumigan 0.03% Ophthalmic Solution Compared with Latanoprost 0.005% Ophthalmic Solution Administered Adjunctively with Timolol Ophthalmic Solution, In patients with Glaucoma or Ocular Hypertension Principal Investigator Collaborators : Assoc Prof Paul Chew : Dr Ho Ching Lin (SNEC), Dr Wong Hong Tym (TTSH) A Twelve-Week, Double-Blind, Parallel Group, Primary Therapy Study of the Safety and Efficacy of Travoprost 0.004% compared to Latanoprost 0.005% in patients with Chronic-Angle Closure Glaucoma Principal Investigator Collaborators : Prof Roger W. Beuerman : Assoc Prof Donald Tan : Ms A Bharati (SERI), Ms Sung Rhan (SERI), Ms Jamie Chew (SERI) Faculty of Medicine Research Report 2003 : Dr Wong Tien Yin Investigating the role of the OPA1 gene in normal tension glaucoma patients in Singaporeans. Aetiology of Myopia Principal Investigator Co-Principal Investigator Collaborators : Assoc Prof Chee Soon Phaik 61 : Assoc Prof Paul Chew : Dr Lennard Thean (NUH), Dr Lim Boon Ang (SNEC), Dr Hoh Sek Tien (SNEC), Dr Clement Tan (NUH), Dr Vernon Yong (TTSH), Dr Loon Seng Chee (NUH), Dr Alejandro Chung (NUH), Dr Lee Sao Bing (Singhealth) S. E. Ti and D. T. Tan International Publications Tectonic corneal lamellar grafting for severe scleral melting after pterygium surgery. Ophthalmology 2003; 110 (6):1126-1136. T. Aung, K. Okada, D. Poinoosawmy, L. Membrey, G. Brice, A. H. Child, S. S. Bhattacharya, O. J. Lehmann, D. F. Garway-Heath and R. A. Hitchings The phenotype of normal tension glaucoma patients with and without OPA1 polymorphisms. British Journal of Ophthalmology. 2003; 87 (2):149-152. S. L. Tow, T. Aung, F. T. Oen and S. K. Seah Combined phacoemulsification, intraocular lens implantation and trabeculectomy for chronic angle closure glaucoma. International Ophthalmology. 2003; 24 (5):283-289. S. Y. Lee, S. P. Chee, V. Balakrishnan, S. Farzavandi and D. T. Tan Surodex in paediatric cataract surgery. British Journal of Ophthalmology. 2003; 87 (11):1424-1426. Shen, W. Y., Lee, S. Y., Yeo, Y. S. I., Lai, C. M., Mathur, R., Tan, Donald T. H., Constable, I.J. and Rakoczy, P. E Predilection of the macular region to high incidence of choroidal neovascularization after intense laser photocoagulation in the monkey. Archives of Ophthalmology. 2003. J. T. Theng, T. S. Ei, L. Zhou, K. W. Lam, S. P. Chee and D. Tan Aung T, Ebenezer ND, Brice G, Child AH, Prescott Q, Lehmann OJ, Hitchings RA and Bhattacharya SS Prevalence of optineurin sequence variants in adult primary open angle glaucoma: Implications for diagnostic testing. 2003; 40: e101. S. K. Seah, G. Gazzard and T. Aung Intermediate-term outcome of Baerveldt glaucoma implants in Asian eyes. Ophthalmology 2003; 110 (5):888-894. A. Carkeet, S. Velaedan, Y. K. Tan, D. Y. Lee and D. T. Tan Higher order ocular aberrations after cycloplegic and noncycloplegic pupil dilation. Journal of Refractive Surgery. 2003;19 (3):316-322. C. M. Chan, J. T. Theng, L. Li and D. T. Tan Pharmacokinetic and toxicity study of an intraocular cyclosporine DDS in the anterior segment of rabbit eyes. Investigative Ophthalmology and Visual Science. 2003; 44 (11):4895-4899. N. Shabana, V. C. Peres, A. Carkeet and P. T. Chew Motion perception in glaucoma patients: a review. Survey of Ophthalmology. 2003; 48 (1):92-106. G. Gazzard, D. S. Friedman, J. G. Devereux, P. Chew and S. K. Seah A prospective ultrasound biomicroscopy evaluation of changes in anterior segment morphology after laser iridotomy in Asian eyes. Ophthalmology 2003; 110 (3):630-638. G. Gazzard, P. J. Foster, J. G. Devereux, F. Oen, P. Chew, P. T. Khaw and S. Seah Microsporidial keratoconjunctivitis in healthy individuals: a case series. Ophthalmology 2003; 110 (7):1420-1425. Intraocular pressure and visual field loss in primary angle closure and primary open angle glaucomas. British Journal of Ophthalmology. 2003; 87 (6):720-725. C. R. Hicks, G. J. Crawford, X. Lou, D. T. Tan, G. R. Snibson, G. Sutton, N. Downie, L. Werner, T. V. Chirila and I. J. Constable G. Gazzard, W. Morgan, J. Devereux, P. Foster, F. Oen, S. Seah, P. T. Khaw and P. Chew Corneal replacement using a synthetic hydrogel cornea, AlphaCor trade mark : device, preliminary outcomes and complications. Eye 2003; 17 (3):385-392. Optic disc hemorrhage in Asian glaucoma patients. Journal of Glaucoma. 2003; 12 (3):226-231. C. R. Hicks, G. J. Crawford, D. T. Tan, G. R. Snibson, G. L. Sutton, N. Downie, T. D. Gondhowiardjo, D. S. Lam, L. Werner, D. Apple and I. J. Constable S. M. Saw, G. Gazzard, D. S. Friedman, P. J. Foster, J. G. Devereux, Wong M L and S. Seah AlphaCor cases: comparative outcomes. Cornea 2003; 22 (7): 583-590. Awareness of glaucoma and health beliefs of patients suffering primary acute angle closure. British Journal of Ophthalmology 2003; 87 (4):446-449. K. Y. Lee, G. Gazzard and D. T. Tan S. M. Saw, G. Gazzard, K. G. Eong and D. Koh Ciliary body arteriovenous malformation? Eye 2003; 17 (5): 658-659. 62 Utility values and myopia in teenage school students. British Journal of Ophthalmology 2003; 87 (3):341-345. Faculty of Medicine Research Report 2003 S. M. Saw, G. Gazzard and D. S. Friedman L. Zhou, R. W. Beuerman, A. Barathi and D. Tan Interventions for angle-closure glaucoma: an evidence-based update. Ophthalmology 2003; 110 (10):1869-1878. Analysis of rabbit tear proteins by high-pressure liquid chromatography/electrospray ionization mass spectrometry. Rapid communications in mass spectrometry: RCM.2003; 17 (5):401412. S. M. Saw, R. Husain, G. M. Gazzard, D. Koh, D. Widjaja and D. T. Tan Causes of low vision and blindness in rural Indonesia. British Journal of Ophthalmology. 2003; 87 (9):1075-1078. Si Z, Palkama A, Gebhardt BM, Velasquez D; Galeano MJ and Beuerman RW T. Y. Wong and D. T. Tan Distribution of thrombospondin-4 in the bovine eye, Current Eye Research, 2003; 27(3): 165-173. The SERI-ARVO Meeting and future challenges of ophthalmic research in Asia. British Journal of Ophthalmology. 2003; 87 (4):379-380. T. Y. Wong, P. J. Foster, G. J. Johnson and S. K. Seah Refractive errors, axial ocular dimensions, and age-related cataracts: the Tanjong Pagar survey. Investigative Ophthalmology and Visual Science. 2003; 44 (4):1479-1485. Xiong X, Barathi A, Beuerman RW and Tan DT Assay of leucine aminopeptidase activity in vitro using largepore reversed phase chromatography with fluorescence detection, Journal of Chromatography B, 2003 ;796(1): 63-70. Avunduk AM, Beuerman RW, Warnel ED, Kaufman HE and Greer D T. Y. Wong, B. E. Klein, R. Klein, M. Knudtson and K. E. Lee Comparison of efficacy of topical and oral fluconazole treatment in experimental Aspergillus keratitis, Current Eye Research, 2003; 26(2): 113-117. Refractive errors, intraocular pressure, and glaucoma in a white population. Ophthalmology 2003; 110 (1):211-217. Awasthi D, Kutz SC, Beuerman RW, Nguyen D, Carey ME and Zeiller S T. Y. Wong, R. Klein, A. R. Sharrett, T. A. Manolio, L. D. Hubbard, E. K. Marino, L. Kuller, G. Burke, R. P. Tracy, J. F. Polak, J. S. Gottdiener and D. S. Siscovick Early gene expression in the rat cortex after experimental traumatic brain injury and hypotension, Neuroscience Letters, 2003, 10:345(1) : 29-32. The prevalence and risk factors of retinal microvascular abnormalities in older persons: The Cardiovascular Health Study. Ophthalmology 2003; 110 (4):658-666. Avunduk AM, Beuerman RW, Varnell ED and Kaufman HE T. Y. Wong, R. Klein, F. J. Nieto, B. E. Klein, A. R. Sharrett, S. M. Meuer, L. D. Hubbard, and J. M. Tielsch Wong TY, Mosley T, Klein R, Klein BEK, Sharrett AR, Couper DJ and Hubbard LD Retinal microvascular abnormalities and 10-year cardiovascular mortality: a population-based case-control study. Ophthalmology 2003; 110 (5):933-940. Retinal microvascular abnormalities and MRI signs of cerebral atrophy in healthy, middle-aged people. Neurology 2003; 61: 806-811. T. Y. Wong, R. Klein, B. E. Klein, S. M. Meuer and L. D. Hubbard Moss S, Klein R, Klein BEK and Wong TY Retinal vessel diameters and their associations with age and blood pressure. Investigative Ophthalmology and Visual Science. 2003; 44 (11):4644-4650. Retinal vascular changes and 20-year incidence of lower extremity amputations in a cohort with diabetes. Archives of Internal Medicine 2003; 163:2505-2510. P. J. Foster, D. Machin, T. Y. Wong, T. P. Ng, J. F. Kirwan, G. J. Johnson, P. T. Khaw and S. K. Seah Klein R, Klein BEK, Moss S, Wong TY, Hubbard LD and Cruickshanks KJ Determinants of intraocular pressure and its association with glaucomatous optic neuropathy in Chinese Singaporeans: the Tanjong Pagar Study. Investigative Ophthalmology and Visual Science. 2003; 44 (9):3885-3891. P. J. Foster, T. Y. Wong, D. Machin, G. J. Johnson and S. K. Seah Risk factors for nuclear, cortical and posterior subcapsular cataracts in the Chinese population of Singapore: the Tanjong Pagar Survey. British Journal of Ophthalmology. 2003; 87 (9):1112-1120. Faculty of Medicine Research Report 2003 Confocal microscopy of Aspergillus fumigatus keratitis, British Journal of Ophthalmology, 2003; 87(4): 409-410. Retinal vascular abnormalities in persons with Type 1 diabetes. The Wisconsin Epidemiological Study of Diabetic Retinopathy. Ophthalmology 2003; 110: 2118-2125. Knudtson MD, Lee KE, Hubbard LD, Wong TY, Klein R and Klein BEK A revised method for summarizing retinal vessel diameters. Current Eye Research 2003; 27:143-149. Wang JJ, Mitchell P, Leung H, Rochtchina E, Wong TY and Klein R Hypertensive retinal vessel wall signs in the general older population: the Blue Mountains Eye Study. Hypertension 2003; 42: 534-541. 63 Tan AG, Wang JJ, Rochtchina E, Klein R, Wong TY, Hubbard LD and Mitchell P Correlation between generalised and focal retinal arteriolar narrowing in an older population. Clinical and Experimental Ophthalmology 2003; 31:322-325. Staff Profile Associate Professor & Head Associate Professors : : Assistant Professors : Adjunct Professor Adjunct Associate Professor Clinical Professor : : : Wong TY Cerebral white matter lesions, retinopathy and stroke. Stroke 2003; 34: e212. Leung H, Wang JJ, Rochtchina E, Tan AG, Wong TY, Hubbard LD, Klein R and Mitchell P Computer-assisted retinal vessel measurement in an older population: Correlation between right and left eyes. Clinical and Experimental Ophthalmology 2003; 31:326-330. Contact Information Leung H, Wang JJ, Rochtchina E, Tan AG, Wong TY, Klein R, Hubbard LD and Mitchell P Relationships between age, blood pressure and retinal vessel diameters in an older population. Investigative Ophthalmology and Visual Sciences 2003; 44:2900-2904. Contact Person : Telephone : Wong TY, Klein R, Duncan BB, Nieto FJ, Klein BEK, Couper DJ, Hubbard LD and Sharrett AR Facsimile Email Postal Address : : : Racial difference in the prevalence of hypertensive retinopathy. Hypertension 2003;41: 1086-1091. Zhang MZ, Lim ASM and Wong TY A pilot study of lens extraction in the management of acute primary angle-closure glaucoma. American Journal of Ophthalmology 2003; 135: 534-536. L P K Ang, E Y Yap and H B Fam Ophthalmic Artery and Central Retinal Vein Occlusion in Primary Antiphospholipid Syndrome. Eye 2003. Yip LWL and Au Eong KG Recurrent subretinal haemorrhages and progressive lacquer cracks in a high myope. Acta Ophthalmologica Scandinavica 2003; 81(6): 646-657. Ng EW, Joo MJ, Au Eong KG, Green WR and O’Brien TP Ocular toxicity of intravitreal trovafloxacin in the pigmented rabbit. Current Eye Research 2003; 27(6):387-393. F M Chan, R Mathur, J J Ku, C Chen, S P Chan, V S Yong and K G Au Eong Short-term outcomes in eyes with posterior capsule rupture during cataract surgery. Journal of Cataract and Refractive Surgery. 2003; 29 (3):537-541. 64 Tan Tiang Hwee, Donald Chew Tec Kuan, Paul Chee Soon Phaik Saw Seang Mei (secondary appointment) Wong Tien Yin Ang Pek Kiang, Leonard Aung Tin Roger W. Beuerman Au Eong Kah Guan Lim Siew Ming, Arthur Faculty of Medicine Research Report 2003 Assoc Prof Donald Tan Head of Department 6772-5311 6772-5316 6777-7161 ophhead@nus.edu.sg Department of Ophthalmology National University of Singapore 5 Lower Kent Ridge Road Singapore 119074 INTRODUCTION The Department is constantly at the forefront of research and technological advances, so as to enable better understanding of the various musculoskeletal disorders, develop innovative solutions to clinical problems and implement new treatment and management modalities to improve medical care. The three main focus areas of research are in cell and molecular including tissue engineering, mammalian tissue and bioengineering, which have important cutting edge technologies for orthopaedic practice in the future. The Tissue Engineering Research Group has pioneered exciting breakthroughs in tissue engineering, including a human clinical trial for the repair of articular cartilage, regeneration of tendon and ligament in vivo and development of bioresorbable three dimensional scaffolds as carriers for cells and growth factors. The Cell and Molecular Research Group currently has a number of grants looking into the cellular and molecular mechanisms in bone physiology, which includes osteoclast development and function in relation to pathological bone resorption and osteoporosis; cellular and molecular mechanisms in the development of osteoarthritis; and bone healing by osteoblasts. The Muscle Group have developed a new motality that fully optimizes the use of muscles for tendon transfers, by engineering one muscle into two independent sub-units for transfer, and classified skeletal muscles by relating muscle shape and morphology to intramuscular innervation and muscle function. The Spine Research Group has developed a novel contoured spinal fixation device for lumbar interbody fusion in Asians and is studying the in vivo fusion performance of this biodegradable device in a non human primate model. Other research highlights include the biomechanical assessment of the skin to help in the assessment of flap shrinkage, the construction of a bioreactor to apply hydrostatic loading to regulate the metabolism of cultured chondrocytes, and study of the interaction between angiogenesis and osteosarcoma. Faculty of Medicine Research Report 2003 65 DEPARTMENT OF Orthopaedic Surgery Multisensory skin flap planning assistance using a virtual model of patient – specific biomechanics and blood supply Project Description Principal Investigator Collaborators : Assoc Prof Lim Beng Hai : Dr Etienne Burdet, Dr Timothy Poston (John Hopkins Singapore), Dr Alphonsus Chong (NUH), Dr Amitabha Lahiri (NUH), Dr Lim Kian Meng, Dr Chew Chee Meng, Dr Teo Chee Leong, Dr Chen Chao Yu Peter Grants Awarded in 2003 To compare the effects of passive range of motion of the knee on the Less Invasive Stabilization System – Distal Femur (LISSDF) plate system with the antegrade and the retrograde femoral nail in comminuted distal femoral fractures Principal Investigator Collaborator : Dr Hee Hwan Tak : Mr Ashvin Thambyah The effects of graft enhancement using autologous mesenchymal stem cells on osteointegration and the minimum graft length of hamstring tendon grafts in a porcine model of anterior cruciate ligament reconstruction Principal Investigator Collaborator Principal Investigator Co-Principal Investigators : Dr James Hui : Prof Lee Eng Hin Distal radioulnar joint reconstruction – 4 strand technique: Cadveric evaluation of load bearing ability and range of movement Principal Investigator Collaborators A study on fusion performance of the novel contoured spinal fixation device in conjunction with stem cells and bone morphogenetic proteins in lumbar interbody fusion : Assoc Prof Lim Beng Hai : Dr James Loh (CGH), Mr Ashvin Thambyah Tissue engineering approaches to the repair and regeneration of anterior cruciate ligament Principal Investigator Co-Principal Investigators The regeneration of articular cartilage using hyaluronic acid scaffolds – An animal study Principal Investigator Collaborators Principal Investigator Co-Principal Investigators : Assoc Prof Lim Beng Hai : Dr Alphonsus Chong (NUH), Assoc Prof James Goh, Dr James Hui, Prof Lee Eng Hin : Prof Lee Eng Hin : Assoc Prof James Goh, Dr James Hui, Dr Suresh Nathan (NUH), Dr Lim Sai Kiang (GIS), Assoc Prof Cao Xinmin (IMCB), Dr Li Jun (IMRE) Ongoing Projects Development of an intramedullary fixation device for metacarpal fractures Principal Investigator Collaborators : Assoc Prof James Goh : Prof Lee Eng Hin, Adj Prof Casey Chan, Assoc Prof Toh Siew Lok, Dr Graeme Guy (IMCB), Dr James Hui Tissue engineering in musculoskeletal tissues: Characterizing and defining the cellular and molecular mechanisms and their role in tissue integration : Prof Lee Eng Hin : Assoc Prof James Goh, Dr James Hui The influence of bone marrow derived mesenchymal stromal cells on rate of tendon healing in rabbits Principal Investigator Collaborators : Assoc Prof Wong Hee Kit : Assoc Prof James Goh, Dr Li Baojie (IMCB), Dr Dietmar Hutmacher : Assoc Prof Lim Beng Hai : Dr Alphonsus Chong (NUH), Assoc Prof Chou Siaw Meng (NTU) The effects of load carrying on the posture and gait of normal and scoliotic adolescents Principal Investigator Collaborators : Assoc Prof Wong Hee Kit : Assoc Prof James Goh, Ms Chan Pui Yee Effect of OP-1 in enhancing anterior lumbar interbody fusion using allografts Principal Investigator Collaborators 66 : Assoc Prof Aziz Nather : Dr Suresh Nathan (NUH), Dr David Wong (NUH) Faculty of Medicine Research Report 2003 Using tissue engineering to produce biologically active bone allografts for orthopaedic surgery and oral maxillo-facial surgery Principal Investigator Collaborators : Assoc Prof Aziz Nather : Assoc Prof Ho Kee Hai, Dr David Vikram (NUH), Ms Wang Li Hui Defence Science Technology Agency (DSTA) - Finite element modeling of the cervical vertebrae in high + GZ environment Principal Investigators Collaborators : Assoc Prof James Goh, Assoc Prof Victor Shim : Assoc Prof Toh Siew Lok, Dr Peter Lee (DMRI) Nerve regeneration and recovery following surgical decompression of sustained spinal nerve root compression: Role of neutropic agents in an experimental animal model Principal Investigator Collaborator : Assoc Prof Wong Hee Kit : Dr Yu Zhirong (NUH) The application of a bioresorbable 3D scaffold and mesencymal stem cells for tissue engineering an osteochondral transplant Principal Investigator Collaborators : Prof Lee Eng Hin : Assoc Prof James Goh, Prof Teoh Swee Hin, Dr Dietmar Hutmacher Use of synthetic porous biodegradable polymer sheets for ligament tissue engineering Principal Investigator Collaborators : Assoc Prof James Goh : Prof Lee Eng Hin, Prof Casey Chan, Prof Teoh Swee Hin Digital pre-training in microsurgery Principal Investigator Collaborator : Assoc Prof Lim Beng Hai : Dr Timothy Poston (John Hopkins Singapore) Gross morphology of osteochondral defect repair in rabbit’s knee at 6 months. Experimental side showed the defect was totally repaired by cartilage like tissue and integrated smoothly with surrounding host tissue Intra-articular injection of microsphere-encapsulated chondroitin sulphate for the treatment of osteoarthritis in a rabbit model International Society of Prosthetics and Orthotics (ISPO): Mechanical testing of prosthetic ankle foot devices Principal Investigator Collaborators Principal Investigator Collaborators : Dr James Hui : Prof Lee Eng Hin, Assoc Prof James Goh, Assoc Prof Lim Lee Yong, Dr Fong Chee Wai (IMCB) A study of mechanical factors related to osteoarthritis Principal Investigator Collaborators : Mr Ashvin Thambyah : Assoc Prof James Goh, Dr P Thiagarajan (Mount Elizabeth Medical Centre) Principal Investigator : Prof Robert Pho : Assoc Prof Kong Hwai Loong, Dr Ivor Lim, Dr Phan Toan Tong Use of cultured mesenchymal stem cells on repair of chondral defects in humans Principal Investigator Collaborators Principal Investigator Collaborator : Dr Wilson Wang : Prof Shamal Das De Factor of safety in ligaments: A study of the physiological strains of ligaments relative to its ultimate load : Mr Ashvin Thambyah : Prof K Satku : Prof Robert Pho Angiogenesis In Osteosarcoma Principal Investigator Collaborators Effects of biomaterial particle phagocytosis on the characteristics and function of osteoclasts Principal Investigator Collaborator Cosmetic Prosthesis Project : Assoc Prof James Goh : Dr Peter Lee (DMRI), Mr Steen Jensen (ISPO) : Prof Lee Eng Hin : Dr James Hui, Prof Shamal Das De Faculty of Medicine Research Report 2003 Design and development of a system to apply hydrostatic pressure stimuli to regulate cell metabolism in cultures used in musculoskeletal tissue Principal Investigator Collaborators : Prof K Satku : Mr Ashvin Thambyah, Mr Shabbir Moochalla (DSTA), Mr Achuth Narayan (DSTA) Effects of tumour necrosis factor on the development, formation, function and characteristics of osteoclasts Principal Investigator Collaborator 67 : Dr Wilson Wang : Prof Shamal Das De Characterization of mesenchymal stem cells isolated from animal and human tissues Principal Investigator Collaborators : Dr James Hui : Dr Suresh Nathan (NUH), Prof Lee Eng Hin, Assoc Prof James Goh, Prof Shamal Das De Chen F, Hui JH, Chan WK and Lee EH Cultured mesenchymal stem cell transfers in the treatment of partial growth arrest. J Pediatr Orthop 2003;23(4):425-9. A detailed investigation of the intra-muscular anatomy and physiology of skeletal muscles to maximize the role and potential of neuromuscular compartments for novel surgical procedures in limb reconstruction Principal Investigator Collaborators : Prof VP Kumar : Mr Barry Pereira, Mr Aymeric YT Lim (NUH) : Dr Wilson Wang : Dr L Krishna (NUH), Prof K Satku Pulmonary function and scoliosis in children with spinal muscular atrophy types II and III. J Paediatr Child Health. 2003 ;39(9): 673676. Reverse anterior tibial artery flap for reconstruction of foot donor site. Plast Reconstr Surg 2003;112(6):1604-12 Fujihara K, Xheng-Ning Huang, Ramakrishna S, Satkunanantham K and Hamada H Performance study of braided carbon/PEEK composite compression bone plates. Biomaterials 2003; 24:2661-7. Clinical and Biomechanical Evaluation of Hydrostatic Prosthetic Socket for Transtibial Amputees Using A Novel Quick Curing Material Principal Investigator Collaborators Chng SY, Wong YQ, Hui HP, Wong HK, Ong HT and Goh D Dong JS, Peng YP, Zhang YX, Lim BH and Pho RW Investigation of VEGF and VEGFR expression in osteoarthritic articular cartilage Principal Investigator Collaborators International Publications : Assoc Prof James Goh : Dr Peter Lee (DMRI), Dr William Chan (TTSH), Mr Ho Kam Wa (TTSH) Goh JCH, Ouyang HW, Teoh SH, Chan CK and Lee EH Tissue engineering approach to the repair and regeneration of tendons and ligaments. Tissue Eng 2003; 9(1):S31-44. Goh J, Lee PVS and Chong SY Static and dynamic pressure profile of the patellar tendon bearing (PTB) socket. Proc Inst Mech Eng (H) 2003; 217(2):127-6. Goh JCH, Lee PVS and Chong SY Stump/Socket pressure Cast Prosthetic Socket. Clin Biomech (Bristol, Avon) 2003; 18:238-43. Hee HT, Majd ME, Holt RT, Whitecloud TS and Pienkowski D Complications of multilevel cervical corpectomies and reconstruction with titanium cages and anterior plating. J Spinal Disord 2003; 16:1-8. Hee HT, Singh S, Chong SM and Myers L Protective effects of growth hormone on physeal distraction: an experimental study on rabbits. J Pediatrics Orthop B 2003; 12(5): 332-7. PDCAST socket for transtibal amputees Hee HT, Majid ME, Holt RT and Myers L Do autologous growth factors enhance transforaminal lumber interbody fusion? Eur Spine J 2003; 12(4):400-7. Hee HT, Whitecloud TS and Myers L The effect of previous low back surgery on general health statusresults from the National Spine Network initial visit survey. Eur Spine J 2003;12S:12 68 Faculty of Medicine Research Report 2003 Hee HT, Yu ZR, Wong D and Wong HK Satkunanantham K, Kumar VP, Chong SM and Thambyah A Early results of thoracoscopic instrumented fusion versus conventional posterior instrumented fusion in type-3 adolescent idiopathic scoliosis. Eur Spine J 2003;12S:27 The natural history of spontaneous osteonecrosis of the medial tibial plateau. J Bone Joint Surg Br 2003;85(7): 983-8 Hua J, Kumar VP, Tay SSW and Pereira BP Thambyah A, Hee HT, Das De S and Lee SM Microscopic changes at the neuromuscular junction in free muscle transfer. Clin Orthop 2003; 411:325-33. Gait adaptations of patients with longstanding hip fusion. J Orthop Surg. 2003;11(2):154-8. Hui JHP and Torode IP Changing glenoid version after open reduction of shoulders in children with obstetric brachial plexus palsy. J Pediatr Orthop 2003;23(1):109-13. Hui HP and Marchie A Staff Profile Professor & Head Professors : : Adjunct Professor Associate Professors : : Adjunct Associate Professor Assistant Professors : : Research Fellows : Research Assistants : Current management of cartilage defects. J Rheumatol 2003;6:17077 Lee EH and Hui HP Stem cell research and paediatric orthopaedics. J Pediatr Orthop 2003; 23(4):1-2. Lee EH The SARS war: Back to basic (Editorial). J Orthop Surg 2003;11 (1):1-2 Nathan S, Das De S, Thambyah A, Fen C, Goh J and Lee EH Cell based therapy in the repair of osteochondral defects: A novel use of adipose tissue. Tissue Eng 2003; 9(4):733-44. Nathan S, Aleem MA, Thiagarajan P and Das De S The incidence of proximal deep vein thrombosis following total knee arthroplasty in an Asian population: a Doppler ultrasound study. J Orthop Surg. 2003;11(2): 184-9. K Satkunanantham Robert Pho Lee Eng Hin V Prem Kumar Shamal DasDe Casey Chan Lim Beng Hai Wong Hee Kit Aziz Nather James Goh Khong Kok Sun James Hui Wilson Wang Hee Hwan Tak Dietmar Hutmacher (joint appointment) Ashvin Thambyah Barry Pereira Li Li Shao XinXin Li Lin Ge Zigang Kanakkapillai Mohamed Ismail Cheong Chee Hoong Ouyang HW, Goh JCH, Thambyah A, Teoh SH and Lee EH Knitted PLGA scaffold loaded with bone marrow stromal cells in repair and regeneration of rabbit Achilles tendon. Tissue Eng 2003; 9(3)431-9. Contact Information Contact Person : Continous local anaesthesia for post-operative mobilization of injured digits. J Hand Surg (Br) 2003;28(6):513-9 Telephone Facsimile Email : : : Ranggapa S, Chen Fen, Lee EH, Bongso TA and Sim EWK Contact Person : Telephone Facsimile Email Postal Address : : : : Homepage : Peng YP, Seow C, Low CK, Chew WY and Pho RW Transformation of adult mesenchymal stem cells isolated from the fatty tissue into cardiomyocytes. Ann Thorac Surg 2003; 75:775-9. Faculty of Medicine Research Report 2003 69 Prof V Prem Kumar Research Director 6772-4322 6778-0720 doskumar@nus.edu.sg Assoc Prof James Goh Research Director 6772-4423 6774-4082 dosgohj@nus.edu.sg Department of Orthopaedic Surgery National University of Singapore 5 Lower Kent Ridge Road Singapore 119074 http://www.med.nus.edu.sg/os/ INTRODUCTION Department of Otolaryngology is a department with 4 academic clinical staff, 2 full time research scientists, and 3 overseas visiting professors. We are complemented by 4 clinical staff from NUH to increase our patient based research. The strategy of our Department is to develop focused areas of research based on the questions which are encountered in relevant clinical practice. Our immediate focus in research is to build up a nasopharyngeal cancer program and a rhinologic immunology program. Over the next few years, we will expand our research activities to cover thyroid cancer and paediatric Otolaryngology. Recently, we have also expanded our research interests into clinical application of genetic predisposition and gene-environmental interaction on disease expression of the above diseases. DEPARTMENT OF Otolaryngology There has been increasing intra-departmental and international collaborations in our Department. The Department has a Director of Research who assists the Head in coordinating research activities and collaborations, and regular monthly departmental research meeting in order to share research initiatives, new findings and problems encountered. Our staff are PIs of several BMRC, NMRC, NHG, and university research projects and collaborators of several multidisciplinary research projects. One of our research projects received 2003 Sam Sanders Award for Basic Science from the American Academy of Otolaryngic Allergy (AAOA). 70 Faculty of Medicine Research Report 2003 The major research themes include: Nasopharyngeal Cancer Program We have a database in excess of 300 NPC patients collated over the past few years that form a good base for our research. There is collaboration with international institutions such as Johns Hopkins, Karolinksa which have resulted in publication of new knowledge in somatostatin receptors, COX-2, EGFR, Epigenetics, serum EBV quantifications, T-cell functions in NPC. Our clinical research involves phase 2 trials with chemoradiation protocols for late staged NPC and concomitant boost for early staged NPC. Both of the latter trials have been completed and presented at international meetings. We have an on going trial looking at the presence of serum EBV quantity in first degree family members with NPC(NMRC funded trial). Finally, the large multi-specialty practice involving Head and Neck Surgery, Radiation Oncology, Medical Oncology, Plastic Surgery, MaxilloFacial Surgery, Speech Therapy, Audiology and Diagnostic Imaging provide a large number of research projects that can be undertaken. Rhinology and Allergy Our research interests cover several clinical and basic research areas (community survey, development of dynamic and functional airway examinations, investigation of genetic and epigenetic mechanisms, immunohistochemical identification of inflammatory cells and T cell functions) in order to contribute to a deeper understanding into the immunological mecha nisms and development of therapeutic interventions for rhinitis, sinusitis and nasal polyposis. Cochlear physiology and inner ear medication This is to study the feasibility of virus-mediated transgene delivery into the inner ear through an intact round window membrane for treatment of inner ear disorders. Our study reflects a trend towards administration of medication through a topical application so that the drug bypasses the circulation to go straight to the inner ear for maximal therapeutic effects, which minimized the side effects resulting from the systemic application. Faculty of Medicine Research Report 2003 71 DEPARTMENT OF Otolaryngology The role of proinflammatory cells and cytokines in the pathogenesis of sinusitis and nasal polyps: with immunohistochemical characterization Project Description Principal Investigator Collaborators Grants Awarded in 2003 : Dr Wang De Yun : Prof Yeoh Kian Hian, Naresh Chachlani EBV DNA screening in familiar Nasopharyngeal Cancer Etiology and pathogenesis of otitis media in Singapore Principal Investigator Collaborators Principal Investigator Collaborators : Assoc Prof Tan Kim Siang, Luke : Loh Woei Shyang, Dr Thomas Loh, Dr Wenson Hsieh Ongoing Projects International Publications Genetic polymorphisms of candidate genes in chromosome 5q3133 in atopic and allergic rhinitis in Singapore population Principal Investigator Collaborators : Dr Wang De Yun : Dr Heng Chew Kiat, Mr Cheung Wai, Wilson Cochlear delivery of neurotrophic factors by gene transfer through an intact round window membrane for treatment of profound hearing loss Principal Investigator Collaborator : Assoc Prof Tan Kun Kiaang, Henry : Gamini Kumarasinghe (NUH), Dr Wang De Yun : Dr Ruan Run-sheng : Assoc Prof Ge Rowen (Department of Biological Science) ZQ Chen, ML Duan, RS Ruan, HS Lee, M Ulfendahl Pharmacokinetics of caroverine in inner ear perilymph and its effects on cochlear function after systemic and local adminstrations in guinea pigs, Audiol Neurootol 2003; 8: 49-56. ZQ Chen, ML Duan, RS Ruan, M Ulfendahl Acute treatment of noise trauma with local caroverine application in guinea pig, act. Otolaryngl (Stokhol), 2003; 123: 905-909. Wang DY, Goh DYT, Ho AKL, Chew FT, Yeoh KH, Lee BW The upper and lower airway responses to nasal challenge with house dust mite Blomia tropicalis. Allergy; 2003; 58: 78-82. Clinical manifestations of food allergy - a double blind, placebo controlled food challenge study Bunnag C, Dr Suprihati, Wang DY Principal Investigator Collaborator Patient preference and sensory perception of three intranasal glucocorticosteroids for allergic rhinitis. Clin Drug Invest 2003; 23: 39-44. : Prof Yeoh Kian Hian : Dr Wang De Yun Inner ear gene transfer for treatment of profound hearing loss Zhang PC, Pang YT, Loh KS, Wang DY Principal Investigator Collaborator Comparison of histology between recurrent tonsillitis and tonsillar hypertrophy. Clin Otolaryngol 2003; 28: 235-239. : Dr Ruan Run-sheng : Prof Yeoh Kian Hian Huang ZL, Ong KL, Goh SY, Liew HL, Yeoh KH, Wang DY Assessment of nasal cycle by Acoustic Rhinometry and Rhinomanometry. Otolaryngol Head Neck Surg 2003; 128: 510-516. Wang DY Managing allergic rhinitis in primary care clinics. Medical Tribune; 2003: 8. Yang L, Cheong N, Wang DY, Lee BW, Kuo IC, Huang CH, Chua KY Generation of monoclonal antibodies against Blo t 3 using DNA immunization with in vivo electroporation. Clin Exp Allergy 2003; 33: 663-668. Teaching in the OR 72 Faculty of Medicine Research Report 2003 Chan KO, Huang ZL, Wang DY Acoustic rhinometric assessment of nasal obstruction after treatment with fluticasone propionate in patients with perennial rhinitis. Auris Nasus Larynx 2003; 30: 379-83. Yeoh SM, Kuo IC, Wang DY, Liam CK, Sam CK, De Bruyne JA, Lee BW, Cheong N, Chua KY Sensitization profiles of Malaysian and Singaporean subjects to allergens from Dermatophagoides pteronyssinus and Blomia tropicalis. Int Arch Allergy Immunol. 2003; 132: 215-220. Chao S S, K S Loh, Luke Tan Modalities of surveillance in treated nasopharyngeal carcinoma. Otolaryngol Head Neck Surg. 2003; 129: 61-64. Staff Profile Associate Professor & Head Clinical Professor Visiting Professors : : : Assistant Professors : Senior Research Scientists : Tan Kim Siang, Luke Yeoh Kian Hian Peter Alberti James D Smith Alan G Kerr Thomas Loh Lynne Lim Chao Siew Shuen Ruan Run Sheng Wang De Yun Contact Information Contact Person : Telephone Facsimile Email Postal Address : : : : Contact Person : Telephone Email : : Dr Wang De Yun Senior Research Scientist 6772-5373 / 6772-5370 6775-3820 entwdy@nus.edu.sg Department of Otolaryngology National University of Singapore 5 Lower Kent Ridge Road Singapore 119074 Assoc Prof Tan Kim Siang Luke Head of Department 6772-5370 entsec@nus.edu.sg Faculty of Medicine Research Report 2003 73 INTRODUCTION Research in the Department of Paediatrics is focused on three major areas: Human Genetics, Immunology and Allergy, and Paediatric Oncology. The Human Genetics Research Group aims to establish and develop genetic research and diagnostic facilities in cardiovascular, endocrine (adrenal disease and obesity), neuromuscular, neurometabolic, haematology-oncology, hepatobiliary, renal and pulmonary genetics. The Immunology and Allergy Research Group has 2 major laboratories: The Pediatric Allergy Laboratory main areas of focus include the immunopathogenesis of asthma and allergic diseases; the prevention and treatment of asthma and allergic diseases, specifically the optimization of DNA vaccines for allergic diseases; the study of immunoregulatory proteins and their application in treatment of allergic diseases; and characterization of Blomia tropicalis mite allergens. The Pediatric Renal and Transplant Immunology Research Laboratory main areas of focus include the immunopathogenesis of nephrotic syndrome, in particular minimal change disease; the immunogenetics of familial nephritis; identification and characterization of the immunosuppressive effects of Chinese medication used to treat glomerulonephritis; and infections in solid organ transplantation. The Pediatric Oncology Research Group has as its main focus research in childhood acute lymphoblastic leukemia, with emphasis on the identification of profiles based on gene expression and proteomic analysis in pre- and post-therapy leukaemic blasts, that could be applied to improving diagnosis and prognostication of childhood acute lymphoblastic leukemia. DEPARTMENT OF Paediatrics RESEARCH HIGHLIGHTS Summary The Human Genetics Research Group has achieved the following: Discovered novel gene mutations associated with severe obesity in their study which included over 200 subjects in an effort to determine the obesity genes, phenotypes and complications profile of obese children in Singapore. The group has published the world’s first report of a novel melanocortin 3 receptor gene (MC3R) mutation associated with severe obesity (Journal of Clinical Endocrinology and Metabolism 2002; 87(3):1423-1426). Developed a comprehensive and multiplex method to detect mutations in the alpha-thalassemia and beta-thalassemia genes, a process which has wide clinical applications in our population where the mutations are highly prevalent. Important publications arising from this work include Clinical Chemistry 2003; 49:209-218; 49:800-803. 74 Faculty of Medicine Research Report 2003 Completed analysis of the dystrophin gene in 3 Asian populations, resulting in the development of mutation screening strategies for rapid molecular diagnosis. The results of this work has been published in Hum Genet 2002; 47:552-555. The multidisciplinary team working with the Biosensor Focused Interest Group (BFIG), developed 2 new micro-devices for automated DNA extraction and amplification on a microfluidic chip. The team pioneered state-of-the-art integration of microfluidic systems and developed novel components for fluidic mixing, blood cell sorting, blood cell lysis and binding of nucleic acids to a surface for DNA purification. This has wide commercial applications in molecular diagnostic laboratories. The two chips have been licensed to a company for marketing. C13 A C13 C18 C21 The Pediatric Immunology and Allergy Group has achieved the following: A. Pediatric Allergy Laboratory Development of a murine model for allergic dermatitis and asthma using mite allergens such as Der p1, Der p2 and Blot 5. One of the important characteristic features of this model is that sensitized animals developed both allergic and neurogenic lung and cutaneous inflammations, and has been accepted in a major journal (J Invest Dermatol 2003, Aug;121(2):289-93). The Allergy Group is one of the leading groups in the world working on Blomia tropicalis allergens, and has developed 6 patents from this work. The recombinant and native forms of at least 10 Blomia tropicalis allergens cloned by the group are being evaluated clinically. Industrial collaboration with GlaxoSmithKline Biologicals, s.a. Belgium, to work on the optimization of DNA vaccines for allergic diseases. Functional and structural studies of the Fip-fve protein, an immunomodulatory protein isolated from mushroom Flammulina velutipes, have shown that Fve is a potent adjuvant/immunomodulator that enhances the efficacy of immunotherapy for allergy related asthma and rhinitis. The novel aspects of this study will be patented by NUS and GIS in April 2004. B. Pediatric Renal and Transplant Immunology Laboratory The Group has identified a new molecule, PX-3.102, from a Chinese herb CMX-13, which is 1000-fold more potent in its in-vitro immunosuppressive activity (US provisional patents serial no.60/205,821 and 60/209,557). We currently have a licensing agreement with Pan Pacific Pharmaceuticals (New Jersey, NY) for further clinical development of PX-3.102, taking it into preclinical toxicity studies and phase I clinical trials. The Pediatric Oncology Group has achieved the following: Published their highly successful work in gene expression profiling in childhood acute lymphoblastic leukemia and population pharmacogenetic study in thiopurine methyltransferase enzymes. The group has received several local and international awards for the biodiscovery and development of DNA and proteomic diagnostic biochips in childhood acute lymphoblastic leukemia, including the prestigious Asian Innovation Award for 2003. Faculty of Medicine Research Report 2003 75 C16 C N C3 B C3 C10 C6 N C Figure- The molecular models of Blo t1 (A) and Der p1 (B) ,ite allergens. The conserved cysteine residues forming putative disulphate linkage as well as the active site cysteine are shown. The N- and C-terminals are indicated in both structures DEPARTMENT OF Paediatrics The incidence and consequence of the Gly71Arg polymorphism in the human UDP-glucuronosyl-transferase 1A1 (UDP1A1) in the term newborn population - A prospective study Project Description Principal Investigator Grants Awarded in 2003 : Dr Denise Goh Li Meng BioMEMS for cells characterization Environmental endotoxin exposure and its relationship with atopy and allergy symptoms in the first two years Principal Investigator Co-Principal Investigator Principal Investigator Collaborators Establishment and Validation of a preimplantation genetic diagnosis program in Singapore : Prof Hugo van Bever : Dr Dawn Lim, Adj Assoc Prof Lee Bee Wah, Assoc Prof Chua Kaw Yan, Ms Tan Teng Nging, Assoc Prof Ho Bow, Prof Karnen Garna Baratwidjaja (Medicine, University of Indonesia) Principal Investigator Co-Principal Investigator : Assoc Prof Poenar Daniel Piu (NTU) : Dr Heng Chew Kiat : Assoc Prof Samuel Chong : Dr Christine Yap (SGH) To establish values for cellular components in bronchoalveolar lavage fluid as well as intracellular and extracellular IL-1ß, IL-6, IL-10, tumour necrosis factor and gamma-interferon levels in lung fluid obtained by bronchoscopic and non-bronchoscopic methods from patients with pneumonia requiring bronchoscopy for clearance of secretions Principal Investigator Collaborators : Dr Nicola Ngiam Siew Pei : Assoc Prof Daniel Goh Yam Thiam, Dr Cindy Hia (NUH) The role of myocardial perfusion imaging in the detection of cardiac complications in Kawasaki disease Principal Investigator Collaborators : Assoc Prof Quek Swee Chye : Dr Ho Kheng Thye (NUH), Dr Terence Lim (NUH) Characterization and evaluation of the functional significance of the unpregulated DEC-1 gene in children with steriod-responsive nephrotic syndrome (SRNS) in relapse Principal Investigator Collaborators : Prof Yap Hui Kim : Dr Caroline Lee Guat Lay, Dr Gong Wei Kin, Mr Wilson Cheung Wai Molecular Basis of Nonsense-mediated mRNA decay (NMD) in beta thalassemia Principal Investigator Co-Principal Investigator Collaborator : Assoc Prof Samuel Chong : Dr Denise Goh Li Meng : Dr Caroline Lee Guat Lay Development of prophylactic and therapeutic vaccines for asthma and allergic diseases Prevalence of Allergic symptoms and Atopy in 2 diverse populations in SE Asia, and a comparative evaluation of the influence of environmental microbial factors Principal Investigator Collaborators Multiplex SNaPshotTM assay for common B-globin gene mutations. Shown are Genescan electropherograms from a normal individual (A) and a B-thalassemia patient compound heterozygous for two common mutations (B). The mutations sites screened by this panel are indicated on the X-axis. At each mutation site, the peak color specifies the allele/hucleotide, such that a mutant allele displays a characteristics peak color and off-shifted position relative to its normal allele peak : Prof Hugo van Bever : Dr Dawn Lim, Adj Assoc Prof Lee Bee Wah, Assoc Prof Chua Kaw Yan, Ms Tan Teng Nging, Assoc Prof Ho Bow, Assoc Prof Malkeet Singh, Prof Karnen Garna Baratwidjaja (Medicine, University of Indonesia) 76 Principal Investigator Collaborators : Assoc Prof Chua Kaw Yan : Adj Assoc Prof Lee Bee Wah, Dr Ranee Lim, Dr Lynette Shek, Assoc Prof Daniel Goh Yam Thiam, Dr Cheong Nge, Dr Denise Goh Li Meng, Dr Liew Lip Nyin, Dr Dawn Lim, Dr Thomas August (John Hopkins), Dr Sven Pettersson (Bengt Bjorksten – Karolinska Inst. Sweden), Assoc Prof Lee Yuan Kuan, Dr Lu Jinhua, Dr Wang De Yun Faculty of Medicine Research Report 2003 Characterisation of CYP11B1 mutations in 11-beta hydroxylase deficiency Principal Investigator : Assoc Prof Loke Kah Yin Biodiscovery and Development of DNA and proteomic diagnostic biochips in Childhood Acute Lymphoblastic Leukaemia – NUS Young Investigator’s Award Principal Investigator Hepatitis B Immune Status in children - a decade after mass vaccination Principal Investigator Collaborators : Assoc Prof Quak Seng Hock : Dr Lai Poh San, Dr Marion Aw, Dr Oh Meng Choo Immune responses to allergens in early childhood in relation to environmental factors Principal Investigator Collaborators Targeted gene repair of Duchenne Muscular Dystrophy Lymphoblastoid Cells using modified oligonucleotide Principal Investigator Collaborators : Dr ZA Dwi Pamono : Dr Lai Poh San, Dr Yee Woon Chee, Dr Feng Zhiwei (NUH) Ongoing Projects : Dr Allen Yeoh Eng Juh : Assoc Prof Chua Kaw Yan : Adj Assoc Prof Lee Bee Wah, Assoc Prof Lee Yuan Kun, Assoc Prof Ho Bow, Dr Shek Pei Chi, Lynette, Prof Bengt Bjorksten, Dr Scott M Montgomery Functional studies of mutant melanocortin receptors due to novel mutations of the melanocortin-3 receptor gene and melanocortin4 receptor gene causing obesity in humans Principal Investigator Collaborator : Dr Lee Yung Seng : Assoc Prof Loke Kah Yin Characterization of differentially expressed genes from CD8+ Th2 cells in children with idiopathic nephrotic syndrome in relapse and remission Retroviral-mediated strategies for in vivo expression reporting and isolation of novel zebrafish genes important in human development and disease Principal Investigator Co-Principal Investigators Principal Investigator : Prof Yap Hui Kim : Dr Cheung Wai, Wilson, Dr Caroline Lee Guat Lay Production of codon optimized recombinant dust mite allergens in Chinese hamster ovary cells for diagnostic and therapeutic purposes Principal Investigator Collaborators : Assoc Prof Chua Kaw Yan : Dr Ranee Lim Lay Hong, Dr Dawn Lim Li Chern, Dr Cheong Nge An evaluation of cystic fibrosis transmembrane conductace regulator (CFTR) gene mutations in Asians with chronic pulmonary disease Principal Investigator Co-Principal Investigator Collaborators : Assoc Prof Daniel Goh Yam Thiam : Assoc Prof Samuel Chong : Dr Nicola Ngiam Siew Pei, Assoc Prof Lim Tow Keang, Dr Azman Johan (AH), Dr Ong Kian Chung (TTSH), Dr Chng Seo Yi, Dr Cindy Hia Ping Ping, Dr Shek Pei Chi, Lynette Evaluation of the allergenicity of commonly consumed tropical fish and characterization of their novel allergens Principal Investigator Collaborators Characterization of the mechanism of albumin permeability in childhood minimal change nephrotic syndrome Principal Investigator Collaborator : Prof Yap Hui Kim : Assoc Prof Hanry Yu Single nucleotide polymorphisms (SNPS) in the MDR1 Gene in the three ethnic groups in Singapore – correlating polymorphisms/haplotypes with drug transport in search of functional SNPS Principal Investigator Co-Principal Investigator Collaborator : Assoc Prof Samuel Chong : Dr Caroline Lee Guat Lay : Prof Edmund Lee Production of recombinant chimeric mite allergens for specific immunotherapy Principal Investigator Collaborators : Dr Liew Lip Nyin : Assoc Prof Chua Kaw Yan, Dr Dawn Lim Li Chern Heterologous expression of dust mite allergens in lactobacillus casei Principal Investigator Collaborators : Dr Dawn Lim Li Chern : Dr Shek Pei Chi, Lynette, Ms Yi Fong Cheng, Adj Assoc Prof Lee Bee Wah Faculty of Medicine Research Report 2003 : Assoc Prof Samuel Chong 77 : Dr Ranee Lim Lay Hong : Assoc Prof Chua Kaw Yan, Assoc Prof Lee Yuan Kun Molecular characterization of mutant DAX-1 protein in X-linked adrenal hypoplasia congenita: A study of 3 novel mutations An arrayed-based primer extension assay for genotyping of SouthEast Asian thalassaemia mutations Principal Investigator Collaborator Principal Investigator Collaborator : Assoc Prof Loke Kah Yin : Dr John C Achermann Characterization of molecular events involved in the immunosuppressive action of PX-3.102 – a bioactive extract from a Chinese herb Principal Investigator Collaborators : Prof Yap Hui Kim : Dr Caroline Lee Guat Lay, Assoc Prof Ang Siau Gek, Assoc Prof Lai Yee Hing A nation-wide study in childhood acute lymphoblastic leukemia incorporating minimal residual disease based risk-stratification pharmacogenomic study of thiopurine methyltransferase deficiency and establishment of a cell bank Principal Investigator Collaborators Influence of probiotics on atopy, atopic disease and immunological responses – A randomised double-blind, placebo-controlled clinical trial Principal Investigator Collaborators : Dr Shek Pei-Chi, Lynette : Dr Marion Margaret Aw, Adj Assoc Prof Lee Bee Wah, Assoc Prof Abu Rauff, Dr Chong Yap Seng, Dr Saw Seang Mei, Dr Dawn Lim Li Chern, Assoc Prof Lee Yuan Kun, Assoc Prof Chua Kaw Yan, Dr Steven Ng Chin Yuen : Assoc Prof Quak Seng Hock : Dr Lai Poh San, Dr Marion Margaret Aw Refining the molecular diagnostics for routine screening in Duchenne and Becker muscular dystrophy through analysis of protein truncating mutations Principal Investigator Collaborators : Prof Low Poh Sim : Dr Lai Poh San, Dr Stacey Tay Principal Investigator Co-Principal Investigator Collaborators : Dr Lee Yung Seng : Assoc Prof Loke Kah Yin : Dr Saw Seang Mei, Dr Rose Vaithinathan (School Health Service, HBP) Characterizing normative values for calcaneal broadband ultrasound attenuation (BUA) in Singapore children and adolescents. Towards an accurate assessment of bone strength and fracture risk in chronic paediatric disease Principal Investigator Co-Principal Investigator Collaborators : Dr Lee Yung Seng : Assoc Prof Loke Kah Yin : Dr Saw Seang Mei, Assoc Prof James Goh Standardization of hyperventilation activation on EEG recording in children using non-invasive end-tidal carbon dioxide monitoring, and the evaluation of the threshold value for activating absence seizures in childhood absence epilepsy Development of an micro-DNA extractor Principal Investigator Co-Principal Investigator Collaborators : Dr Allen Yeoh Eng Juh : Assoc Prof Quah Thuan Chong, Dr Tan Poh Lin, Dr Tan Ah Moh (KKH), Dr Heng Chew Kiat, Dr Li Chi Kong (Chinese University of Hong Kong), Dr Dario Campana (St Jude Children’s Research Hospital, Memphis, US), Dr Pui Ching Hon (St Jude Children’s Research Hospital, Memphis, US) Characterisation of the genetics and complications of childhood obesity in Singapore Molecular analysis of JAG1 gene in biliary atresia, paediatric liver disease and Allagille syndrome Principal Investigator Collaborators : Dr Allen Yeoh Eng Juh : Assoc Prof Quah Thuan Chong : Dr Victor Samper (IME) : Dr Heng Chew Kiat : Assoc Prof Lim Tit Meng, Dr Chen Yu (IME), Dr Pavel Neuzil (IME), Dr Daniel Poenar (NTU) Principal Investigator Collaborators : Dr Ong Hian Tat (NUH) : Prof Low Poh Sim, Dr Stacey Tay Kiat Hong, Ms Karen Lim Joo Li Genetic polymorphisms of the IL-13 gene and IL-13 receptor complex genes in minimal change nephrotic syndrome of childhood Development of diagnostic and therapeutic tools for asthma and allergic disease Principal Investigator Collaborators Principal Investigator Collaborators : Prof Yap Hui Kim : Assoc Prof Samuel Chong, Mr Cheung Wei Wilson 78 : Adj Assoc Prof Lee Bee Wah : Dr Chua Kaw Yan, Assoc Prof Daniel Goh Yam Thiam, Dr Lynette Shek, Dr Chew Fook Tim, Dr Wang De Yun Faculty of Medicine Research Report 2003 Novel genetic variation screening in the newly cloned Acyl Coenzyme A: Cholesterol Acyltransferase 2 (ACAT2) gene in the 3 ethnic groups of Singapore and their impact on plasma lipid factors in relation to coronary artery disease Role of IL-13 as a modulator of monocyte production of a vascular permeability factors in idiopathic nephrotic syndrome of childhood Principal Investigator Collaborators Drug resistant cytomegalovirus mutant strains in organ transplant recipients : Dr Heng Chew Kiat : Dr Yang Hong Yuan, Dr Stephen Sturley (Institute of Human Nutrition, Columbia University, USA), Prof Richard Deckelbaum (Institute of Human Nutrition, Columbia University, USA), Assoc Prof Samuel Chong, Adj Prof Nilmani Saha, (Dept of Human Genetics University of Pittsburgh, USA), Prof Low Poh Sim DNA vaccine for allergic asthma – Study of mechanisms and optimization of gene transfer using cDNA encoding for a major mite allergen, Der p 1 Principal Investigator Collaborator : Dr Liew Lip Nyin : Assoc Prof Chua Kaw Yan IL-13-induced monocyte 12/15-lipoxgenase gene activation: A novel pathogenetic pathway for induction of minimal change nephrotic syndrome Principal Investigator Collaborators : Prof Yap Hui Kim : Assoc Prof Khoo Hoon Eng, Assoc Prof Ang Siau Gek, Assoc Prof Lee Hian Kee, Dr Gilbert SC Chiang (SGH) Principal Investigator Principal Investigator Collaborators : Prof Yap Hui Kim : Prof Yap Hui Kim : Dr Marion Aw, Dr Chan Kwai Peng, Dr Gamini Kumarasinghe Evaluation of the prevalence and factors associated with snoring and obstructive sleep apnea (OSA) in children in Singapore Principal Investigator Co-Principal Investigator : Assoc Prof Daniel Goh Yam Thiam : Dr Chng Seo Yi Relationship between Exhaled Nitric Oxide and Atopy in Asthmatic and Non-Asthmatic Asian Adults Principal Investigator Co-Principal Investigator : Assoc Prof Daniel Goh Yam Thiam : Dr Chng Seo Yi A study on Haplotype Structure and SNP frequencies in candidate genes in neurological disease and drug response Principal Investigator Co-Principal Investigators : Prof Simon Shorvon : Prof Nicholas Wood, Prof David Goldstein, Prof Kua Ee Heok, Dr Yee Woon Chee, Assoc Prof Lee Wei Ling, Dr Lai Poh San Simplified molecular diagnostic testing for Fragile X mental retardation syndrome Molecular characterization of adult onset multiple acyl coA dehydrogenase deficiency (MADD) Principal Investigator Principal Investigator Co-Principal Investigator : Assoc Prof Samuel Chong Study of the immunopathogenesis and neurogenic inflammation of atopic dermatitis Principal Investigator : Assoc Prof Chua Kaw Yan Molecular genetics in neuromuscular disorders Principal Investigator Co-Principal Investigators Characterising normative values for areal and volumetric bone mineral density and body composition in Singapore children and adolescents: towards an accurate assessment of therapeutic intervention in chronic paediatric disease and childhood obesity Principal Investigator Collaborators : Assoc Prof Loke Kah Yin : Dr Lee Yung Seng, Assoc Prof James Goh, Assoc Prof Saw Seang Mei Molecular analysis and genotype-phenotype correlations for the mitochondrial disorders in Singapore: A study of the pathogenesis, as the first step to early diagnosis and possible treatment intervention Principal Investigator Collaborators : Dr Yee Woon Chee : Dr Ho Meng Fatt, Dr Lai Poh San International Publications Aw M M, R M Taylor, A Verma, A Parke, A J Baker, D Hadzic, P Muiesan, M Rela, N D Heaton, G Mieli-Vergani and A Dhawan Basiliximab (Simulect) for the treatment of steroid resistance rejection in pediatric liver transplant recipients : a preliminary experience. Transplantation, 75, (6) (2003): 796-799. : Dr Stacey Tay Kiat Hong : Assoc Prof Loke Kah Yin, Dr Lee Yung Seng Faculty of Medicine Research Report 2003 : Dr Lai Poh San : Dr Yee Woon Chee 79 Chen S P, W Cheung, C K Heng, S C Jordan and H K Yap Kuo I, N Cheong, M Trakultivakorn, B W Lee and K Y Chua Childhood nephrotic syndrome in relapse is associated with downregulation of monocyte CD14 expression and lipopolysaccharideinduced tumour necrosis factor-%%alpha%% production. Clinical and Experimental Immunology, 134 (2003): 111-119. An extensive study of human IgE cross-reactivity of Blo t 5 and Der p 5. Journal of Allergy and Clinical Immunology, 111, (3) (2003): 603-609. Lee Y S, A M Elliott, K Y Loke and R S Lachman Cheong N, S C Soon, J D Ramos, I Kuo, K R Prasanna, B W Lee and K Y Chua Lack of human IgE cross-reactivity between mite allergens Blo t 1 and Der p 1. Allergy, 58 (2003): 912-920. A distinctive type of Metaphyseal Chondrodysplasia with characteristic thickening of the distal ulna and radius: possible Metaphyseal Chondrodysplasia-Rosenberg. American Journal of Medical Genetics, 119A (2003): 50-56. Cheong N, L Yang, B W Lee and K Y Chua Li H, W Cheung, H H CHOO, J H P CHAN, P S Lai and W S F Wong Cloning of a group 3 allergen from Blomia tropicalis mites. Allergy, 58, (4) (2003): 352-356. IL-10 synergistically enhances GM-CSF-induced CCR1 expression in myelomonocytic cells. Biochemical and Biophysical Research Communications, 304 (2003): 417-424. Cheung M, S Bansal, M M Aw, C R Buchanan, G Mieli-Vergani and A Dhawan Lim J, Lal S, Ng KC, Ng KS, Saha N, Heng CK Liver failure in a neonate with congenital adrenal hyporesponsiveness (Letter to editor). European Journal of Pediatrics, 162, (7-8) (2003): 558. Variation of the platelet glycoprotein IIIa PIA1/A2 allele requencies in the three ethnic groups of Singapore. Int J Cardiol 90:269-273. Chew J L and K Y Chua Miao Y, Chong CS, Chai Y, Chen Y, Zou Q; Yan T; Heng CK, Lim TM Collection of mouse urine for bioassays. Laboratory Animals, 32, (6) (2003): 1-3. Flip-chip packaged micro-plate for low cost thermal multiplexing. Int J Comp Engr Sci (in press). Chew J L, C B Wolfowicz, H Q Mao, K W Leong and K Y Chua Miao Y, Chen Y, Zou Q, Singh J, Yan T; Heng CK, Lim TM Chitosan nanoparticles containing plasmid DNA encoding house dust mite allergen, Der p 1 for oral vaccination in mice. Vaccine, 21 (2003): 2720-2729. Low cost micro-PCR array and micro-fluidic integration on single silicon chip. Int J Comp Engr Sci (in press). Duan W, I Kuo, S Selvarajan, K Y Chua, B H Bay and W S F Wong Mitry R R, R D Hughes, M M Aw, C Terry, G Mieli-Vergani, R Girlanda, P Muiesan, M Rela, N D Heaton and A Dhawan Antiinflammatory effects of genistein, a tyrosine kinase inhibitor, on a guinea pig model of asthma. American Journal of Respiratory & Critical Care Medicine, 167, (2) (2003): 185-192. Human hepatocyte isolation and relationship of cell viability to early graft function. Cell Transplantation, 12 (2003): 69-74. Ng B L, S H Quak, M M Aw, K T Goh and B Ho Gwee P C, K Tang, J M Z Chua, E J D Lee, S S Chong and C G L Lee Simultaneous genotyping of seven single nucleotide polymorphisms (SNPs) of the MDR1 gene by single-tube multiplex minisequencing. Clinical Chemistry, 49 (2003): 672-676. Immune responses to differentiated forms of Helicobacter pylori in children with epigastric pain. Clinical and Diagnostic Laboratory Immunology, 10, no. 5 (2003): 866-869. Ramirez S P B, T T Durai and S I HSU Huang C H, I Kuo, H Xu, Y S Lee and K Y Chua Mite allergen induces allergic dermatitis with concomitant neurogenic inflammation in mouse. Journal of Investigative Dermatology, 121 (2003): 289-293. Paradigms of public-private partnerships in end-stage renal disease care: The National Kidney Foundation Singapore. Kidney International, Supplement 83, 63 (2003): S101-S107. Ramirez S P B, S I HSU and W McClellan Kadam-Pai P, X Y Su, J J Miranda, A Soemantri, N Saha, C K Heng and P S Lai Ethnic variations of a retinoblastoma susceptibility gene polymorphism in 8 Asian populations. Journal of Genetics, 82, nos. 1 & 2 (2003): 33-37. Koh E G, K Lam, A Christoffels, M V Erdmann, S Brenner and V Byrappa Hox gene clusters in the Indonesian coelacanth, Latimeria menadoensis. Proceedings of the National Academy of Sciences of the United States of America, 100, (3) (2003): 1084-1088. 80 Taking a public health approach to the prevention of end-stage renal disease: The NKF Singapore Program. Kidney International, Supplement 83, 63 (2003): S61-S65. Ramos J D A, N Cheong, B W Lee and K Y Chua Peptide mapping of immunoglobulin E and immunoglobulin G immunodominant epitopes of an allergenic Blomia tropicalis paramyosin, Blo t 11. Clinical and Experimental Allergy, 33, (4) (2003): 511-517. Faculty of Medicine Research Report 2003 Ramos J D A, A S M Teo, K L Ou, L C Tsai, B W Lee, N Cheong and K Y Chua Comparative allergenicity studies of native and recombinant Blomia tropicalis paramyosin (Blo t 11). Allergy, 58 (2003): 412-419. Wang W, K Y Wee-Kham, G H Yeo, T C Quah and S S Chong Multiplex-minisequencing screen for common Southeast Asian and Indian beta-thalassemia mutations. Clinical Chemistry, 49, (2) (2003): 209-218. Seow S V, I Kuo, P Paaventhan, P R Kolatkar and K Y Chua Weale M E, C Depondt, S J Macdonald, A Smith, P S Lai, S D Shorvon, N W Wood and D B Goldstein Crystallization and Preliminary X-ray Crystallographic Studies on the Fungal Immunomodulatory Protein Fve from the Golden Needle Mushroom (Flammulina velutipes). Acta Crystallographica Section B - Structural Science, 159 (2003): 1487-1489. Selection and evaluation of haplotype tagging SNPs in the neuronal sodium channel gene SCN1A: implications for linkage disequilibrium gene mapping. American Journal of Human Genetics, 73 (2003): 551-565. Shek LP, Lee BW Wolfowicz C B, T HuangFu and K Y Chua Epidemiology and seasonality of respiratory tract virus infections in the tropics. Paediatr Respir Rev 2003; 4:105-11. Expression and immunogenicity of the major house dust mite allergen Der p 1 following DNA immunization. Vaccine, 21, (1112) (2003): 1195-1204. Shek LP, Khor ES, Tan GH, et al Comparative study of the reactogenicity of a three-component acellular pertussis vaccine and whole-cell pertussis vaccine administered to healthy Singaporean infants. Southeast Asian J Trop Med Public Health 2003; 34:863-8. Wong G Q, M DiPietro, K Roeder, C K Heng, C H Bunker and R F Hamman Tan H H, P S Low, Y S Tan, M C Tong, N Saha, H Yang and C K Heng Wong M N L, C R Kirk and S C Quek ABCA1 gene polymorphisms and their associations with Coronary Artery Disease and Plasma Lipids in males from 3 ethnic populations in Singapore. Human Genetics, 113, (2) (2003): 106117. Persistent truncus arteriosus with absence of right pulmonary artery. Heart, 89 (2003): 549. Tham CK, W.C Chin, Heng CK Predicting risk of coronary artery disease from DNA microarraybased genotyping using neural networks and other statistical analysis tools. J Bioinformatics Comp Biol 1:521-539. Van Bever H P, C P P Hia and S C Quek Childhood SARS in Singapore (Letter to editor). Archives of Diseases in Childhood, 88 (2003): 742. Cladistic analysis of human apolipoprotein A4 polymorphisms in relation to quantitative plasma lipid risk factors of coronary heart disease. Annals of Human Genetics, 67, (2) (2003): 107-124. Wong S C, E Oh, C H Ng and K P Lam Impaired germinal center formation and recall T-cell-dependent immune responses in mice lacking the costimulatory ligand B7H2. Blood, 102, (4) (2003): 1381-1388. Yang L, N Cheong, D Y Wang, B W Lee, I Kuo, C H Huang and K Y Chua Generation of monoclonal antibodies against Blo t 3 using DNA immunization with in vivo electroporation. Clinical and Experimental Yap W H, A Tay, S Brenner and V Byrappa Wang D Y, D Y T Goh, A K L Ho, F T Chew, K H Yeoh and B W Lee The upper and lower respiratory responses to nasal challenge with house-dust mite blomia tropicalis. Allergy, 58, (1) (2003): 78-82. Molecular cloning of the pufferfish (Takifugu rubripes) Mx gene and functional characterization of its promoter. Immunogenetics, 54, (10) (2003): 705-713. Yeoh S C, E Lee, B W Lee and D L M Goh Wang GQ, DiPetro M, Roeder K, Heng CK, Bunker CH, Hamman RF, Kamboh MI Cladistic analysis of human apolipoprotein A4 polymorphisms in relation to quantitative plasma lipid risk factors of coronary heart disease. Ann Hum Genet 67:107-124. Wang W, E S K Ma, A Y Y Chan, D H K Chui and S S Chong Multiplex-minisequencing screen for seven Southeast Asian nondeletional alpha-thalassemia mutations. Clinical Chemistry, 49 (2003): 800-803. Wang W, E S K Ma, A Y Y Chan, J Prior, W N Erber, L C Chan, D H K Chui and S S Chong Single-tube multiplex-PCR screen for anti-3.7 and anti-4.2 alphaglobin gene triplications. Clinical Chemistry, 49 (2003): 16791682. Faculty of Medicine Research Report 2003 Severe acute respiratory syndrome : Private hospital in Singapore took effective control measures (Letter to editor). British Medical Journal, 326, (7403) (2003): 1394. Yu W P, S Brenner and V Byrappa Duplication, degeneration and subfunctionalization of the nested synapsin-Timp genes in Fugu. Trends in Genetics, 19, (4) (2003): 180-183. Zhang T, T H Tan, J Fu, Y Ning, F R Jirik, S Brenner and V Byrappa The regulation of retina specific expression of rhodopsin gene in vertebrates. Gene, 313 (2003): 189-200. Zhang Q, Chieu HK, Low CP, Zhang SC, Heng CK, Yang HY Schizosaccharomyces pombe cells deficient in triacylglycerols synthesis undergo apoptosis upon entry into stationary phase. J Biol Chem 278 : 47145 – 47155. 81 Contact Information Staff Profile Associate Professor & Head Senior Professorial Fellow Professors : : : Associate Professors : Research Associate Professors : Adjunct Associate Professors : Assistant Professors : Senior Research Fellows : Research Fellows : Adjunct Senior Researcher Adjunct Senior Fellow Adjunct Research Fellow Research Assistants : : : : Quak Seng Hock Emeritus Prof Wong Hock Boon Yap Hui Kim Low Poh Sim Hugo PS van Bever Roy Joseph Quah Thuan Chong Loke Kah Yin Quek Swee Chye Daniel Goh Yam Thiam Chua Kaw Yan Samuel Chong Siong Chuan Byrappa Venkatesh Lee Bee Wah Lee Wei Ling William Yip Chin Ling Subramaniam Sivasankaran Yip Yeng Loong Marion Margaret Aw Hui Yong Denise Goh Li Meng Stacey Tay Kiat Hong Lynette Shek Pei Chi Lee Yung Seng Nicola Ngiam Siew Pei Allen Yeoh Eng Juh Dawn Lim Li Chern Zubair Amin Lai Poh San Heng Chew Kiat Cong Lin Huang Chiung Hui Kuo I-chun Lewin-Koh, Nicholas John I Liew Lip Nyin Lim Lay Hong, Ranee Narasimhan Kothandaraman Seow See Voon Tan Teng Nging Wei Chang Li Wang Gang Sylvia Ramirez Paz Baens Lam Kong Peng Yeo Chao Chuang, Adrian Cheah Siew Hong, Felicia Dolendo Mae Concepcion Lye Hui Jen Lesaicherre, Marie-laure Lim Chin Chin Liu Rubing Ng Puay Guan, Tony Sharmila Adhikari Tan Petrina Tan Teng Nging Xu Hui Yi Fong Cheng 82 Contact Person : Telephone Facsimile Email Postal Address : : : : Homepage : Faculty of Medicine Research Report 2003 Prof Yap Hui Kim Director of Research, Paediatrics 6772-4112 6779-7486 paeyaphk@nus.edu.sg Department of Paediatrics National University of Singapore Lower Kent Ridge Road Singapore 119074 www.med.nus.edu.sg/paed INTRODUCTION Research remains a major focus in the Department of Pathology with 12 research grants led by Principal Investigators from the Department. Our traditional strength has been the morphological and immunohistochemical analysis of tissue, specifically tumour tissue. Even as we continue to capitalize on this as well as the vast archival tissue at our disposal, we have also adopted a more multidisciplinary approach to our tumour research. This includes the use of molecular techniques (genomics, proteomics and molecular cytogenetics) as clinical molecular research tools to build up on the strong histopathological expertise of the Department. Translational Research at the Pathology Department - Tissue Microarrays, FISH, TCR Gene Rearrangements and Gene Sequencing Areas of research include the study of genetic mutations/alterations in different tumours, construction of tissue arrays/molecular information arrays for different tumours, characterization of various malignancies applying traditional immunohistochemical techniques, assessing lymphoid malignancies using FISH probes, the analysis of DNA ploidy and apoptosis in malignant tissues and the study of emergent pathogens such as the SARS coronavirus and dengue virus. We have also developed strong links with research institutes such as ORI and GIS. Collaborative projects include studies on angiogenesis in tumours, evaluation of various forms of therapy for chronic hepatitis B infection, pathogenesis of gastric mucosal injury in Helicobacter infections and gastric cancer and the development of chitin-based materials for tissue engineering. Faculty of Medicine Research Report 2003 83 DEPARTMENT OF Pathology To develop and evaluate diagnostic tests in patients classified as observation, suspect, and probable SARS cases Project Description Principal Investigators Grants Awarded in 2003 Collaborator Lymphoma cell interactions with endothelial adhesion molecules under flow Principal Investigator Collaborator : Dr Lim Yaw Chyn : Assoc Prof Chong Siew Meng Principal Investigator Collaborator Quantitative real-time polymerase chain reaction (Q-PCR): molecular biology diagnostic technique applied to diagnosis, prognostication and therapeutic management of infective posttransplantation complications and of haematological malignancies Principal Investigator Collaborators Start-up grant funded by OLS - as above : Dr Lim Yaw Chyn : Assoc Prof Chong Siew Meng Prospective and retrospective, high-throughput construction of annotated frozen and paraffin tissue microarrays (TMA) linked to assessment of histomorphology, immunophenotype and RNA in-situ hybridization: Towards the establishment of molecular information arrays Principal Investigator Collaborators : Assoc Prof Evelyn S C Koay : Dr Patrick H C Tan (SGH), Dr P Kuperan (TTSH), Dr Manuel Salto-Tellez, Dr Liu Te Chih (NUH), Assoc Prof Chong Siew Meng, Assoc Prof S K Sethi, Dr B H Tan (SGH), Dr Gamini Kumarasinghe (NUH), Dr Pary Sivaraman (NUH) Ongoing Projects : Dr Manuel Salto-Tellez : Assoc Prof Evelyn S C Koay, Dr Robert Hewitt, Dr Thomas Putti, Assoc Prof Chong Siew Meng, Dr Richie Soong Establishing the prevalence and prognostic significance of the internal tandem duplication and the activating D835 point mutations of the Flt3 gene in adult acute myeloid leukaemia Preliminary studies to test the clinical relevance of the metastasissuppressing gene in the progression of colorectal and breast cancer towards a metastatic phenotype Principal Investigator Collaborators : Assoc Prof Evelyn S C Koay, Dr Timothy Barkham (TTSH), Dr Lee May Ann (DMERI) : Dr Masasumi Inoue (IMCB) : Dr Robert E Hewitt : Dr Emma Shtivelman, Prof Yoshiaki Ito, Dr Kosei Ito Principal Investigator Collaborators : Assoc Prof Evelyn S C Koay : Ms Chang Ti Ling, Dr Manuel Salto-Tellez, Assoc Prof Kueh Yan Koon Intrinsic variability in the detection of micrometastases in lymph nodes for re-staging of colorectal cancer: effect of individual markers and tissue samples Principal Investigator Collaborators A representative case of cutaneous squamous cell carcinoma displaying positive intranuclear staining for human telomerase reverse transcriptase activity (insitu hybridization technique) 84 : Dr Manuel Salto-Tellez : Assoc Prof Evelyn S C Koay, Ms Kong Say Li, Assoc Prof Adrian Leong Preparing digested peptides for mass spectrometric analysis in the search for breast tumour biomarkers, a collaborative research study between the Department of Pathology and the Molecular Diagnosis Centre at NUH, using genomics, proteomics, immunohistochemical and cytogenetics techniques Faculty of Medicine Research Report 2003 Physiopathological animal models of disease Chang T L, M Salto-Tellez, T P Thamboo, Y S Lee and E S C Koay Principal Investigator Collaborator T-cell receptor (TCR) gene rearrangements in cutaneous T-cell lymphoproliferative disorders: validation and clinical application. In Proceedings of the 15th Lorne Cancer Conference, pp. A1102. Paper presented at 15th Lorne Cancer Conference, 13-16 February 2003, Erskine on the Beach, Lorne, Victoria, Australia). : Dr Manuel Salto-Tellez : Dr Lim Sai-Kiang Detection of bone marrow-derived chimeric cells in the pancreas of transplanted patients Principal Investigator Collaborator : Dr Manuel Salto-Tellez : Dr Bernat Soria Microsatellite instability (MSI) and mismatch repair genes in cases of hereditary nonpolyposis colorectal cancer syndrome (HNPCC) and sporadic colorectal cancers: relation to prognosis and methodology for screening of affected families Principal Investigator Collaborators : Assoc Prof Evelyn S C Koay : Dr Manuel Salto-Tellez, Dr Lee Soo Chin (NUH), Assoc Prof Adrian Leong Detection of gene rearrangements involving the Alk-1 locus at chromosome 2p23 using a fluorescence in-situ hybridization probe on archival tissue: a study of 101 cases characterized by histomorphology and immunohisto-chemistry Principal Investigator Co-Principal Investigators Collaborator : Dr Tan Hwan Cheong, Leonard : Assoc Prof Evelyn S C Koay, Assoc Prof Chong Siew Meng : Dr Tan Soo Yong (TTSH) HHV6 in transplant recipients Principal Investigators Collaborators : Dr Tan Ban Hock (SGH), Assoc Prof Evelyn S C Koay : Dr H N Leong (SGH), Dr L Y Hsu (SGH), Dr A Kurup (SGH), Dr P H C Tan (SGH), Dr H C Toh (SGH), Dr V Anantharaman (SGH) Chiu L L, E S C Koay, N H Chan and M Salto-Tellez Sequence confirmation of the EWS-WT1 fusion gene transcript in the peritoneal effusion of a patient with desmoplastic small round cell tumor. Diagnostic Cytopathology 29 (2003): 341-343. Chiu L L, G H Leow, V T K Chow, P A Tambyah and E S C Koay The use of an in-house RT-PCR assay for dengue virus detection in the differential diagnosis for patients with possible SARS. Paper presented at the 6th Asia Pacific Congress of Medical Virology, 7–10 December 2003, Kuala Lumpur, Malaysia. Huan P T, L L Chiu, S Tow, M Salto-Tellez and E S C Koay Detection of known and novel mutations in patients with suspected Leber’s hereditary optic neuropathy in Singapore. Paper presented at the XIX International Congress of Genetics 2003, 6–11July 2003, Melbourne, Australia. Huang C H, I Kuo, H Xu, Y S Lee and K Y Chua Mite allergen induces, allergic dermatitis with concomitant neurogenic inflammation in mouse. Journal of Investigative Dermatology, 121 (2003): 289-293. Khoo M J, L L Chiu, K Razvi and E S C Koay Validation of a DNA chip assay for identification and speciation of human papillomavirus (HPV) in endocervical swabs. Journal of Molecular Diagnostics, 5 (2003): 272. (Paper presented at the Association for Molecular Pathology Annual Meeting 2003, 20–23 November 2003, Orlando, Florida, USA). Koay E S C International Publications Chang T L, M Salto-Tellez, Y K Kueh and E S C Koay Simplified capillary electrophoresis detection of the Flt-3 internal tandem duplications and D835 point mutations in acute myeloid leukaemia. Haematologica, 88 (2003): ELT04. Chang T L, M Salto-Tellez, T P Thamboo, Y S Lee and E S C Koay Diagnostic validation of a capillary electrophoresis analysis of TCRg gene rearrangements: Prediction of malignant transformation of cutaneous T-cell lymphoproliferative disorders. Clinical Chemistry, 49 (2003): 513-515. Faculty of Medicine Research Report 2003 Molecular aspects of laboratory diagnosis of cancer. Paper presented at the Royal College of Pathologists of Australia and Australasian Association of Clinical Biochemists Chemical Pathology course, 10-14 February 2003, University of Tasmania, Launceston, Tasmania, Australia. Koay, E S C and W Y Chong Molecular detection of aspergillus infection in human tissues by real-time polymerase chain reaction. In Nucleic acid markers for bacterial and viral infections in intensive care and immunocompromised patients: Current status and future trends, compiled by International Federation of Clinical Chemistry and Laboratory Medicine and Roche Diagnostics GmbH, pp. 16. (Paper presented at 9th Bergmeyer Conference Master Discussion on Improving the Clinical Value of Laboratory Data, 24-26 March 2003, Eibsee Hotel, Grainau, Garmisch-Partenkriche, Germany). 85 Koay E S C, K Singh, L L Chiu, C K Chow and K Gamini Singh K, L Ajit, L Chiu, C Chow, V Chow and E S C Koay Laboratory diagnosis of dengue: Appropriate use of PCR (Abstract). In Proceedings of the 19th Annual Clinical Virology Symposium, compiled by University of South Florida College of Medicine, pp. T52. (Paper presented at 19th Annual Clinical Virology Symposium and Annual Meeting of the Pan American Society for Clinical Virology, 27-30 April 2003, Hilton Clearwater Beach Resort, Clearwater, Florida, United States). Appropriate use of RT-PCR for the laboratory diagnosis of dengue fever. Paper presented at the 6th Asia Pacific Congress of Medical Virology, 7–10 December 2003, Kuala Lumpur, Malaysia. Lau G, T P Thamboo and S H Lai Tan K B, T P Thamboo and G C Raju Fatal pulmonary thromboembolism in Singapore: Has anything changed? Medicine Science and the Law, 43, 4 (2003): 307-314. Xanthomatous Pseudotumour. An unusual post-chemotherapy phenomenon in breast cancer. Archives of Pathology & Laboratory Medicine, 127, 6 (2003): 739-741. (Case Report). Mangold K A, R U Manson, R B Thomson Jr., E S C Koay, L A Peterson and K L Kaul Validation of real-time PCR and melt curve analysis for the detection and speciation of Plasmodium (Abstract). Journal of Molecular Diagnostics, 5, 4 (2003): 277. (Paper presented at the Association for Molecular Pathology Annual Meeting 2003, 20–23 November 2003, Orlando, Florida, USA). Tan K B, M K Premasiri and C P Thomas Uterine malignant mixed mullerian tumour with pilomatrixomalike areas (Letter to editor). Pathology, 35, 6 (2003): 532-533. Tan L H C and S M Chong Grade II nodular sclerosing Hodgkin lymphoma commonly mimics non-Hodgkin lymphomas with anaplastic morphology: a pathologic review of 42 cases reclassified by current WHO criteria (Abstract). Modern Pathology, 16, 1 (2003): 255A. Tan L H C, Elaine Do, S M Chong and E S C Koay Nealda Leila, M Y, A Wee, L Y Lim and E Khor Flexible chitin films as potential wound dressing materials: wound model studies. Journal of Biomedical Materials Research, 66A (2003): 224-232. Ng W L and E S C Koay Human papillomavirus (HPV) genotyping by PCR-direct sequencing approach. Paper presented at the 6th Asia Pacific Congress of Medical Virology, 7th – 10th December 2003, Kuala Lumpur, Malaysia. Detection of ALK gene rearrangements in formalin-fixed, paraffinembedded tissue using a fluorescence in-situ hybridization (FISH) probe: A search for optimum conditions of tissue archiving and preparation for FISH (Editorial section). Molecular Diagnosis, 7, 1 (2003): 27-33. Thamboo T P and Y S Lee Pseudocystic leiomyoma of the ovary: A case report and literature review. Pathology, 35, 6 (2003): 534-535. Thamboo T P, L C H Liew and G C Raju Söller R, E S C Koay, S Looareesuwan and F Zedler Rapid and sensitive detection of malaria by real-time PCR (Abstract). In Abstracts, Kongress fü Infektianskrankheitan und Tropenmedize (International Congress for Tropical Medicine), ABS-5911-00349. Berlin, February 2003. (Paper presented at International Congress for Tropical Medicine, February 2003, International Conference Centre, Berlin, Germany). Salto-Tellez M, S L Kong, A P K Leong and E S C Koay Intrinsic variability in the detection of micrometastases in lymph nodes for re-staging of colorectal cancer: Effect of individual markers and tissue sample. European Journal of Cancer, 39, 9 (2003): 1234-1241. Salto-Tellez M, D H Zhang, L L Chiu, S C Wang, B Nilsson and E S C Koay Immunocytochemistry versus molecular fingerprinting of metastases. Cytopathology 14 (2003): 186-190. Satkunanantham K, V Prem Kumar, S M Chong and A Thambyah The Natural History of Spontaneous Osteonecrosis of the Medical Tibial Plateau. Journal of Bone and Joint Surgery. British Volume, 7, B (2003): 983-988. 86 Adrenal leiomyosarcoma: A case report and literature review. Pathology, 35, 1 (2003): 47-49. Thamboo T P, K B Tan, S Wang and M Salto-Tellez Extra-hepatic embolisation of Y-90 micropheres from Selective Internal Radiation Therapy (SIRT) of the liver. (Letter to Editor). Pathology, 35, 4 (2003): 351-353. Tan J M M, E P C Tock and V T K Chow The novel human MOST-1 (c8orf17) gene exhibits tissue specific expression, maps to chromosome 8q24.2, and is overexpressed/amplified in high grade cancers of the breast and prostate. Molecular Pathology, 56, 2 (2003): 109-115. Thomson R, M Lewandowski, K Mangold, K Kaul, E S C Koay and K Singh Rapid detection of Staphylococcus aureus (SA) and methicillinresistant SA (MRSA) directly from nasal surveillance swabs using real-time PCR (R-PCR) (Abstract). In Proceedings of the 40th Annual Meeting of the Infectious Diseases Society of American, in Clinical Infectious Diseases (ISSN: 1058-4838). (Paper presented at 4th Annual Meeting of the Infectious Diseases Society of America, 24-27 October 2002, Chicago, Michigan, United States). Faculty of Medicine Research Report 2003 Wee A and B S M Nilsson Highly well differentiated hepatocellular carcinoma and benign hepatocellular lesions: Can they be distinguished on fine needle aspiration biopsy? Acta Cytologica, 47 (2003): 16-26. Wee A, T P Thamboo and A Thomas Not all alpha-fetoprotein-producing carcinomas in the liver are of primary hepatic origin: A fine needle aspiration biopsy experience. Acta Cytologica, 47 (2003): 799-808. Zhang D-H, M Salto-Tellez, T C Putti, E Do and E S C Koay Reliability of tissue microarrays in detecting protein expression and gene amplification in breast cancer. Modern Pathology, 16, (2003): 79-85. Zhang D-H, M Salto-Tellez, E Do, T C Putti and E S C Koay Evaluation of HER-2/neu oncogene status in breast tumors on tissue microarrays. Human Pathology, 34 (2003): 362-368. Contact Information Contact Person : Telephone Email : : Contact Person : Telephone Email : : Contact Person : Telephone Email : : Facsimile Postal Address : : Homepage : Zhang D-H, M Salto-Tellez, L L Chiu, L Shen and E S C Koay Tissue microarray study for classification of breast tumors. Life Sciences, 73 (2003): 3189-3199. Zhang D, M Salto-Tellez, L Shen and E S C Koay A model of molecular classification of breast tumours based on tissue microarrays: molecular profiling and monothetic cluster analysis (Abstract). In Proceedings of the 15th Lorne Cancer Conference. Australia, 1 February 2003. (Paper presented at 15th Lorne Cancer Conference, Melbourne, Australia). Staff Profile Associate Professor and Head Professors : : Professorial Fellows : Associate Professors : Assistant Professors : Adjunct Assistant Professor Senior Tutors : : Research Fellow : Chong Siew Meng Lee Yoke Sun Aileen Wee Aw Tar Choon Alexander R Chang K Shanmugaratnam Edward Tock Peng Chong G C Raju Teh Ming Evelyn S C Koay Sunil K Sethi Thomas C Putti M Salto-Tellez Tan Hwan Cheong, Leonard Robert E Hewitt Lim Yaw Chyn Richie Soong Tan Kong Bing Thomas P Thamboo Nga Min En Zhang Daohai Faculty of Medicine Research Report 2003 87 Assoc Prof Chong Siew Meng Head of Department 6772-4300 / 6772-4313 pathead@nus.edu.sg Assoc Prof Teh Ming Department Research Director 6772-4306 pattehm@nus.edu.sg Assoc Prof E S C Koay Department Research Director 6772-4564 patkoaye@nus.edu.sg 6778-0671 Department of Pathology National University of Singapore 5 Lower Kent Ridge Road Singapore 119074 http://www.med.nus.edu.sg /path/pathwebF.htm INTRODUCTION The Department is involved in both basic and clinical pharmacology research. The Department has organised its research efforts into four main areas including Pharmacogenetics/Pharmacokinetics, Neuropharmacology, Immunopharmacology, and Cardiovascular Pharmacology. Members of the Department work together in these general areas and collaborate with staff in other Departments and elsewhere in Singapore. The longer term strategic aim is to increase the quality of research output and maintain a successful research focus which is competitive with other academic institutions worldwide. Specific research topics of interest in the current year include, relationship of genetics to variability in cardiovascular responses and in susceptibility to disease, optimization of anti-cancer (and other) drug therapy from a pharmacokinetics perspective, gene and protein expression and involvement of local hormones and transmitters in animal models of inflammation (asthma, pancreatitis, septic shock), receptor gene expression and pharmacological modulation of experimental models of stroke, role of pharmacological mediators in anxiety/depression/fear and the response to psychoactive drugs, evaluation of novel derivatives of des-aspartate angiotensin I in cardiovascular and other disease states and, DEPARTMENT OF Pharmacology therapeutic uses of agents derived from natural products with particular reference to potential anti-cancer agents and hypolipidaemics. 88 Faculty of Medicine Research Report 2003 Project Description Pathogenesis of acute pancreatitis and associated lung injury: The role of neurogenic inflammation PrincipaI Investigator Collaborators Grants Awarded in 2003 Studies on three Chinese medicinal herbs for their effects on appetite and immune parameters in normal doxorubicin-treated P388 Tumour-bearing mice Principal Investigator : Assoc Prof Benny Tan C-C Chemokines in Inflammation : Acute pancreatitis versus sepsis Principal Investigator : Dr Madhav Bhatia Breakdown of Acetylcholine-induced potentiation of NMDA Receptor Function As A Putative Mechanism of Glutamatergic Hypofunction And Cognitive Decline Principal Investigator Collaborators Drugs for “A Beautiful Mind” – A Start-Up Project On The Neuropsychopharmacology of the amelioration of cognitive dysfunction by atypical antipsychotics Principal Investigator Collaborators : Assoc Prof Tan Chay Hoon : Dr Gavin S. Dawe, Assoc Prof Peter Wong, Assoc Prof Ong Wei Yee, Ms Psyche Lee (Biological Sciences) Vascular pharmacology of a novel gasomediator, hydrogen sulphide; Implications of a new treatment of septic shock/ multiple organ dysfunction Principal Investigator Collaborators : Prof Philip Moore : Dr Madhav Bhatia, Assoc Prof Shabbir Moocchala (DMERI) Molecular Mechanisms of the CCK2 Receptor in the regulation of fear and anxiety: Generation & Analysis of an inducible CCK gene deletion in mouse Principal Investigator Co-Principal Investigator : Dr Madhav Bhatia : Prof A. Basbaum (University of California), Prof C. Pothoulakis (Harvard Medical School), Prof J. Neoptolemos (University of Liverpool) : Assoc Prof Peter Wong : Dr MKP Lai (SGH), Dr CBT Ang (NNI), Dr CP Chen (SGH/NNI), Dr Gavin S. Dawe, Dr CM Low Angiotensins And Cardiac Infarction Principal Investigator : Assoc Prof Sim Meng Kwoon + cAMP Regulation of Herg K Channel Expression and Function Principal Investigator : Dr Bian Jinsong Cardioprotective effects of active ingredients isolated from Salviae Miltiorrhizae after myocardial infarction Principal Investigator Collaborators : Dr Zhu Yi Zhun : Assoc Prof Benny Tan, Dr Matt Whiteman Evaluation of Angino (purified Salvia Miltiorrhizae) in hearts Principal Investigator : Dr Zhu Yi Zhun : Assoc Prof Peter Wong : Dr Zhu Yi Zhun Preparation of tissue subcellular fractions for receptor binding studies Faculty of Medicine Research Report 2003 89 Phenotyping of metabolising enzymes Proteomics of Airway Inflammation: Identification of pathogenetic molecules and therapeutic targets Ongoing Projects Pharmacokinetic Study of Thalidomide In Patients with unresectable Hepatocellular Carcinoma Principal Investigator Collaborators : Assoc Prof Lee How Sung : Dr Goh Boon Cher (NUH), Assoc Prof Kong Hwai Loong, Leow Chon Ker, Robert Lim (NUH) Endothelin receptors expressed in neurons and microglia in the acute phase of brain ischaemia Principal Investigator Collaborators : Assoc Prof Peter Wong : Dr Zhu Yi Zhun, Dr YK Ng, Assoc Prof Fred Wong Development and Pharmacokinetics of topotecan antiresistance stealth liposomes Principal Investigator Collaborators Principal Investigator Co-Principal Investigators : Assoc Prof Lee How Sung : Goh Boon Cher (NUH), Lu Wan Liang (Peking University), Alex Chang (JHS) Neurogenic Inflammation in pancreatitis and associated lung injury: novel possibilities for therapeutic interventions Principal Investigator Collaborators Principal Investigator Collaborators : Assoc Prof Sim Meng Kwoon Design, application and validation of a novel computational model for population pharmacokinetic and pharmacodynamic modeling Principal Investigator Collaborators : Dr Madhav Bhatia : Prof Allan Basbaum (University of California), Prof John Neoptolemos (University of Liverpool) Stem Cell Transplants for adult brain repair: Do human umbilical cord blood stem cells show functional transdifferentiation in animal model of ischaemic stroke Cardiovascular Actions of Angiotensin IV Principal Investigator : Assoc Prof Fred Wong : Assoc Prof Chang Chan Fong, Assoc Prof Tan Tin Wee, Dr Cynthia Chee Bin Eng (TTSH), Dr John A Abisheganaden (TTSH), Dr Chng Hiok Hee (TTSH), Dr Leong Khai Pang (TTSH) : Dr Gavin S. Dawe : Assoc Prof Wong Meng Cheong (SGH), Assoc Prof Shabbir Moocchala (DMERI), Dr Lu Jia (DMERI), Dr Ang Beng Ti, Christopher (TTSH), Assoc Prof Xiao Zhi-Cheng (SGH), Assoc Prof Peter Wong Investigating the neurotoxicity of cysteine in ischaemia using in vivo animal models of stroke and in vitro primary cell cultures : Prof Edmund Lee : Dr Zeng Yingzhi (IHPC), Dr Wu Ping (IHPC), Assoc Prof Shabbir Moocchala (DMERI), Dr Balram Chowbay (NCC) Principal Investigator Collaborators : Assoc Prof Peter Wong : Dr CP Chen (SGH/NNI), Prof B Halliwell Pharmacogenetic characterization of drug response-population genetic studies, identification & characterization of novel genetic variants in drug transporter Principal Investigator Collaborators : Prof Edmund Lee : Dr Caroline Lee, Dr Gavin S. Dawe Do Noradrenergic mechanisms play a role in the cognitive effects of atypical antipsychotics? - A neuropsychological and functional magnetic resonance (FMRI) study Principal Investigator Collaborators : Dr Gavin S. Dawe : Assoc Prof Rathi Mahendran, Dr Lyn Chua (IMH), Dr Sitoh Yi Yian (TTSH), Assoc Prof Tan Chay Hoon, Dr Verma Swapna (IMH) High performance liquid chromatography studies for monitoring pharmacokinetic profile of novel drugs 90 Faculty of Medicine Research Report 2003 Chemokines as potential therapeutic targets for acute respiratory distress syndrome Principal Investigator Collaborator : Dr Madhav Bhatia : Dr Lu Jia (DMERI) Understanding regulation of fear in primates Principal Investigator Collaborator : Dr Zhu Yi Zhun : Assoc Prof Shabbir Moocchala (DMERI) Effects of Urotensin-II on heart Principal Investigator : Dr Zhu Yi Zhun Anti-anxiety effects of Salviae Miltiorrhizae in the treatment of anxiety/fear Principal Investigator Collaborator : Dr Zhu Yi Zhun : Assoc Prof Benny Tan Signal transduction antisense therapy for asthma in an animal model Principal Investigator Collaborators : Assoc Prof Fred Wong : Assoc Prof Chang Chan Fong, Prof Edmund Lee Studies in animal models of Type II diabetes to derive bioactive compounds from Morinda officinalis and Pereskia grandifolia with effects on blood glucose, lipids and antioxidant levels Principal Investigator : Assoc Prof Benny Tan International Publications Moore P.K., Bhatia, M., Moochhala, S Hydrogen sulphide: from the smell of the past to the gas of the future. Trends in Pharmacological Sciences, 24, 609-611. Bhatia M, Proudfoot AE, Wells TN, Christmas S, Neoptolemos JP, Slavin J Treatment with Met-RANTES reduces lung injury in caeruleininduced pancreatitis. Br J Surg., 90, 698-704. Bhatia M, Slavin J, Cao Y, Basbaum AI, Neoptolemos JP Preprotachykinin-A gene deletion protects mice against acute pancreatitis and associated lung injury. Am J Physiol Gastrointest Liver Physiol., 284, G836. Bhatia M Tachykinins as therapeutic targets in inflammation. Curr Med Chem, Anti-Infl Anti-Allergy Drugs. 2: 19-27. Tsang SW, Lai MK, Francis PT, Wong PT, Spence I, Esiri MM, Keene J, Hope T, Chen CP Serotonin transporters are preserved in the neocortex of anxious Alzheimer's disease patients. Neuroreport, 14, 1300. Wang H, Zhu YZ, Farook JM, Moochhala S, Teo AL, Lee LK, Wong PT Understanding the regulation of genes involved in impulse control and suicidal behaviour Genetic variations in CCK2 receptor in PVG hooded and SpragueDawley rats and its mRNA expression on cat exposure. Behav Neurosci., 117, 390. Principal Investigator Collaborators Ang ET, Wong PT, Moochhala S, Ng YK : Assoc Prof Tan Chay Hoon : Dr Tan Ene Choo (DMRI-DSTA), Dr Patrick Tan (NCC-DMRI) Stem cells and the Neurobiology of Ageing: A New Frontier for Molecular Pharmacology and Experimental Therapeutics in AntiAgeing Medicine. Principal Investigator Collaborators : Dr Gavin S. Dawe : Dr Sohail Ahmed (IMCB), Dr Gerald Udolph (IMCB), Assoc Prof Xiao Zhi-Cheng (SGH) Neuroprotection associated with running: is it a result of increased endogenous neurotrophic factors? Neuroscience, 118, 345. Wang H, Zhu YZ, Wong PT, Farook JM, Teo AL, Lee LK, Moochhala S cDNA microarray analysis of gene expression in anxious PVG and SD rats after cat-freezing test. Exp Brain Res., 149, 421. Zhu YC, Zhu YZ, Lu N, Wang MJ, Wang YX, Yao T Role of angiotensin AT1 and AT2 receptors in cardiac hypertrophy and cardiac remodelling. Clin Exp Pharmacol Physiol., 30, 918. Ji X, Tan BK, Zhu YC, Linz W, Zhu YZ Comparison of cardioprotective effects using ramipril and DanShen for the treatment of acute myocardial infarction in rats. Life Sci., 73, 1426. Nirthanan S, Charpantier E, Gopalakrishnakone P, Gwee MC, Khoo HE, Cheah LS, Kini RM, Bertrand D Neuromuscular effects of candoxin, a novel toxin from the venom of the Malayan krait (Bungarus candidus). Br J Pharmacol., 139, 844. Faculty of Medicine Research Report 2003 91 Nirthanan S, Gopalakrishnakone P, Gwee MC, Khoo HE, Kini RM Tan EC, Chan AO, Tan CH, Mahendran R, Wang A, Chua HC Non-conventional toxins from Elapid venoms. Toxicon., 41, 397-407. Case-control and linkage disequilibrium studies of the tryptophan hydroxylase gene polymorphisms and major depressive disorderPsychiatr Genet., 13, 154. Sim MK, Qui XS Angiotensins in plasma of hypertensive rats and human. Regul Pept., 111, 182. Tan EC, Tan CH, Karupathivan U, Yap EP Mu opioid receptor gene polymorphisms and heroin dependence in Asian populations. Neuroreport, 24, 572. Duan W, Kuo IC, Selvarajan S, Chua KY, Bay BH, Wong WSF Antiinflammatory effects of genistein, a tyrosine kinase inhibitor, on a guinea pig model of asthma. Am J Respir Crit Care Med., 167, 192. Chong SA, Tan EC, Tan CH, Mythily, Chan YH Polymorphisms of dopamine receptors and tardive dyskinesia among Chinese patients with Schizophrenia - Am J Med Genet., 116B, 54. Liu QY, Tan BK Relationship between anti-oxidant activities and doxorubicininduced lipid peroxidation in P388 tumour cells and heart and liver in mice. Clin Exp Pharmacol Physiol., 30, 188. Lee HS, Goh BC, Fan L, Khoo YM, Wang LZ, Lim R, Ong AB, Chua C Raevskii VV, Dawe GS, Stevenson JD Wang LZ, Goh BC, Grigg ME, Lee SC Khoo YM, Lee H Endogenous dopamine modulates corticopallidal influences via GABA. Neurosci Behav Physiol., 33, 844. A rapid and sensitive liquid chromatography/tandem mass spectrometry method for determination of docetaxel in human plasma. Rapid Commun Mass Spectrom.17:1548-1552. Phenotyping CYP3A using midazolam in cancer and non-cancer Asian Patients. Br J Clin Pharmacol 55:270-277. L. Lue, T. Yao, Y.Z. Zhu, G. Y. Huang, YX Cao, YC Zhu Chronic all-trans retinoic acid treatment prevents medial thickening of intramyocardial coronary arteries in spontaneously hypertensive rats. Am J Physiology (Heart Circ Physiol.) 285, 1370-1377. YC Zhu, YZ Zhu, T Yao Angiotensin Receptors and Cardiac Remodeling. Clinical and Experimental Pharmacology and Physiology, 30, 918. Soo RA, Lim HL, Wang LZ, Lee HS, Millward MJ, Tok LT, Lee SC, Lehnert M, Goh BC Phase I trial of fixed dose-rate gemcitabine in combination with carboplatin in chemonaive advanced non-small-cell lung cancer: a Cancer Therapeutics Research Group study. Cancer Chemother Pharmacol; 52:153-158. Wang LZ, Goh BC, Lee HS, Noordhuis P, Peters GJ IL-10 synergistically enhances GM-CSF-induced CCR1 expression in myelomonocytic cells. Biochemical and Biophysical Research Communications, 304, 417-424. An expedient assay for determination of gemcitabine and its metabolite in human plasma using isocratic ion-pair reversed phase high performance liquid chromatography. Ther Drug Monit; 25: 552-557. Ren M, F Watt, B K H Tan and B Halliwell Balram C, Sharma A, Sivathasan C, Lee EJ Correlation of iron and zinc levels with lesion depth in newly formed atherosclerotic lesions. Free Radical Biology and Medicine, 34, 746-752. Frequency of C3435T single nucleotide MDR1 genetic polymorphism in an Asian population: phenotypic-genotypic correlates. Br J Clin Pharmacol. 56, 78-83. Swamy S M and B K H Tan Balram C, Zhou Q, Cheung YB, Lee EJ Intracellular glutathione depletion and reactive oxygen species generation are important in alpha-hederin-induced apoptosis of P388 cells. Molecular and Cellular Biochemistry, 245, 127-139. CYP3A5*3 and *6 single nucleotide polymorphisms in three distinct Asian populations. Eur J Clin Pharmacol., 59, 126. Tan EC, Chong SA, Tan CH, Teo YY, Peng K, Mahendran R Tumour necrosis factor-alpha gene promoter polymorphisms in chronic schizophrenia - Biol Psychiatry 54,1211 The modulation of irinotecan-induced diarrhoea and pharmacokinetics by three different classes of pharmacologic agents. Oncol Rep. 10, 751. Tan EC, Chong SA, Mahendran R, Tan CH, Teo YY Gwee PC, Tang K, Chua JM, Lee EJ, Chong SS, Lee CG Mu opioid receptor gene polymorphism and neuroleptic-induced tardive dyskinesia in patients with schizophrenia - Schizophr Research, 65:61-63. Simultaneous genotyping of seven single-nucleotide polymorphisms in the MDR1 gene by single-tube multiplex minisequencing. Clin Chem., 49, 676. Li H, Cheung W, Choo HH, Chan JHP, Lai PS and Wong WSF 92 Chowbay B, Sharma A, Zhou QY, Cheung YB, Lee EJ Faculty of Medicine Research Report 2003 Chowbay B, Cumaraswamy S, Cheung YB, Zhou Q, Lee EJ Genetic polymorphisms in MDR1 and CYP3A4 genes in Asians and the influence of MDR1 haplotypes on cyclosporin disposition in heart transplant recipients. Pharmacogenetics, 13, 89-95. Joseph JS, Thirumangalathu, S, Tsang, F, Wong, FSW, Kini, RM Trocarin, a blood coagulation factor Xa homologue from snake venom, causes inflammation and mitogenesis. Toxicon,42,769-776. Staff Profile Professor & Head Professors : : Associate Professors : Assistant Professors : Senior Research Fellow : Moore, Philip Keith Matthew Gwee Choon Eng Edmund Lee Jon Deoon Sim Meng Kwoon Ti Teow Yee Tan Chay Hoon Tan Kwong Huat, Benny Lee How Sung Peter Tsun Hon Wong Wong, Wai Shiu, Fred Gavin Dawe Madhav Bhatia Bian Jinsong Zhu Yi Zhun Contact Information Contact Person : Telephone Facsimile Email Postal Address : : : : Homepage : Prof Moore, Philip Keith Head of Department 6874-3266 6873-7690 phcsec@nus.edu.sg Department of Pharmacology 18 Medical Drive, Kent Ridge Singapore 117597 http://www.med.nus.edu.eg/ phar/welcome.htm Faculty of Medicine Research Report 2003 93 INTRODUCTION The Department of Physiology has established and is seeking to build on four major research areas as described below: Neurobiology – research into cellular, system, and behavioral functions of the central nervous system with emphasis on the modulation of the pain experienced by the septo-hippocampal region of the forebrain, axonal guidance and neuronal plasticity in learning and memory, and the role of voltage-gated calcium channels in neurotransmitter release, muscle contraction, hormone secretion and gene expression. Apoptosis and Cancer Biology – research into the cell’s growth regulatory machinery, and the mechanism(s) involved in oncogenesis and metastasis with emphasis on signal transduction, reactive oxygen species, regulation of the death signal, cell cycle control, telomere biology, gene regulation, oncogene and tumour suppressor action, drug resistance, anti-tumour pharmacology. Cell and Tissue Engineering – research into the structural and functional relationships of cells and tissues that enable tissue repair and regeneration with emphasis on liver regeneration, bioartificial livers, and the role of extra-cellular matrices in the control of cell differentiation. Immunology and Inflammation – research into the genetic controls and mechanisms of immune function and development with emphasis on T cell biology, immune cell signaling, immunogenetics, and inflammation. DEPARTMENT OF Physiology 94 Faculty of Medicine Research Report 2003 Research programs were well supported by grants from the National Medical Research Council, Biomedical Research Council and Academic Research Fund (NUS). Twenty new grants were approved in 2003 totaling close to $6 million. Much of the research in our Department is done in conjunction with collaborators at both national and international institutions including: DMRI, Singapore; IMCB, Singapore; Johns Hopkins Singapore Pte Ltd, Singapore; SGH, Singapore; TTSH, Singapore; Amgen Research Institute, Toronto, Canada; Dept of Biomedical Engineering, Johns Hopkins School of Medicine, USA; Dept of Molecular and Experimental Medicine, Scripps Research Institute, USA; Dept of Pharmacology, Yale University School of Medicine, USA; Dept of Physiology, Free University of Brussels, Belgium; Dept of Toxicology, Karolinska Institute, Stockholm, Sweden; Dept of Surgery, Prince of Wales University, Hong Kong; Institute of Bioengineering and Bioscience, Georgia Institute of Technology, USA; Technical University, Munich, Germany; Dept of Immunology, University of Glasgow, UK; Dept of Immunology, University of Strathclyde, UK. The Department published a total of 19 international papers, many in highly ranked international journals. These include the EMBO Journal, American Journal of Human Genetics, Cancer Research, FASEB Journal, Journal of Biological Chemistry, American Journal of Respiratory and Critical Care Medicine, Journal of Neuroscience, Cell Death and Differentiation, Journal of Hepatology, Tissue Engineering, and Biomaterials. Furthermore our department members were co-inventors in 2 patents filed in 2003, one filed in the USA and another filed in the UK. DEPARTMENT OF Physiology Faculty of Medicine Research Report 2003 95 Molecular mechanisms of the radio-resistance of human brain tumours (International Union Against Cancer) Project Description Principal Investigator Collaborators Grants Awarded in 2003 Biochemical characterization of cubic membrane transition in amoeba Chaos and alternative model systems Principal Investigator Collaborators : Dr Deng Yuru : Prof Sepp Kohlwein (University of Graz, Austria), Prof Carmen Mannella (USA), Prof Francis Sluse (University of Liege, Belgium) Humoral immune responses against human coronavirus SARS antigen and development of potential vaccines and therapeutic antibodies Principal Investigator Collaborators Cubic membranes: cellular adaptation and protection against oxidative stress? Principal Investigator Collaborator : Dr Deng Yuru : Prof Sepp Kohlwein (University of Graz, Austria) Principal Investigator Collaborators : Dr Deng Yuru : Prof Sepp Kohlwein (University of Graz, Austria), Prof Carmen Mannella (USA), Prof Francis Sluse (University of Liege, Belgium) Principal Investigator : Dr M Prakash Hande : : Dr Alan Lee The implication of Plexin-B3/RhoGTPases interaction in axon guidance Principal Investigator : Dr Alan Lee Functional characterization of a novel axon guidance molecule plexin-B3 Principal Investigator Collaborators BRCA1 and BRCA2 genes in telomere-chromosomal integrity Principal Investigator : Assoc Prof Koh Dow Rhoon : Assoc Prof Eric Yap (DMRI), Dr Howe Hwee Siew (TTSH), Dr Chng Hiok Hee (TTSH) Immunohistochemical localization of mouse Plexin-B3 expression Molecular cytogenetics of human tumours: mFISH approach and Molecular Cytogenetics Core Facility at the Oncology Research Institute Principal Investigator : Assoc Prof Koh Dow Rhoon : Assoc Prof Vincent Chow, Dr Jaap Goudsmit (Crucell Holland B.V.), Dr Jan H ter Meulen (Crucell Holland B.V.), Dr Menzo J.E. Havenga (Crucell Holland B.V.) Immunogenetics of systemic lupus erythematosus Cubic membranes: a novel 3D nano-periodic biological structureimplications for cellular response to starvation and ischemia Principal Investigator Collaborators : Dr M Prakash Hande : Dr Razq Hakem (University of Toronto), Dr Fabrizio d’Adda di Fagagna (Milan, Italy), Dr A. S. Balajee (Columbia University) : Dr Alan Lee : Dr Steve Cheung, Dr Qi Zhong (IMCB) Dr M Prakash Hande Microinjection of mouse embryos Slide preparation for immunostaining 96 Faculty of Medicine Research Report 2003 Mechanisms of drug-induced inhibition of inflammation and leukocyte recruitment Principal Investigator : Dr Lina Lim Characterization of basophil rolling and adhesion under physiological flow conditions in vitro Principal Investigator Use of fluorescence in situ hybridisation techniques to study the telomere-chromosome integrity in DNA repair deficient mammalian cells Principal Investigator Collaborators : Dr Lina Lim Interplay between intracellular redox status and pro-apoptotic protein Bax during drug-induced tumor cell death: potential implications for cancer chemotherapy Principal Investigator Collaborator : Assoc Prof Shazib Pervaiz : Dr Marie-Veronique Clement Study to assess the role of cellular redox status on intracellular pH regulation and its effect on drug-induced apoptosis in tumor cells and to develop novel molecules that sensitize tumor cells to death stimuli by altering the redox status Principal Investigator Collaborator : Assoc Prof Shazib Pervaiz : Dr Marie-Veronique Clement Evaluation of altered gene expression and resistance to development of hepatocellular carcinoma in the liver of the C/EBP gene knock-in mouse Principal Investigator Principal Investigator Evaluation of foetal electrocardiography and foetal heart rate variability Principal Investigator Collaborator : Dr Wang Nai-dy : Assoc Prof Ho Ting Fei : Adj Assoc Prof Yip Chin Ling, William Assessment of lung volumes and mechanics in infants and young children with congenital heart disease Principal Investigator Collaborator : Assoc Prof Ho Ting Fei : Adj Assoc Prof Yip Chin Ling, William Prevalence and clinical study of eating disorders in young females Principal Investigator Collaborators : Dr Wang Nai-dy Assessment of C/EBP gene knock-in mouse embryonic stem cells for the ability to differentiate into hepatocytes in vivo and assessment of these stem cell-derived hepatocytes for resistance to tumourgenesis : Dr Manoor Prakash Hande : Dr Razq Hakem (University of Toronto), Dr Zhao-Qi Wang (IARC (WHO), Lyon, France), Dr David Chen (Lawrence Berkeley Laboratory, Berkeley, CA, USA), Dr Robert Weiss (Cornell University, USA) : Assoc Prof Ho Ting Fei : Dr Lee Ee Lian (IMH), Dr Liow Pei Hsiang (IMH), Dr Samuel Cheng (IMH), Dr Mollie Seow (MOH) Role of heparin / heparan sulfate interacting protein (HIP) in colon cancer cell proliferation and differentiation Principal Investigator Collaborators Ongoing Projects : Assoc Prof Hooi Shing Chuan : Assoc Prof Adrian Leong, Dr Manuel Salto-Tellez Anti-bacterial activity of recombinant PRAP Cubic membranes: a cellular response to oxidative stress? Starvation vs. ischemia Principal Investigator : Dr Deng Yuru Principal Investigator Collaborator : Assoc Prof Hooi Shing Chuan : Assoc Prof Eric Yap Peng Huat (DMRI) Anti-bacterial activity of PRAP fragments and PRAP secreted in tissue culture supernatants PrincipaI Investigator Collaborator : Assoc Prof Hooi Shing Chuan : Assoc Prof Eric Yap Peng Huat (DMRI) Role of histone deacetylases in colorectal carcinogenesis & metastasis Principal Investigator : Assoc Prof Hooi Shing Chuan Histone deacetylase inhibitors- screening & mechanism of action Principal Investigator Collaborators Study of chromosome translocations Faculty of Medicine Research Report 2003 97 : Assoc Prof Hooi Shing Chuan : Assoc Prof Lee Chee Wee, Assoc Prof Maxey Chung Differential gene expression in EL4 lymphoma cells and altered susceptibility to oxysterol-induced cell death: A pilot study to demonstrate a causal relationship Differential gene expression profiling of human mast cells following IgE/Antigen stimulation: Functional genomics analysis of selected novel genes Principal Investigator Principal Investigator : Prof Hwang Lam Hum, Peter : Dr Alirio J. Melendez Pain: state dependent changes and modulation by hippocampal formation Studies on the anaphylatoxin activation of neutrophils and macrophages through their C5a receptor Principal Investigator Collaborator Principal Investigator : Assoc Prof Sanjay Khanna : Dr Shabbir Moochhala (DMRI) Investigations into the neural circuitry underlying hippocampal nociceptive responses and its influence on formalin nociception, an animal model of persistent pain Principal Investigator : Assoc Prof Sanjay Khanna : Assoc Prof Koh Dow Rhoon : Assoc Prof Chong Siew Meng : Assoc Prof Koh Dow Rhoon : Assoc Prof Fong Kok Yong, Dr Yoon Kam Hon, Dr Ng Swee Cheng : Assoc Prof Lee Chee Wee : Prof Giuseppe Pizzorno (Yale University School of Medicine) Characterization of mouse plexin-B3 structural gene and construction of gene knockout vector Principal Investigator : Dr Alan Lee Principal Investigator Collaborator Principal Investigator Collaborator : Dr Marie-Veronique Clement : Assoc Prof Shazib Pervaiz : Assoc Prof Shazib Pervaiz : Dr Marie-Veronique Clement : Dr Alirio J. Melendez : Assoc Prof Hanry Yu : Dr Gareth Griffiths (EMBL) Influence of extra-cellular microenvironment on cellular dynamics for tissue engineering Principal Investigator Collaborator : Assoc Prof Hanry Yu : Dr Gang Bao (Georgia Institute of Technology, USA) Cellular dynamics in engineered extra-cellular microenvironment : Dr Alan Lee Investigation of the intracellular signalling pathways initiated by the anaphylatoxin C5a in monocytes and macrophages Principal Investigator Principal Investigator Collaborator Principal Investigator Collaborators Characterization of mouse plexin-B3 signaling cascades Principal Investigator : Assoc Prof Shazib Pervaiz Organelle-specificity of the microtubule-based transport machinery on phagosome and other intracellular organelles Physiological function of nucleoside transporter proteins and uridine phosphorylase in uridine homeostasis and 5-fluorouracil based antitumour therapy Principal Investigator Collaborator Principal Investigator Intracellular acidification and decrease in superoxide anion: Novel mechanism for bypassing Bcl-2 protection in tumor cells T cell response to nucleosomes in lups patients with nephritis Principal Investigator Collaborators Effector mechanisms that enhance sensitivity of tumor cells to drug-induced apoptosis Regulation of tumor cells response to apoptosis by reactive oxygen intermediates Immunoregulatory functions of CD30 in oral tolerance and autoimmune states Principal Investigator Collaborator : Dr Alirio J. Melendez : Assoc Prof Hanry Yu : Assoc Prof Hooi Shing Chuan, Dr Chen Jia Ping, Paul (Chemical & Environmental Engineering) Vitrification of hepatocyte spheroids and encapsulated hepatocytes Principal Investigator Collaborator : Assoc Prof Hanry Yu : Dr Lilia Kuleshova (Otani Women’s Clinic, Japan) Identification of the phospholipid signalling pathways triggered by FceRI in human mast cells: An antisense approach for the identification of potential new targets for therapeutic intervention Principal Investigator : Dr Alirio J. Melendez 98 Faculty of Medicine Research Report 2003 Clement MV, JL Hirpara and S Pervaiz International Publications Shi DY, Deng Y, Liu SL, Zhang YD and Wei L Redox stress regulates cell proliferation and apoptosis of human hepatoma through Akt protein phosphorylation. FEBS Letters, 542(1-3): 60-64. Hande MP, TV Azizova, CR Geard, LE Burak, CR Mitchell, VF Khokhryakov, FK Vasilenko and DJ Brenner Decrease in intracellular superoxide sensitizes Bcl-2-overexpressing tumor cells to receptor and drug-induced apoptosis independent of the mitochondria. Cell Death and Differentiation, 10(11): 1273-1286. Pervaiz S Resveratrol: From grapevines to mammalian biology. FASEB Journal, 17(14): 1975-1985. Ahmad KA, M-V Clement and S Pervaiz Past exposure to densely ionizing radiation leaves a unique permanent signature in the genome. American Journal of Human Genetics, 72(5): 1162-1170. Resveratrol inhibits hydrogen peroxide induced apoptosis by creating an intracellular milieu non-permissive for death execution. Annals New York Acad Sci. (In press) Abraham J, B Lemmers, MP Hande, ME Moynahan, C Chahwan, A Ciccia, J Essers, K Hanada, R Chahwan, AK Khaw, P McPherson, A Shehabeldin, R Laister, C Arrowsmith, R Kanaar, SC West, M Jasin and R Hakem Moh MC, LH Lee, X Yang and S Shen Eme1 is involved in DNA damage processing and maintenance of genomic stability in mammalian cells. EMBO Journal, 22(22): 6137-6147. Wang Y, S Tan and SC Hooi The HIP gene encoding a heparin/heparan sulfate interacting protein is mutated in metastatic human colorectal cancer. International Journal of Molecular Medicine, 11(4): 473-477. Zhang J, H Wong, S Ramanan, D Cheong, A Leong and SC Hooi The proline-rich acidic protein is epigenetically regulated and inhibits growth of cancer cell lines. Cancer Research, 63(20): 6658-6665. Luo N, LH Chew, KY Fong, DR Koh, SC Ng, KH Yoon, S Vasoo, SC Li and J Thumboo Do English and Chinese EQ-5D versions demonstrate measurement equivalence? An exploratory study. Health and Quality of Life Outcomes, 1(1): 7. Luo N, LH Chew, KY Fong, DR Koh, SC Ng, KH Yoon, S Vasoo, SC Li and J Thumboo Validity and reliability of the EQ-5D self-report questionnaire in English-speaking Asian patients with rheumatic diseases in Singapore. Quality of Life Research, 12(1): 87-92. Law JWS, AYW Lee, M Sun, AG Nikonenko, SK Chung, A Dityatev, M Schachner and F Morellini Decreased anxiety, altered place learning, and increased CA1 basal excitatory synaptic transmission in mice with conditional ablation of the neural cell adhesion molecule L1. Journal of Neuroscience, 23(32): 10419-10432. Lim LHK and EM Wagner Airway distension promotes leukocyte recruitment in rat tracheal circulation. American Journal of Respiratory & Critical Care Medicine, 168(9): 1068-1074. Faculty of Medicine Research Report 2003 HEPN1, a novel gene that is frequently down regulated in hepatocellular carcinoma, suppresses cell growth and induces apoptosis in HepG2 cells. Journal of Hepatology, 39(4): 580-586. Ong LL, CPN Er, A Ho, MT Aung and H Yu Kinectin anchors the translation elongation factor-1d to endoplasmic reticulum. Journal of Biological Chemistry, 278(34): 32115-32123. Lu HF, WS Lim, J Wang, ZQ Tang, PC Zhang, KW Leong, SM Chia, H Yu and HQ Mao Galactosylated PVDF membrane promotes hepatocyte attachment and functional maintenance. Biomaterials, 24(27): 4893-4903. Wong SC, H Yu, SM Moochhala and JB So Antisense telomerase induced cell growth inhibition, cell cycle arrest and telomerase activity down-regulation in gastric and colon cancer cells. Anticancer Research, 23(1A): 465-469. Xu X, WC Yee, PYK Hwang, H Yu, CAA Wan, SJ Gao, KL Boon, HQ Mao, KW Leong and S Wang Peripheral nerve regeneration with sustained release of poly(phosphoester) microencapsulated nerve growth factor within nerve guide conduits. Biomaterials, 24(13): 2405-2412. Yin C, SM Chia, CH Quek, H Yu, RX Zhuo, KW Leong and HQ Mao Microcapsules with improved mechanical stability for hepatocyte culture. Biomaterials, 24(10): 1771-1780. Wong SCH, LL Ong, CPN Er, SJ Gao, H Yu and JBY So Cloning of rat telomerase catalytic subunit functional domains, reconstitution of telomerase activity and enzymatic profile of pig and chicken tissues. Life Sciences, 73(21): 2749-2760. Sun T, MLH Chan, Y Zhou, X Xu, J Zhang, XJ Lao, XW Wang, CH Quek, JP Chen, KW Leong and H Yu Use of ultrathin shell microcapsules of hepatocytes in bioartificial liver-assist device. Tissue Engineering, 9(1): 65-75. 99 Staff Profile Associate Professor and Head Professor Associate Professors Adjunct Associate Professors Associate Professorial Fellow Assistant Professors : : : : : : Visiting Fellow Adjunct Senior Fellows : : Senior Research Fellow Research Fellows : : Contact Information Hooi Shing Chuan Peter Hwang Lam Hum Ho Ting Fei Sanjay Khanna Koh Dow Rhoon Lee Chee Wee Shazib Pervaiz Hanry Yu Graeme Guy Walter Hunziker Lee Kim Hock, Lionel Li Fuk Loi, Benjamin Soong Tuck Wah Wong Chong Thim Deng Yuru Manoor Prakash Hande Lee Beng Huat, Martin Lee Yiu Wah, Alan Lim Hsiu Kim, Lina Lim Yaw Chyn Alirio J. Melendez Shen Shali Wang Nai-dy Yap Suen Mei, Celestial Therese Sohail Ahmed Lam Yeng Po, Paula Li Peng Ng Chun Yeen, Aylwin Tan Boon Ooi, Patrick Lilia Kuleshova Zakaria Ali Moh. Almsherqi Jayapal Manikandan Dr Liu Jian-Jun Ma Fengjuan Pook Sim Hwee Renji Reghunathan Zhi Liang Dr Zhu Jian Hang 100 Research Enquiries Contact Person Telephone Email : : : Dr Alirio J. Melendez 6874-1697 phsmraj@nus.edu.sg Postgraduate Enquiries Contact Person Telephone Email : : : Dr Wang Nai-dy 6874-3663 phswnd@nus.edu.sg General Enquiries Contact Person Telephone Email : : : Asha Reka Das 6874-3223 phssec@nus.edu.sg Postal Address : Fascimile Homepage : : Department of Physiology Faculty of Medicine National University of Singapore Blk MD9, 2 Medical Drive Singapore 117597 6778-8161 http://www.med.nus.edu.sg /phys/ Faculty of Medicine Research Report 2003 INTRODUCTION The Strategic Research Initiatives of the Department include research on: Psychiatric Epidemiology and Gerontological Research, Early identification and treatment of psychiatric disorders, particularly schizophrenia and related psychoses, Psychological aspects of general medical and surgical conditions. Our aim is to engage in collaborative research with local and overseas partners in both clinical and basic sciences, leveraging on platform technologies like functional neuro-imaging and molecular/genetic research. RESEARCH Research in psychosis by the First Episode Schizophrenia (FES) Study Group has focused on the neuro-cognitive aspects of early psychosis. The Gerontology Research Programme (GRP) is a flagship research initiative of the Department and provides a systematic, coordinated programme of research activities on the health of the elderly population in Singapore that will help understanding the population aging transition and provide the scientific information needed for formulating strategies of disease prevention and health promotion. The SARS outbreak in 2003 prompted research into the psychological reactions of healthcare workers in Singapore and other SARS-affected countries. DEPARTMENT OF Psychological Medicine Faculty of Medicine Research Report 2003 101 Postnatal Depression in Singaporean Women and their partners Project Description Principal Investigator Collaborators Grants Awarded in 2003 : Dr Cornelia Chee : Dr Chong Yap Seng, Assoc Prof Calvin Fones, Ms Jasmine Tan Liam Kiau Anger, social support and cardiovascular responses Psychological and Behavioural Responses of Healthcare Workers to the SARS Outbreak Principal Investigators Collaborators : Assoc Prof Calvin Fones, Prof David Koh : Assoc Prof Lim MK, Assoc Prof Chia SE Collaborators Cognitive Behaviour Therapy of Depressed Post-Myocardial I n f a r c t i o n Pa t i e n t s : E f f e c t s o n C a r d i o va s c u l a r a n d Haematological Measurements Principal Investigator Principal Investigator Co-Principal Investigators : Assoc Prof George D Bishop : Dr Vicky Tan, Dr Jeannette Jen-Mai Lee : Dr Zhang Jin Ting, Assoc Prof Calvin Fones, Assoc Prof Ko Soo Meng An epidemiological Study of Depression in Singapore Principal Investigator Co-Principal Investigators : Adj Assoc Prof Leslie Lim : Dr Chua Hong Choon (WH/IMH) : Assoc Prof Ng Tze Pin, Assoc Prof Calvin Fones Biological markers of alcoholism: a comparative study of the alcohol dehydrogenase and aldehyde dehydrogenase systems in Indian and Chinese alcohol dependent patients Ongoing Projects Singapore Longitudinal Ageing Study (SLAS) is the principal population-based longitudinal cohort study in the GRP Principal Investigator Collaborator Principal Investigator Collaborators Anxiety Disorders in Singapore: a community survey : Assoc Prof Ng Tze Pin : Prof Kua Ee Heok, Assoc Prof Calvin Fones, Assoc Prof Ko Soo Meng Principal Investigator Collaborators A preliminary neurocognitive study of "high functioning” nonschizophrenic relatives of schizophrenia patients Principal Investigator Collaborators : Dr Tan Hao Yang : Assoc Prof Calvin Fones, Assoc Prof Ko Soo Meng : Adj Assoc Prof Leslie Lim : Assoc Prof Ng Tze Pin, Assoc Prof Calvin Fones, Prof Kua Ee Heok International Publications Differentiation of Mild Cognitive Impairment from Normal Ageing and Alzheimer’s Disease in Older Adults in Singapore: A Pilot Study Principal Investigator Collaborators : Adj Assoc Prof Leslie Lim : Assoc Prof Tan Chay Hoon : Dr Martha Chiu : Prof Kua Ee Heok, Assoc Prof Ko Soo Meng, Assoc Prof Wang Shih-chang, Assoc Prof Tan Chay Hoon Imaging the human mind Ng TP, Fones CS, Kua EH Preference, need and utilization of mental health services, Singapore National Mental Health Survey. Aust N Z J Psychiatry. 2003;37(5):613-9. Memory assessment 102 Faculty of Medicine Research Report 2003 Kua EH, Ko SM, Ng TP Recent trends in elderly suicide rates in a multi-ethnic Asian city. Int J Geriatr Psychiatry. 2003;18(6):533-6. Verma SK, M Subramaniam, Chong SA, Kua EH Substance Abuse in Schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 37: 326-328, 2003 Kua J, Kua EH and Tsoi W A 20-year follow-up study of schizophrenia in Singapore. Acta Psychiatrica Scandinavica, 108 (2003): 118-125 Foster PJ, Machin D, Wong TY, Ng TP, Kirwan JF, Johnson GJ, Khaw PT, Seah SK Determinants of intraocular pressure and its association with glaucomatous optic neuropathy in Chinese Singaporeans: the Tanjong Pagar Study. Invest Ophthalmol Vis Sci. 2003;44 (9): 3885-91. Niti M, Ng TP Avoidable hospitalisation rates in Singapore, 1991-1998: assessing trends and inequities of quality in primary care. J Epidemiol Community Health. 2003;57(1):17-22. Kua EH Staff Profile Mental Health and family care of the elderly in Asia. International Psychogeriatrics, 15, 7 (2003) Kua EH, Clarice Hong Attempted suicide by elderly Chinese in Singapore International Psychogeriatrics, 3 (2003): 78-81 Ng TP, Wong ML, Hong CY, Koh KT, Goh LG The use of complementary and alternative medicine by asthma patients. QJM. 2003; 96 (10):747-54. Associate Professor & Head Professor Associate Professors : : : Assistant Professor Adjunct Associate Professor Research Fellow : : : Contact Information Ng TP, Niti M Trends and ethnic differences in hospital admissions and mortality for congestive heart failure in the elderly in Singapore, 1991 to 1998. Heart. 2003;89(8):865-70. Ng TP, Niti M, Tan WC Trends and ethnic differences in asthma hospitalization rates in Singapore, 1991 to 1998. Ann Allergy Asthma Immunol. 2003; 90 (1):51-5. Contact Person Telephone Facsimile Email Postal Address : : : : : Homepage : Tan WC, Xiang X, Qiu D, Ng TP, Lam SF, Hegele RG Epidemiology of respiratory viruses in patients hospitalized with near-fatal asthma, acute exacerbations of asthma, or chronic obstructive pulmonary disease. Am J Med. 2003;115 (4): 272-7. Exploring the mind in old age Faculty of Medicine Research Report 2003 Calvin Fones Soon Leng Kua Ee Heok Ko Soo Meng Ng Tze Pin Tan Hao Yang Leslie Lim Lisa Chuah 103 Assoc Prof Ng Tze Pin 6772-4511 6777-2191 pcmngtp@nus.edu.sg Department of Psychological Medicine National University of Singapore 5 Lower Kent Ridge Road Singapore 119074 http://www.med.nus.edu.sg/ pcm/ INTRODUCTION The Department of Surgery comprises academic staff from the National University of Singapore and clinical staff of the National University Hospital. There are eight clinical divisions within the department namely General Surgery, Urology, Plastic and Reconstructive Surgery, Cardiothoracic Surgery, Neurosurgery, Paediatric Surgery, Colorectal Surgery and Hepatobiliary and Pancreatic Surgery. In addition the Department also co-ordinates the interdepartmental and multidisciplinary clinical services associated with minimally invasive and transplantation surgery. The Department carries out clinical, as well as undergraduate and postgraduate teaching activities and both clinical and basic research. The research carried out in the Department includes the areas of cancer biology, wound healing, bone regeneration/grafting, liver transplantation, cardiology, stem cells and islet cell transplantation. Funding for these projects comes from the Biomedical Research Council, National Medical Research Centre, The Academic Research Fund, The National Health Group and The Singapore Cancer Society. Collaborations exist with other departments in the Faculties of Medicine, Science and Engineering in NUS and with the Institute of Molecular and Cell Biology, National University Medical Institutes, Genome Institute of Singapore, the Defence Military Research Institute as well as local Hospitals. International collaborations with Research Institutes, Universities and companies abroad have increased over the years. The research highlights for this year include: the development of a new stem cell differentiation initiative under the direction of Prof. Bernat Soria; an initiative to study the use of adipose derived mesenchymal cells for bone reconstruction; optimisation of the use of skeletal mycoblasts in cardiac repair; chiemric pancreas formation; and the analysis of BRCA1 mutations in medullary cancers. DEPARTMENT OF Surgery 104 Faculty of Medicine Research Report 2003 Ongoing Projects Project Description Transplantation for type I Diabetes using the Edmonton protocol Grants Awarded in 2003 Adipose-derived mesenchymal cells for bone reconstruction: A preliminary study in a mouse model Principal Investigator Collaborators : Assoc Prof Lim Thiam Chye : Dr S Moochhala (DMRI), Dr Thorsten Schantz (Laboratory for BioMedical Engineering) Intramyocardial engraftment of skeletal myoblast for cardiac repair: optimization of transplantation conditions Principal Investigator Collaborators : Assoc Prof Eugene Sim : Dr H K Haider (NUMI), Ms Jiang Shujia (NHC), Assoc Prof Teh Ming Principal Investigator Co-Principal Investigators Collaborators Continuing Investigations into the Role of Epidermal Mesenchymal Interactions in Keloid pathogenesis and Aberrant Skin Fibroproliferation Principal Investigators Collaborators Induction of chimeric pancreas formation by transplanting mouse/rat embryonic organ rudiments Principal Investigators : Dr Dennis Wang, Assoc Prof John Isaac Are medullary breast cancers an indication for BRCA1 mutation screening? A mutation analysis of 42 cases of medullary breast cancer Principal Investigator Co-Principal Investigator : Dr Sng Jen-Hwei : Dr Philip Iau Tsau Choong : Sir Roy Calne : Assoc Prof John Isaac, Dr Dennis Wang, Assoc Prof Lee Kok Onn, Assoc Prof Thai Ah Chuan : Sum Chee Fang (AH), Lim Su Chi (AH), Dr Cheah Wei Keat, Dr Pary Sivaraman, Assoc Prof Wang Shih Chang : Dr Ivor Lim, Dr Phan Toan Thang : Robert Qi (HKUST, SAR, China formerly IMCB), Assoc Prof Boon Huat Bay, Sabine Werner (ETH, Zurich, Switzerland), Michael T Longaker (Stanford, USA) Assessment of Myocardial Injury and C-Reactive Protein After Coronary Artery Surgery: Effects of a Selective COX II Inhibitor Principal Investigator : Assoc Prof Wong Poo Sing The prevalence of large exon rearrangements in the BRCA1 gene in Asian early onset and familial breast cancer patients Principal Investigator Co-Principal Investigator Collaborators : Dr Sng Jen Wei : Dr Philip Iau Tsau Choong : Dr Lee Soo Chin (Oncology, NUS), Prof John Wong (Division of Haematology/ Oncology, NUS) Engineered Bone Graft in the Reconstruction of the Craniofacial Skeleton Principal Investigator Collaborators : Assoc Prof Lim Thiam Chye : Dr Chou Ning (NUH), Assoc Prof Shabbir Moochhala (DMRI), Dr Dietmar Hutmacher (Bioengineering) Auto Transplantation of Mesenchymal Stem Cell into Chronically Failing Heart Porcine Model Principal Investigator Collaborators NUH/NUS Clinical Islet Isolation Unit Faculty of Medicine Research Report 2003 105 : Assoc Prof Eugene Sim : Assoc Prof Reida El Oakley, Dr Sunil Rangappa, Prof Lee Eng Hin, Assoc Prof Teh Ming 5-azacytindine induced cardiomyocytetransformation of bone marrow derived mesenchymal stem cells and their therapeutic potential for the treatment of chronic myocardial infarction Principal Investigators Collaborators : Assoc Prof Eugene Sim, Dr H K Haider (NUMI) : Prof Lim Yean Leng, Mr Ye Lei, Assoc Prof Liu Teh Chih, Phillip Wong Is the Internalization of BCG by bladder cancer cells essential for successful therapy Principal Investigator Collaborator : Dr R. Mahendran : Assoc Prof Kesavan Esuvaranathan Hepatocarcinogenesis secondary to mitochondrial DNA abnormality in liver cirrhosis Principal Investigator Collaborator : Assoc Prof Leow Chon Kar : Dr Theresa Tan The influence of butyrate acid on the muscle differentiation potential of granulocyte-colony stimulating factor mobilized human peripheral blood stem cells Anti-CD154 monoclonal antibody use in conjunction with low dose immunosuppression in a primate renal allograft model Principal Investigators Principal Investigator Collaborators Collaborator : Dr Winston Shim (NCC), Asoc Prof Eugene Sim : Assoc Prof Liu Teh Chih Urine analysis for prognostic indicators of response to therapy in bladder cancer patients receiving intravesical BCG instillations Principal Investigator Co-Principal Investigator : Assoc Prof Kesavan Esuvaranathan : Dr R. Mahendran : Sir Roy Calne : Assoc Prof John Isaac, Dr Damian Png, Dr Hu Huai Zhong Evaluation of a novel liposomal vector for multiple cytokine gene therapy in bladder cancer Principal Investigator Collaborator : Assoc Prof Kesavan Esuvaranathan : Dr R. Mahendran Transplantation of tissue stem cells from adult bone marrow for tissue replacement and genetic therapy: an in vivo cellular alternative to bioengineering and vector mediated gene therapy A multicenter randomised controlled trial of BCG and IFN-2b in the treatment of superficial bladder cancer Principal Investigator Collaborators Principal Investigator Collaborators : Assoc Prof Reida Oakley : Dr Lim Sai Kiang (GIS), Dr Lee Eng Hin, Dr Ng Soon Chye, Assoc Prof Teh Ming, Dr Lim Yean Teng, Dr Lee Szu Hee, Dr Manuel Salto-Tellez Effect of myocardial laser revascularisation and gene therapy on chronic myocardial ischemia Percussion, diuresis and inversion therapy assisted passage of lower pole renal calculi after ESWL Principal Investigator Co-Principal Investigator Collaborator : Assoc Prof Kesavan Esuvaranathan : C.W.S. Cheng (SGH), K. P. Tay (TPH), P.K. Tan (TTSH), I. Swaminathan (AH), Assoc Prof Teh Ming Principal Investigator Collaborators : Dr Edmund Chiong : Assoc Prof Kesavan Esuvaranathan : Assoc Prof Li Man Kay : Assoc Prof Eugene Sim : Assoc Prof Reida El Oakley, Dr Jaroslav Hubacek, Prof Lim Yean Leng (NHC), Dr Chua Yeow Leng (NHC) Pathogenesis of post-surgical adhesions and role of phospholipase A2 and it’s inhibitors in reducing the peritoneal inflammatory response after surgical trauma A randomised controlled double-blind trial to determine the efficacy of orally administered theophylline in assisting the passage or uteric calculi Principal Investigator Co-Principal Investigators Principal Investigator Collaborators Collaborators : Dr R Mahendran : Prof P. Gopalakrishnakone, Dr Charles Tsang (NUH) : Dr Adrian Ong, Prof J. Delaney 106 : Assoc Prof Kesavan Esuvaranathan : Ms Soh Hwei (NUH), Assoc Prof Li Man Kay Faculty of Medicine Research Report 2003 The Effect of Chronic Bladder Outlet Obstruction and Spinal Cord Hemisection on Expression of Neuropeptides and Nitric Oxide Synthase in the Bladder Wall, Paravesical Ganglia and Spinal Cord of the Guinea Pig and Human Bladder and Its Relationship to Detrusor Instability and the Urge Syndrome Principal Investigators Collaborators : Assoc Prof Chin Chong Min, Dr Damian Png Jin Chye : Prof Ling Eng Ang, Dr Chia Seng Joo, Assoc Prof Li Man Kay International Publications Q Wu, R Mahendran and K Esuvaranathan Nonviral cytokine gene therapy on an orthotopic bladder cancer model. Clin Cancer Res. 2003; 9(12):4522-8. J T Schantz, D W Hutmacher, C X Lam, M Brinkmann, K M Wong, T C Lim, N Chou, R E Guldberg and S H Teoh Repair of Calvarial Defects with Customised Tissue-Engineered Bone Grafts II. Evaluation of Cellular Efficiency and Efficacy in Vivo. Tissue Engineering, S-127 to S-139, 9, Suppl.1 (2003). J T Schantz, S H Teoh, T C Lim, M Endres, C X E Lam and D W Hutmacher Repair of Calcarial Defects with Customized Tissue-Engineered Bone Grafts I. Evaluation of Osteogenesis in a Three-Dimensional Culture System. Tissue Engineering, S113-126, 9, Suppl.1 (2003). I J Lim, T T Phan, E K Tan, T T Nguyen, E Tran, M T Longaker, C Song, S T Lee and H T Huynh Synchronous activation of ERK and Phosphatidylinositol 3-Kinase pathways is required for collagen and extracellular matrix production in keloids. Journal of Biological Chemistry, 278, 42 (2003): 40851-40858. Liu Qiang, S T F Chan and R Mahendran E S Tai, A bin Ali, Q Zhang, L M Loh, C E Tan, L Retnam, R M El Oakley, S K Lim Hepatic expression of PPARalpha, a molecular target of fibrates, is regulated during inflammation in a gender-specific manner. FEBS Lett. 2003; 546(2-3):237-40. C M Chin, J HU, E A Ling, M K Li and D Png The effect of chronic bladder outlet obstruction on expression of nitric oxide synthase in the guinea pig bladder wall to study its relationship to detrusor instability. European Urology, 1 (2003): 219. (Suppl on European Urology Supplement 2). C S Chaw, Y Y Yang, I J LIM, T T Phan and N Chung Water-soluble betamethasone-loaded poly(lactide-co-glycolide) microparticles as sustained release dosage forms. Effects of formulation, process types and fabrication conditions on the performance of microparticles. Journal of Microencapsulation, 20, 3 (2003): 349-359. J W Chua, Wei Jin and C M Chin Management of staghorn calculus. Medical Progress, 30, 2 (2003): 28-33. H K Haider, S Jiang, L Ye, P K Law and E K W Sim Myoblast transplantation for cardiac repair using transient immunosuppression. Basic and Applied Myology, 1, 13 (2003): 45-52. Iyer, Shridhar Ganpathi and C K Leow Free air or colon? Ann Coll Surg H K, 7 (2003): 136-138. Faculty of Medicine Research Report 2003 Nitric oxide induces cyclooxygenase expression and inhibits cell proliferation in colon cancer cell lines. Carcinogenesis, 24, 4 (2003): 637-642. L Makmur, J Lim and T C Lim Radiation Therapy In Immediate Breast Reconstruction with Diep Flap. Plastic and Reconstructive Surgery, 112, 3/CORRESPONDENCE (2003):920-921. T T Phan, I J Lim, B H Bay, R Qi, M T Longaker, S T Lee and H Huynh Role of IGF system of mitogens in the induction of fibroblast proliferation by keloid-derived keratinocytes in vitro. American Journal of Physiology-Cell Physiology, 284, 4 (2003): C860-C869. T T Phan, P See, T N T Nguyen, S T Lee, S Y Chan and H Huynh Suppression of IGF-1 signaling pathway in keloid-derived fibroblasts by quercetin: Its therapeutic potential use in the treatment and/or prevention of keloids. British Journal of Dermatology, 148, 3 (2003):544-552. S Ranggapa, Fen Chen, E H Lee, T A Bongso and E K W Sim Transformation of adult mesenchymal stem cells isolated from the fatty tissue into cardiomyocytes. Annals of Thoracic Surgery, 75 (2003): 775-779. E K W Sim, S Muskawad, C S Lim, K H Lim, R T Grignani, J H Yeo, A Durrani, G Lau and C Duran A morphological comparison of human and porcine aortic valves. Clinical Anatomy, 3, 16 (2003): 193-196. 107 J H Sng, A B Ali, S C Lee, D Zahar, J E L Wong, G Cross, V Blake, A Sharif and P T C Iau BRCA1 2841/5insA is a recurring mutation with a founder effect in Singapore Malay women with early onset breast/ovarian cancer. European Journal of Cancer, 1, (4) (2003): 33. J H Sng, A B Ali, D Zahar, SC Lee, J E L Wong, V Blake, A Sharif, G Cross and P T C Iau BRCA1 c.2845insA is a recurring mutation with a founder effect in Singapore Malay women with early onset breast/ovarian cancer. Journal of Medical Genetics, 40, (10) (2003): e117. H K Tan, T K Y Lee and C H Wang Simulation of intratumoral release of etanidazole : effect of the size of surgical opening. Journal of Pharmaceutical Sciences, 92, 4 (2003): 773-789. H K Tan, F J Wang, T K Y Lee and C H Wang Computer simulation of the delivery of etanidazole to brain tumour from PLGA wafer: comparison between linear and double brust release systems. Biotechnology and Bioengineering, 82, 3 (2003): 278-288. E K Sim, S Jiang, L Ye, Y L Lim, O C Ooi and H K Haider Skeletal myoblast transplant in heart failure. J Card Surg. 2003 18(4):319-27. Review. H K Haider, Y Lei, J Shujia and E K Sim Cellular myocardial reconstruction using human myoblasts. J Am Coll Cardiol. 2003 6;42(3):589. H K Haider, Y Lei, S Jiang, P K Law and E K Sim Avoiding compliance with histocompatibility dogma using immune privileged cell xenografts. Ann Thorac Surg. 2003;76(1): 339-40 E K Sim and R T Grignani Lesser impairment of respiratory function is the mechanism of faster recovery after partial sternotomy for valve replacement. Ann Thorac Surg. 2003;75(4):1360. E K Sim, H K Haider and P K Law Single fiber skeletal muscle transplantation or purified myoblast engraftment? J Thorac Cardiovasc Surg. 2003;125(5):1181-2. W C Ong, S J Lee, M Leow, J Lim, T C Lim and L Makmur Suction Curettage - Treatment for Axillary Hyperhidrosis and Hidradenitis. Plastic and Reconstructive Surgery (2003): 958-959. P S Wong, C K Leow, P S Goh and N Chan Inferior vena cava leiomyosarcoma. European Journal of Cardiothoracic Surgery, 23 (2003): 241. J J Wang, C W Ng, Y W Khin, S S Feng, T K Y Lee, C H Wang and P Shoenmakers Release of paclitaxel from polylactide-co-glycolide (PLGA) microparticles and disks under irradiation. Journal of Microencapsulation, 20 (2003): 317-327. L Zeng, X Si, W P Yu, H T Le, K P Ng, R M Teng, K Ryan, D Z M Wang, S Ponniah and D J Pallen PTP alpha regulates integrin-stimulated FAK autophosphorylation and cytoskeletal rearrangement in cell spreading and migration. Journal of Cell Biology, 160, (1) (2003): 137-146. L Ye, H K Haider, S Jiang, R Ge, P K Law, E K Sim High efficiency transduction of human VEGF165 into human skeletal myoblasts: in vitro studies. Exp Mol Med. 2003 31;35(5):412-20. 108 Faculty of Medicine Research Report 2003 Contact Information Staff Profile Professor & Head Associate Professor & Deputy Head Professors : Soo Khee Chee : : John Isaac Ti Thiow Kong Lee Chuen Neng Sir Roy Calne (Visiting Professor) Bernat Soria (Visiting Professor) Abu Rauff Alan Porter Chin Chong Min Kesavan Esuvaranathan K. Prabhakaran Leow Chon Kar Lim Thiam Chye Eugene Sim Wong Poo Sing Reida Menshawe El Oakley Timothy Lee Prema Raj Hong Ga Sze Ivor Lim Mark Da Costa Edmund Chiong Jan Thorsten Schantz Phan Toan Thang Ratha Mahendran Dennis Wang Sng Jen Hwei Shanmugam Neviliappan Thomas Yong Winston Shim (Honorary appointment) Lim Hou-Sen (Adjunct) Hu Jin Pook Sim Hwee Damayanti Zahar Satish Ramapatna L Wang Xiao Jing Tham Sin Mun Lim Yew Koon Siti Saifa Wu QingHui Sriram Ramanan Lu Yong Jian Adjunct Professors : Associate Professors : Adjunct Associate Professors : Assistant Professors : Senior Research Fellows : Research Fellows : Research Assistants : Faculty of Medicine Research Report 2003 Contact Person : Telephone Email Facsimile : : : Contact Person : Telephone Email Facsimile : : : Postal Address : 109 Assoc Prof Kesavan Esuvaranathan (Postgraduate/Research Enquiries) Department of Surgery 6772-4224 suresuva@nus.edu.sg 6777-8427 Dr R. Mahendran (Postgraduate/Research Enquiries) Department of Surgery 6874-8000 surrm@nus.edu.sg 6777-8427 Department of Surgery National University of Singapore 5 Lower Kent Ridge Road National University of Singapore Singapore 119074 INTRODUCTION Research interests in NUMI are: cardiovascular research cancer research the fundamental issues in pancreatic islet beta-cell biology and with diabetes related problems neurodegenerative diseases A major part of the cardiovascular research is based on human myoblast and allogenic bone marrow cell transplantation in relation to cellular cardiomyoplasty in small and large animal models of myocardial infarction. Myogenic donor cell transplantation for cardiac repair is a potential new strategy to regenerate irreversibly damaged cardiac tissues and structures. We have successfully developed pig heart model of myocardial infarction by coronary artery ligation. We have also created a novel approach to combine angiogenesis and heart cell therapy for cardiac repair so that patients do not have to resort to a transplant. Cancer is the leading cause of deaths in Singapore as well as in the AsiaPacific region. We hope to produce significantly good results within a relatively short period in Singapore by strengthening the four selected areas of cancer research (gastric, breast, colorectal, and leukaemia) where strong researchers already exist in Singapore as well as good research collaboration in NUS/NUH. In the year 2003, we received three prestigious awards for our research achievement: Prof Yoshiaki Ito is the 12th recipient of the prestigious Tomizo Yoshida Award in recognition of his discovery of the gene RUNX3, a family of human cancer genes that could suppress the growth of cancer cells in the stomach. Ye Lei, a PhD student, received two awards: The Young Investigator Award 12th International Congress on Cardiovascular Pharm ISCP-2003, Spain, and National Health Group Young Investigator Merit Award 2003 (Singapore). DEPARTMENT OF National University Medical Institutes 110 Faculty of Medicine Research Report 2003 RUNX3 in breast cancer Project Description Principal Investigator Collaborators Grants Awarded in 2003 Molecular mechanism for the activation of Rac1 and downstream effectors by glucose stimulation in the regulation of insulin secretion from islet beta-cells Principal Investigator Collaborator : Dr Li Guodong : Prof Anjan Kowluru (Wayne State University, USA) Lipofection of human VEGF165 in human myoblasts for angiomyogenesis: making it safer for the ailing heart Principal Investigator Co-Principal Investigator Collaborators : Dr Khawaja Husnain Haider : Assoc Prof Eugene Sim : Assoc Prof Teh Ming, Dr Terrance Chua (National Heart Centre), Dr Philip Wong (National Heart Centre), Mr Ye Lei : Dr Lau Quek Choon : Prof Saraswati Sukumar (Johns Hopkins University, USA), Dr Manuel Salto Tellez The role of aberrant proteolysis in the pathogenesis of acute promyelocytic leukemia (APL) Principal Investigator Collaborator : Dr Matiullah Khan : Dr Motomi Osato (IMCB) Role of RUNX3 as a tumor suppressor in human colorectal cancer Principal Investigator : Dr Robert Hewitt Role of RUNX3 transcription factor in tumor suppression mediated by TGF-beta Principal Investigator : Dr Yasuko Yamamura Targeting the ER Stress in APL for therapeutic intervention Principal Investigator : Dr Matiullah Khan Establishment of a Gastric Cancer Epidemiology, Clinical and Genetics Programme Human skeletal myoblast transplantation for cardiac repair: molecular basis of donor cell survival and improvement of myocardial performance Principal Investigators Principal Investigator Co-Principal Investigator Collaborators Prospective and retrospective, high-throughput construction of annotated frozen and Paraffin Tissue Microarrays (TMA) linked to assessment of histomorphology, immunophenotype and RNA in-situ Hybridization: Towards the establishment of molecular information arrays : Dr Khawaja Husnain Haider : Assoc Prof Eugene Sim : Assoc Prof Teh Ming, Dr Terrance Chua (National Heart Centre) Genetic influence on prion protein an insight to neurodegenerative diseases Principal Investigator Collaborators Principal Investigator : Dr Wong Boon Seng : Prof Barry Halliwell, Dr Matt Whiteman : Assoc Prof Yeoh Khay Guan, Assoc Prof Laurence Ho, Prof Yoshiaki Ito : Dr Manuel Salto-Tellez Ongoing Projects Growth and apoptosis of islet beta-cells during depletion of cellular GTP by inhibition of IMP dehydrogenase Principal Investigator : Dr Li Guodong Crossing the histocompatibility barriers using transient immunosuppression: implications in cellular cardiomyoplasty using human skeletal myoblasts for cardiac repair Principal Investigator Collaborators Point mutations in Runx 1 found in leukemia patients (red) Faculty of Medicine Research Report 2003 111 : Dr Khawaja Husnain Haider : Dr Lim Yean Leng (National Heart Centre), Assoc Prof Teh Ming, Dr Philip Wong (National Heart Centre), Mr Ye Lei H K Haider, S J Jiang, L Ye, P K Law and E K W Sim International Publications Myoblast transplantation for cardiac repair using transient immunosuppression. Basic & Appl Myology 2003, 13: 45-52. J Huo, S A Metz and G D Li E K W Sim, H K Haider and P K Law Role of tissue transglutaminase in GTP depletion induced apoptosis of insulin-secreting (HIT-T15) cells. Biochem. Pharmacol 2003, 66, 213-223 Single skeletal muscle transplantation or the purified myoblast engraftment. J Thoracic Cardiovasc Surgery 2003, 125: 118-82. E K W Sim, L Ye, S J Jiang, Y L Lim, O C Ooi and H K Haider R Amin, H Q Chen, J Li, G D Li and A Kowluru Mastoparan-induced insulin secretion from insulin-secreting clonal ß [ßTC3 and INS-1] cells: Evidence for its regulation via activation of Rac, a small molecular weight GTP-binding protein. Endocrinology 144, 4508-4518 J Huo, S A Metz and G D Li p53-independent induction of p21Waf1/Cip1 contributes to the activation of caspases in GTP-depletion induced apoptosis of insulin-secreting cells. Cell Death Differ. (published online Sep 12, 2003) L Ye, H K Haider, S J Jiang, P K Law and E K W Sim High efficiency transduction of humanVEGF165 into human skeletal myoblast cells: in vitro studies. Exp Mol Medicine 2003, 35(5), 412-20. L Ye, H K Haider, C S Wang, Z Q Cheng, H Chen, K J Hu and Q Zhao Dose dependent effect of aprontinin on aggravated proinflammatory cytokines in patients with pulmonary hypertension following cardiopulmonary bypass. Cardiovascular Drugs and Therapy, 2003, 17: 343-48. Skeletal myoblast transplant in heart failure. J Cardiac Surg 2003, 18: 319-327. H K Haider, L Ye, S J Jiang, P K Law and E K W Sim Avoiding compliance with histocompatibility dogma using immune privileged cell xenografts. Annals Thoracic Surgery 2003, 337: 339-340. H K Haider, L Ye, S J Jiang and E K W Sim Cellular myocardial reconstruction using human myoblasts. J Am Coll Cardiol 2003, 42: 589. S J Jiang, H K Haider, L Ye, M Teh, G Fang, T Chua, P K Law and E K W Sim Xenotransplantation of human skeletal myoblasts shows longterm survival in a porcine heart. ASEAN Heart J 2003, 10: 31-36. L Ye, H K Haider, S J Jiang, H L Lieng, N M Idris, R A Jalil, P K Law and E K W Sim Angiogenesis using human myoblast carrying human VEGF165 for injured heart. Annals Acad Med Singapore, 2003: 32(5): S21-S23. C K Kim, E J Choi, S H Choi, J S Park, H K Haider and Ahn W S H K Haider, S J Jiang, S Aziz, L Ye, P K Law and E K W Sim Enhanced p53 gene transfer to human ovarian cancer cells using the cationic non-viral vector, DDC. Gynecol Oncol 2003, 90(2): 265-72. Effectiveness of transient immunosuppression using cyclosporine for xenomyoblast transplantation for cardiac repair. Exp Clinical Transplant 2003, 1: 27-28. Mr Ye Lei who received two prestigious awards for his research achievement & his team 112 Mechanism of unfolded protein response (UPR) induced by PML-RAR in Acute Promyelocytic Leukemia (APL) Faculty of Medicine Research Report 2003 Oncology Research Institute Y Ito and K Miyazono RUNX transcription factors as key targets of TGF-beta superfamily signaling. Current Opinion in Genetics & Development 13, 4347. K Döhner, K Tobis, T Bischof, S Hein, R F Schlenk, S Fröhling, H Döhner, B U Mueller, T Pabst, M Osato, N Asou, L M Johansen, T Dayaram,G Behre, W Hiddemann, Y Ito, D G Tenen Mutation analysis of the transcription factor PU.1 in younger adults (16 to 60 years) with acute myeloid leukemia: a study of the AML Study Group Ulm (AMLSG ULM) Blood 102: 3850 – 3851 B U Mueller, T Pabst, M Osato, N Asou, L M Johansen, M D Minden, G Behre, W Hiddemann, Y Ito and D G Tenen J Harada, K Kokura, C Kanei-Ishii, T Nomura, M M Khan, Y Kim, S Ishii Requirement of the co-repressor HIPK2 for Ski-mediated inhibition of BMP-induced transcriptional activation. J Biol Chem. 2003 Jul 21 PMID: 12874272 K Kokura, H Kim, T Shinagawa, M M Khan, T Nomura, S Ishii The Ski-binding protein C184M negatively regulates tumor growth factor-b signalling by sequestering the smad proteins in the cytoplasm. J Biol Chem. May 30 278 (22): 20133-20139. M P Hande, T V Azizova, C R Geard, L E Burak, C R Mitchell, V F Khokhryakov, F K Vasilenko and D J Brenner Past exposure to densely ionizing radiation leaves a unique permanent signature in the genome. American Journal of Human Genetics 72 (5): 1162-1170. Heterozygous PU.1 mutations are associated with acute myeloid leukemia. Blood 101:2074 J Abraham, B Lemmers, M P Hande, M E Moynahan, C Chahwan, A Ciccia, J Essers, K Hanada, R Chahwan, A K Khaw, P McPherson, A Shehabeldin, R Laister, C Arrowsmith, R Kanaar, S C West, M Jasin, R Hakem K Inoue, S Ozaki, K Ito, T Iseda, S Kawaguchi, M Ogawa, S C Bae, N Yamashita, S Itohara, N Kudo and Y Ito Eme1 is involved in DNA damage processing and maintenance of genomic stability in mammalian cells. EMBO Journal 22: 6137-6147. Runx3 is essential for the target-specific axon pathfinding of trkC-expressing dorsal root ganglion neurons. Blood Cells, Molecules & Diseases. 30, 157-160 S C Bae and Y Ito Comment on Levanon et al., Runx3 knockouts and stomach cancer. EMBO reports 4:6 M P Hande DNA repair factors and telomere-chromosome integrity in mammalian cells Cytogenetic and Genome Research (Invited Review; in press). M Matsuno, M Osato, N Yamashita, M Yanagida, T Nanri, T Fukushima, Y H Wang, S Kusumoto, M Towatari, R Suzuki, T Naoe, K Nishii, K Shigesada, R Ohno, H Mitsuya, Y Ito and N Asou Dual mutations of the AML1 and FLT3 genes in patients with acute myeloblastic leukemia of the M0 subtypes. Leukemia 17, 2492-2499 T Yoshida, H Kanegane, M Osato, M Yanagida, T Miyawaki, Y Ito, K Shigesada Functional analysis of RUNX2 mutations in cleidocranial dysplasia: novel insights into genotype-phenotype correlations. Blood Cells, Molecules & Diseases. 30, 184-193 S T Fraser, M Ogawa, T Yokomizo, Y Ito and S Nishikawa Putative intermediate precursor between hematogenic endothelial cells and blood cells in the developing embryo. Developmental Growth & Differentiation 45, 63-75. Faculty of Medicine Research Report 2003 113 Staff Profile Professor and Director Associate Professor & Deputy Director Professor and Director (ORI) Senior Research Scientists : Yap Hui Kim : : : Research Scientists : Research Fellows : Research Assistants : Shazib Pervaiz Yoshiaki Ito Wong Boon Seng Richie Soong Chuan Teck Yasuko Yamamura Li Guodong Khawaja Husnain Haider Lee Shao Chin Lilia Kuleshova Huang Canhua Ko Tun Kiat Lau Quek Choon Matiullah Khan Huang Liqun Liu Qiang Rudaba Nasreen Akhand Huo Jianxin Li Jingsong Goh Wee Kee Anuradha Poonepalli Contact Information Contact Person Telephone Facsimile Email Postal Address : : : : : Homepage : Contact Person Telephone Facsimile Email Postal Address : : : : : Ms Tan Bee Lay 6874-8098 6773-5461 nmisec@nus.edu.sg National University Medical Institutes Blk MD11 10 Medical Drive #02-01 Clinical Research Centre Singapore 117597 http://numi.nus.edu.sg Ms Selena Gan 6874-1873 6773-5461 nmigans@nus.edu.sg Oncology Research Institute National University Medical Institutes Blk MD11 10 Medical Drive #03-01C Clinical Research Centre Singapore 117597 114 Faculty of Medicine Research Report 2003 AWARDS & PRIZES Faculty Of Medicine Research Report 2003 AWARDS & PRIZES Ms Sharon Thio Anatomy won the Merit Award, Basic Science Poster Contest at the 4th Combined Scientific Meeting (Life Sciences in Singapore : Integrating Multidimensional Perspectives in January 2003. Dr Yip Wai Cheong A*STAR International Fellowship. Awarded by the Biomedical Research Council, A*STAR. Microbiology Zou X, Foong KWC, Yip GWC, Cao T, Bay BH and Ouyang HW Best Oral Science Award - 7th NUS-NUH Annual Scientific Meeting. “The effect of heparin sulfate and chondroitin sulfate on palatal fibroblast activities”. Assoc Prof Vincent T. K. Chow Prof P Gopalakrishnakone Koh Wee Lee was awarded the Faculty Research Excellence Award 2002-2003. was awarded the Excellent Award Travel Scholarship for the 6th AsiaPacific Congress of Medical Virology, December 2003. Biochemistry Chan Yow Cheong Oration, 6th Asia Pacific Congress of Medical Virology, December 2003. Obstetrics & Gynaecology Prof Barry Halliwell has again been named by ISI as one of the world’s most cited scientists in Biology and Biochemistry, ranked in the top 30 out of 5724 worldwide. COFM Dr Koh Woon Puay was awarded the Avon Foundation-AACR International Scholar-in-Training Award for the AACR 94th Annual Meeting, 2003. Dr Annelies Wilder-Smith was awarded the Best Oral Presentation Award at the 9th International Conference on Travel Medicine, New York held from 7-11 May 2003. Prof Ariff Bongso was presented the Excellence for Singapore Award in May 2003 for his work in assisted reproduction and stem cell biology, which makes Singapore a centre of medical excellence. He was also awarded the Fellowship (ad eundem) of the Royal College of Obstetricians & Gynaecologists in September 2003 acknowledging his major contributions to the well being of women. Dr Chong Yap Seng, Dr Su Lin Lin and Dr Samuel M were the recipients of the Best Free Paper Oral Presentation Award for the article ‘The Use of Misoprostol Administered by Different Routes to Prevent Postpartum Haemorrhage: A Systematic Review’ by the International Conference on Evidence-Based Medicine 2003 in October 2003. Dr WH Chua, Assoc Prof SM Saw and Assoc Prof D Tan SC Ng, YS Chong, M Rauff, Myo ZM, C Nurfarah, SSL Chew, M Yap, PRM Deurenberg were awarded the Young Investigator Award – Outstanding (Clinical) at the First SERI-ARVO Meeting on Research in Vision and Ophthalmology, Singapore 2003 for the paper “Refractive errors and their correction in Singapore school children”. were presented the 11th Asian Congress of Pediatrics Award for the article ‘The influence of breast compared to formula feeding on infant adiposity – A prospective pilot study’ by the Asian Congress of Pediatric on 7 November 2003. Choolani M, Kumar S, O’Donnell H, O’Donoghue K, Campagnoli C, Talbert D, Roberts I, Bennett PR, Fisk NM Medicine Assoc Prof Kong Hwai Loong was listed in The Peak’s ‘The Who’s Who of Singapore’, Second Edition. Dan Y Y was awarded the A*STAR scolarship to go Seattle to study Fetal liver Stem Cells. 116 were the recipients of the Best Oral Presentation in Obstetrics for the article ‘Primitive fetal erythroblasts: ideal target for 1st trimester noninvasive prenatal diagnosis.’ in the 4th Singapore Congress in O&G/1st Singapore-Malaysian Conference in O&G, Sheraton Towers Hotel, Singapore, 16-19 January, 2003. Loy Chong Jin won the Young Scientist of the year at the 7th NUS-NUH Annual Scientific Meeting (in conjunction with GIS, IMCB and JHS) held in 2003. Faculty of Medicine Research Report 2003 Gong Yin Han, Lim Lis Sa Elissa, Loy Chong Jim, Obbard Jeffery, Stephane Bayen, Yong Eu Leong won the Best Clinical Science Poster Award for the article “Screening for endocrine-disrupting compounds in mussel and phytoplankton with sexhormone receptor driven reporter gene bioassays and LC-MS and CEMS” at the 7th NUS-NUH Annual Scientific Meeting (in conjunction with GIS, IMCB and JHS) held in 2003. Lim Lis Sa Elissa, Gong Yin Han, Chin Hong Soon, Loy Chong Jim, Obbard Jeffery, Yong Eu Leong won the Best Clinical Science Poster Award (Merit) for the article “Sex hormone disruptors in Singapore’s marine environment” at the 7th NUSNUH Annual Scientific Meeting (in conjunction with GIS, IMCB and JHS) held in 2003. Ophthalmology Dr Wong Tien Yin was awarded the Ethicon Foundation Travel Grant by Royal College of Surgeons of Edinburgh, UK. Orthopaedic Surgery Teo Yee Hong, Dr Li Li, Dr James Hui, Prof Lee Eng Hin Young Doctor Award. A comparative study of efficacy of mesenchymal stem cells (MSC) from bone marrow, periosteum and fat transfers in the treatment of partial growth arrest at the 7th NUS-NUH Annual Scientific Meeting, 2-3 October 2003. Andrew Dutton, Dr James Hui, Prof Lee Eng Hin Young Orthopaedic Investigator Award. Enhancement of meniscal regeneration using mesenchymal stem cells in a porcine model at the Annual Scientific Meeting of the Singapore Orthopaedic Association, 2528 November 2003. Byers Benjamin A, Guldberg Robert E, Hutmacher Dietmar W, Garcia Andres J First Prize, Oral Presentation in PhD category. Runx2 Genetic Engineering Enhances In Vitro and In Vivo Mineralization in Fused Deposition-Modeled Polycaprolactone Tissue-Engineered Scaffolds at the 6th Annual meeting of the Tissue Engineering Society International , 10-13 December 2003. Dr Wong Tien Yin Otolaryngology was awarded Young Scientist of the Year Award (Finalist) by National Academy of Science, Singapore. Dr Wong Tien Yin Dr Wang De Yun was awarded the BMRC Young Investigator Award for his remarkable contribution to research in Singapore. received 2003 Sam Sanders Award for Basic Science from the American Academy of Otolaryngic Allergy (AAOA). Dr Wong Tien Yin Paediatrics was awarded the Outstanding Service in Prevention of Blindness by the Asia Pacific Academy of Ophthalmology (APAO). Dr Wong Tien Yin Dr Allen Yeoh, Prof Wong Lim Soon, Dr Li Jinyan, Ms Liu Huiqing was awarded the Faculty Research Excellence Award 2002-2003. Dr Leonard Ang was awarded The Asian Innovation Awards - GOLD MEDAL by the Far Eastern Economic Review (FEER) and the Singapore Economic Development Board. Best Free Paper (2nd) - 14th Singapore General Hospital Annual Scientific Meeting 2003. Dr Lee Yung Seng Dr Leonard Ang Young Investigator Award - 14th Singapore General Hospital Annual Scientific Meeting 2003. Dr Aung Tin was awarded The Eye Institute-Pfizer Research Prize for Best Original Paper for his paper ‘Additive effect of unoprostone and latanoprost in patients with elevated intraocular pressure.’ Faculty of Medicine Research Report 2003 AFES Young Investigator Award “Prevalence of Melanocortin-3 Receptor (MC3R) and Melanocortin-4 Receptor (MC4R) Gene Mutations in Obese Singapore Children”. ASEAN Federation of Endocrine Societies (AFES) 12th Congress of ASEAN Federation of Endocrine Societies, 30 Nov - 4 Dec 2003, Singapore. Felicia Cheah Siew Hong Poster Merit Award - 4th Combined Scientific Meeting. “The zebrafish Danio rerio as an animal model for craniofacial development and disease - genomic and functional studies of tgfß3”. 117 Arnold Tan Sia Chye 2nd Prize Poster Award - 4th Singapore Congress in O&G and 1st Singapore-Malaysia Conference in O&G (O&G Society). “Validation of a single cell polymerase chain reaction (PCR) assay for application to preimplantation genetic diagnosis (PGD) of hemoglobin (Hb) Bart's hydrops fetalis syndrome". Dr Dawn Lim Li Chern Psychological Medicine Dr Tan Hao Yang won the American Psychiatric Institute for Research and Education – Astra Zeneca Young Minds in Psychiatry Award for Schizophrenia Research (International Category) in May 2003. was awarded the American Academy of Allergy, Asthma and Immunology (AAAAI) International Travel Grant Award 2003 Surgery Zhao Ziqing, Priya Kadam and Dr Lai Poh San Finalist in the Singapore Science and Engineering Fair 2003. “Single nucleotide polymorphisms analysis of RB1 gene in Four Asian Populations”. Dr Lai Poh San, Low Swee Ling, Khng Hwee Hoon, Prof Low Poh Sim Amersham Biosciences Best Presentation Award at the 4th Combined Life Sciences Conference in Singapore: Integrating Multidimensional Perspectives, 15-18 January 2003, Faculty of Medicine, Singapore Pathology Dr Ye Lei Young Investigator Award 12th International Congress on Cardiovascular Pharmacotherapy held in Spain in 2003. Dr Zhang Zhijiang was awarded a travel award to present his work at the American Society of Gene Therapy Annual Meeting held in Washington DC in 2003. Dr Sng Jen-Hwei Dr Tan Kong Bing, Ms Vanessa Soh, Dr Thomas P Thamboo, Ms Barbro Nilsson, Dr Satina Chang and Dr Norman Chan were awarded the Royal College of Pathologists of Australasia Quality Assurance Programs Trainee Poster Prize during the Pathology Update of the Annual Scientific Meeting, Royal College of Pathologists of Australasia, Sydney, Australia, March 2003 for their Poster Presentation. Title: "Quality indices in a cervicovaginal cytology service: pre and postlaboratory accreditation". Dr Tan Kong Bing, Ms Lim Hui Qin, Mr Winston Wu and Dr Norman Chan vwere awarded the Best Poster Award (Medicine/Paediatrics) during the National Healthcare Group 2nd Annual Scientific Congress in October 2003, Singapore. Title: "Cell block immunocytochemistry helps in the differentiation between adenocarcinomas and mesotheliomas". won the award for the best oral presentation– Surgery/Obstetrics & Gynaecology/Dentistry at the National Healthcare Group Annual scientific meeting held in 2003. Dr Wu Qinghui won a merit award at the 7th NUS-NUH Annual Scientific Meeting held in 2003. Ms Seow Shih Wee won the fourth prize in the 3rd Annual Graduate Student Society-Faculty of Medicine Sci Conference held in 2003. Dr Liu Qiang, Dr Wu Qinghui, Dr Zhang Zhijiang and Ms Seow Shih Wee were awarded travel awards by the Sir Edward Youde Memorial Fund to attend a postgraduate conference in Hong Kong in 2003. Ms Chiu Lily, Ms Leow Gek Har, Assoc Prof Vincent T K Chow, Assoc Prof Paul A Tambyah and Assoc Prof Evelyn S C Koay were awarded the 6th APCMV Excellence Award at the 6th Asia Pacific Congress of Medical Virology, 7–10 December 2003, Kuala Lumpur, Malaysia. Title: “The use of an in-house RT-PCR assay for dengue virus detection in the differential diagnosis for patients with possible SARS” Physiology NUMI Dr Ye Lei Young Investigator Award 12th International Congress on Cardiovascular Pharmacotherapy held in Spain in 2003. Dr Ye Lei National Health Group Young Investigator Merit Award 2003 (Singapore). Dr M. Prakash Hande was awarded the UICC Yamagiwa-Yoshida International Cancer Study Grant by International Union Against Cancer (Union Internationale Contre le Cancer), Geneva, Switzerland. 118 Prof Yoshiaki Ito Was awarded The Tomizo Yoshida Award for his work in RUNX genes in Nagoya, Japan, September 2003. Faculty of Medicine Research Report 2003 PATENTS Faculty Of Medicine Research Report 2003 PATENTS Anatomy Paediatrics Suresh C Srivastava, Satya P. Bajpai. Kwok-Hung Sit Heng Chew Kiat, Javier Cabrera, Tham Chen Khong 1. Methods for assessing risk of diseases with multiple contributing factors CpG Oligonucleotides as a carrier of drug-gemcitabine-CpG oligonucleotides as highly promising anticancer agents. 2. Oligonucleotides and intermediaries. Applicant: ChemGenes Corp. Wilmington, MA. National University of Singapore; Application number: Transmittal Express Mail No. ER220423975US, Transmittal Express Mail N. EU067835608US; Filed on July 16, 2003 Biochemistry Chua Kaw Yan, Cheong Nge, Lee Bee Wah Novel therapeutic molecules and uses therefore. Filed on February 2003 Chua Kaw Yan, Cheong Nge and Lee Bee Wah The use of a fungal immunomodulatory protein, Fve, for immunotherapy, against allergy, virus infection and cancer. INTRO Ref: CHUA KY 03-UK. Filed on 16 April 2003 Miao Yubo, Chen Yu, Lim Tit Meng, Heng Chew Kiat Too HP., Anwar, A. and August, JT. Specific Detection and Quantification of the Replicative Forms of the RNA Virus by Fluorescence-based PCR, USSN- 60/408,818. Shallow multi-well plastic chip for thermal multiplexing. US Provisional Application No. : 60/456, 929. Filed on 24 March 2003. US Application No. : 10/613, 599 filed on 3 July 2003 Victor Samper, Ji Hong Miao, Chen Yu, Heng Chew Kiat, Lim Tit Meng Microbiology Nucleic Acid Purification Chip. US Provisional Application filed on 30 December 2003. Ho Bow A novel generation of cloned horseshoe crab recombinant Factor C for detection and removal of endotoxin (United States Patent Application No. 6, 645, 724, 11 Nov 2003).(European Patent Office Patent Application No. 98 945 748.6) Mary Ng Mah Lee and Justin Chu Jang Hann Interaction between cell receptor protein and flavivirus attachment domain/s and uses thereof. U.S. Provisional Application no. 60/442,517, filed on January 22, 2003 Chan Soh Ha, Leung Pak Hing, Song Yong Cheng Gold Drug A - Effective anti-cancer agent shown in vitro and in vivo. US Patent No. 2003/0114695 A1 Pharmacology Zhu Yi Zhun Anti-anxiety effects of Salviae Miltiorrhizae in the treatment of anxiety/fear. (China) Brett P. Monica, William A. Gaarde, Pamela Nero, Robert Mckay, W.S. Fred Wong Antisense modulation of p38 mitogen-activated protein kinase expression. PCT International Application (USA) Sim Meng Kwoon Use of angiotensin I derivative as an agent for the treatment and prevention of glomerulosclerosis and renal failure (USA). Obstetrics & Gynaecology P. Gopalakrishnakone, XC Pu, PTH Wong, MCE Gwee and RM Kini Yong EL, Yap SP. Methods for preparing an estrogenic preparation and isolated estrogenic compounds from a plant and uses thereof. US Patent No: 2003/0170292 A1. Published: September 11 2003. Published on-line Yong EL, Lim ELS Butler M. Method for the preparation of phytoprogestogenic extracts from rhizoma ligusticum chuanxiong and uses thereof. US and PCT application no. PCT/SG03/00195, Intro Ref: Yong el 03 – PCT. Filed on 29 August 2003. Therapeutic molecules derived from snake venom. (USA) Physiology William Harnett, Margaret M. Harnet, Ian B. McInnes, Charles McSharry, Alirio J. Melendez Es-62 for asthma. New British Patent Application No. 0322186.8 Surgery. Yong EL, Ng Toon Yaa, Shen Ping, Heng WS, Gong Yin Han Compositions and method for treatment of steroid/nuclear receptor mediated diseases. US Regular Patent Application. Intro ref. Yong EL 04. Filed on 2 December 2003 Surgery Teoh Swee Hin, Ten Kim Cheng, Dietmar Hutmacher, Lim Thiam Chye, Jan-Thorsten Schantz and Chou Ning Bioabsorbable plug implants and methods for bone tissue regeneration. Place of registration: US 120 Faculty of Medicine Research Report 2003 GRADUATE STUDENTS Faculty Of Medicine Research Report 2003 GRADUATE STUDENTS Thesis Passed Bai Jing Anaesthesia Drug metabolism and transport in cirrhotic liver. Edula Goutham Hepatitis B database. MSc Kunde Ramamoorthy Govindarajan Helen Isaac MHC - peptide interaction studies using Bioinformatic tools. Cytokine changes in traumatic brain injury. Lee Tien Huat Shalini Girotra Heat shock proteins as cancer vaccines. The role of acupuncture in the treatment of neck pain. Li Hongzhe Genetic epidemiology of coronary artery disease: Polymorphic studies of ACATZ. PhD Sethuraman Rama Li Kai Isolation and characterization of new peptides from human cerebrospinal fluid (CSF). Development of computational methods for the rapid determination of NMR resonance assignment of large proteins. Li Xiaolei Structure and function studies of snake toxin. Anatomy Ren Jihui Analysis of membrane tracfficking in ncr-yeast strains. MSc Shanmugasundaram Deivanayagam Roles of aquaporins in normal and preelamptic placenta. Kok Yee Jiun Control of FAS-mediated apoptosis in glioma cells. Shen Yiru Studies of site-directed mutagenesis of CD38 in CHO cell lines. Sathiyamoorthy Selvarajan C-erb B2 expression in invasive breast cancer in Singapore women. PhD PhD Liang Fubo Functional Studies of CD157-mediated Tyrosine Kinase Signalling. Nirthanan Selvanayagam Biological activity of venoms and toxins from some snakes from Sri Lanka. COFM Thirumangalathu Shoba Neurogenesis and retinoic acid induced changes in the cardiac ganglionic cells of the developing rat heart. MSc Wang Xu Neurodegeneration and glial cell reactions in the visual system of the rat following experimentally-induced glaucoma. Chen Jing C Ananth Alcohol drinking and coronary heart disease mortality in Singapore Chinese. Neurotoxic effects of domoic acid in rats. Manoj Kumar Singh Review of acute pancreatitis patients in a tertiary hospital in Singapore. Biochemistry M Med (OM) MSc Thio Yauw Leng Bernard A survey of dermatological conditions in a pharmaceutical plant in Singapore. Anita Suresh Biocomputing for database construction, data mining, molecular modelling. Reynold Ofanoa Occupational health and safety priority areas in the Kingdom of Tonga. 122 Faculty of Medicine Research Report 2003 Ms Kuay Kuee Theng Physiology Catalogue of the expressed genes of the major allergen producing dust mite, Biomia Tropicalis Ms Tan Teng Nging MSc Epidemiology of allergic respiratory diseases in preschool children in Singapore. AKM Sanual Haq Chowdhury Ms Wong Fei Ling To study the mechanism of chemotherapeutic activity of resveratrol Immunochemical characterization, identification and cloning of novel allergens from fungus, curvularia lunata. Surgery Ms Yang Li Characterization of Blo t3, a novel group 3 allergen from house dust mites Blomia tropicalis. PhD Ms Zhang Yujing Clinical profile of infants and children with congenital heart disease in National University Hospital. PhD Dr RL Satish Pathogenesis of postsurgical adhesions in the presence of physical barriers and phospholipase a2 inhibitors. Dr Pook Sim Hwee Mechanisms of BCG immunotherapy Mr Kuo I-Chun Development of therapeutic and diagnostic reagents for allergic diseases. MD MD Dr Aamir Hassan Sheikh Assoc Prof Quek Swee Chye Role of p38Map kinase in colorectal cancer Haemostatic profile and coronary risk in Singapore newborns and their molecular control. Dr Anil Kumar Pharmacology MSc Role of S100A4 in colorectal cancer metastasis Dr Zhang Zhijiang Intravesical TNF- gene therapy mediated by a novel liposome system in an orthotopic murine bladder cancer model. Dr Zhang Li Therapeutic angiogenesis by gene therapy Ji Xinyan A comparative study of the cardioprotective effects of salvia miltiorrhiza and ramipril after acute myocardial infarction in rats. NUMI Xu Chengyu Effects of angiotensin IV on cardiac hypertrophy in rats and rat cardiomyocytes. PhD Vanaja Manivasager Huo Jianxin Photodynamic diagnosis of neoplasms using the novel photosensitizer, protoporphyrn IX. Mechanisms of GTP-depletion induced apoptosis in HIT-T15 insulin secreting cells. PhD Mr B. Chowbay Pharamacogenetics of ABC transportors and drug metabolising enzymes and the influence of SNPs on irinotecan (CPT-II) disposition in nasopharyngeal carcinoma patients. Faculty of Medicine Research Report 2003 123 Kalpana Ramnarayanan MD Mucin binding of Helicobacter pylori. Lim Chai Yen Chan Leung Kwok, Clement Epigenetic analysis and pharmacological manipulation of the major latent promoter W of Epstein Barr virus. Duplex ultrasound penile blood flow study and lipid profile to differentiate psychogenic from arteriogenic causes of erectile impotence. Shirley Ting Hui Ling Seroepidemiology of Japanese encephalitis virus in the human and animal population in Singapore. Ophthalmology PhD MSc A.M.A. Nasirudeen Luo HaiDong Cellular and Cytochemical characterization of programmed cell death in the protozoan parasite Blastocysis hominis. Corneal Curvature and Myopia: A Cross Sectional Study in Singapore School Children. Chan Wai Ping Marieta Sun XiaoYin Identification of natural mutants of the hepatitis B virus enhancer II affecting viral replication. Analysis of PCR-Base Detection of Microorganisms Causing Severe Ocular Infections. Jeanette W.P. Teo PhD Genetic determinants of antibiotic resistance and virulence factors in Vibrio harveyi. Wu Hui Min Li Bin Genetic Epidemiology of Myopia Delaying lymphocyte homing in the prevention of murine graft-versushost disease. Orthopaedic Surgery Lim Kah Meng Genomic mapping, localization and functional analysis of the novel human DENN gene. MSc Lim Tok Hoon Development of biological processes for the treatment of oily wastewaters and sludge and a feasibility study on in situ bioremediation of a hydrocarbon contaminated aquifer. Moe Maung Maung The natural history of adolescent idiopathic scoliosis in Singapore school children Sunita Singh PhD Molecular typing of eneteroviruses and development of a DNA vaccine. Ouyang Hongwei Obstetrics & Gynaecology Tissue engineering approach for tendon/ligament repair and regeneration MSc Paediatrics Mid-trimester uterine artery Doppler screening as a prediction of adverse pregnancy outcome in unselected women. MSc Sabina Islam Ms Chew Joon Lin PhD In vivo evaluation of chitosan nanoparticles for the delivery of mite allergen genes and proteins in mice. Lim Po I, Joyce Ms Hon Sook Mei The androgen receptor and infertility. Characterization of the allergenic components of the pollen of oil palm, Elaeis guineensis Jacq. (Arecaceae) Kalamegam Gauthaman Effect of tribulus terrestris I. on male reproductive function 124 Faculty of Medicine Research Report 2003 Chiam Tut Fu Medicine Intrinsic risk factors for musculoskeletal injuries amongst Basic Military Training Recruits. Andijani Maria Ratna MSc Noise induced hearing loss in a pulp and paper mill, Riau, Indonesia. Lim Hung Occupational deafness compensation in Hong Kong 1995-2002: Profile and rates of compensated hearing loss. Dr Cho Cho Myint Hussain Altaf The relationship of ascorbic acid intake and serum ascorbic acid with nutritional parameters in chronic ambulatory peritoneal dialysis (CAPD) patients. Prevalence of bronchial asthma among workers of a fertilizer factory. Zhang Xiaozhu M Med (PH) The polymorphisms of the high affinity immunoglobulin E receptor beta chain, beta-2 adrenergic receptor, platelet activating factor acetylhydrolase genes and asthma in Singapore. Ong Pang Yeow, Gary Zaw Min Cohort study on factors affecting breastfeeding duration in Singapore. Management of pain in the Emergency Department. Genetic polymorphisms of major histocompatibility complex class II (MHC Class II),apoliprotein H (APOH) and angiotensin-converting enzyme (ACE) genes in patients with the antiphospholipid syndrome: Association with anti-beta2-glycoprotein I antibodies in 3 ethnic groups. Shyamala Thilagaratnam Daw Mya Mya Follow-up after screening for scoliosis – does it make a difference? Predictors for 30-day and one-year mortality outcome undergoing primary angioplasty for acute myocardial infarction. Lim Ghee Hian Teoh Yee Leong A survey of the social-economic status of patients from the National Healthcare Group Polyclinics, Singapore. Zhang Weidong Polymorphisms of the candidate genes IL4R, IL4 and TNF-a for asthma in Asian populations. Paul Chang Yoong Ming Career preferences of Singapore-trained final-year medical students and house officers in 2003. Sonia Baig Airways cellular response in near-fatal asthma with or without association of respiratory viruses. Mukherjee Karabee Delayed childbearing- are there any risks? A hospital based study in Singapore. Jin Aizhen Adherence to and efficacy of an evidence based management algorithm for acute asthma in the emergency department. Anie Haryani Abdul Rahman Barriers to good glycaemic control among patients with type 2 diabetes in Brunei Muara District, Brunei Darussalam: patients’ perspectives. MD Ananda Raj Dr Chiew Yoke Fong The prevalence of pulmonary tuberculosis in Taiping, Malaysia. The epidemiology and laboratory detection of resistant enterococci. Leung Wai Man Raymond Impact Evaluation of food safety programme: control of clenbuteroltainted pig’s products in the Hong Kong Special Administrative Region (HKSAR). Microbiology Tsui Lok Kin Edwin PhD The epidemiology of chickenpox in the Hong Kong Special Administrative Region (HKSAR) (1989-1993 and 1999-2001). Chua Jia En, John PhD Interactions between dengue virus non-structural proteins with host cellular proteins. Niti Muhamad Devipriya Subramaniyam Amenable mortality and avoidable hospitalization: Using populationbased outcome indicators for the appraisal of health system performance in Singapore. Evaluation and development of dengue antigen detection methods. Faculty of Medicine Research Report 2003 125 PRESS CLIPPINGS 4 1 Doctors, scientists unite against virus 28 Apr 2003 4 Docs grew eye ‘patch’- from her own eye 20 Jan 2003 2 Big increase in breast cancer 27 Feb 2003 5 Detecting Down’s syndrome without risking unborn baby 18 Jan 2003 3 Local drug set to enter world market 14 Nov 2003 6 Look, hope for poor sight is at hand 11 Feb 2003 1 5 2 3 6 10 Medical Drive Singapore 117597 Telephone: 6874 3297, 6874 3298 Fascimile: 6778 5743 http://www.med.nus.edu.sg/research/file/rschrpt2003/NUSMed.pdf