Microsatelite GT polymorphism in the toll-like receptor 2 is associated with colorectal cancer

Factors underlying genetic predisposition for development of sporadic colorectal cancer are largely unknown. The fact that this cancer is more common in patients suffering from inflammatory bowel disease raises the question of the relationship between chronic inflammation and cancer. Toll-like receptors 2 (TLR2) and 4 (TLR4) are critical in initiating innate immune response and inflammation toward various bacteria commonly found in the intestine. Recent evidence about the association of polymorphisms in these genes with ulcerative colitis and Crohn's disease, as well as other inflammatory conditions, was the basis for our investigation of their role in sporadic colorectal cancer. We assessed genotype and allele frequencies of TLR2 GT microsatelite polymorphism, TLR2 Arg753Gln, TLR4 Asp299Gly and TLR4 Thr399Ile polymorphisms in 89 colorectal cancer patients and 88 age- and sex-matched controls. The frequency of TLR2 GT microsatelite alleles with 20 and 21 GT repeats was decreased (p = 0.0044 and p = 0.001, respectively), while the frequency of the allele with 31 GT repeats was increased (p = 0.0147) in patients. The mutant allele Asp299Gly of TLR4 gene was slightly more frequent in colorectal cancer patients (p = 0.0269). In conclusion, we report an association of microsatelite GT polymorphisms of TLR2 gene and Asp299Gly polymorphism of the TLR4 gene with sporadic colorectal cancer among Croatians.

Children war casualties during the 1991-1995 wars in Croatia and Bosnia and Herzegovina

AIM

To analyze clinical course of war-related injuries in children treated at the Split University Hospital during the wars in Croatia (1991-1995) and Bosnia and Herzegovina (1992-1995).

METHODS

Medical records of 94 treated children were analyzed. The severity of wounds was scored according to the Abbreviated Injury Scale (AIS) and Injury Severity Score (ISS) evaluation systems.

RESULTS

Most children were wounded during shelling/bombing (n = 28, 10 boys and 18 girls) and by left over explosive devices (n = 26). Children injured by left over explosive devices were predominantly boys (23/26 children), aged 10 to 16 years (19/26 children). Extremities were the most frequently wounded body regions (43% of all wounded regions). The wounds to the head/neck (median AIS = 5.0, range 1-6) and abdomen (median AIS = 4.5, range 3-5) were the most severe. Abdominal wounds required surgical procedures (p < 0.001) and antibiotic treatment (p < 0.05) most frequently, as well as patients with greater AIS and ISS scores (p < 0.05). According to the treatment outcome, more patients wounded to the abdomen and extremities showed improvement than no change or complete recovery (p < .05). Permanent disability remained in 37 (39.4%) children and three (3.3%) children died.

CONCLUSION

Boys in upper elementary grades and high school were at greater risk of being wounded by fragments of left over explosive devices than younger boys or girls. The most severe wounds were to the head/neck and the abdomen and inflicted during the shelling or bombing. This should be taken into account in organization of surgical care for the children with war-related injuries.

Expression pattern of PAX3 and PAX6 genes during human embryogenesis

The expression of human PAX6 and PAX3 genes was investigated in 6 human 6-9 week old conceptuses by in situ hybridization. During human embryonic development (6-8 developmental weeks), PAX6 was expressed in the ventricular zone of telencephalon and diencephalon, and in the ventricular and ventral intermediate zones of medulla oblongata and spinal cord. PAX6 expression was detected in both layers of the optic cup, optic stalk and prospective corneal epithelium. Infundibulum and Rathke's pouch of the pituitary gland showed hybridization signal as well. In the early fetal period (9 developmental weeks) PAX6 expression increased in the spinal cord. In the eye, hybridization signal characterized the corneal and lens epithelium, pigmented and neural retina, while it was missing in the optic disc and nerve. In a 6-week human embryo, transcripts of PAX3 gene were observed in the ventricular zone at the mesencephalic-rhombencephalic border, and in the dorsal part of the ventricular zone and the roof plate of the medulla oblongata and the spinal cord. In the 8-9-week fetus, PAX3 expression increased in dorsal parts of the spinal cord. PAX3 characterized ectomesenchyme of the upper and lower jaw, and tongue. During early human development, PAX6 and PAX3 genes seem to be involved in the brain regionalization and establishment of dorso-ventral polarity of the spinal cord. Additionally, PAX6 participates in organogenesis of the eye and the pituitary gland, and PAX3 in the development of face and neck mesenchyme.

Genetic analysis of the glucose-6-phosphate dehydrogenase deficiency in a southern Croatia

Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most common human enzymopathy. G6PD Mediterranean is caused by a C-->T transition at nucleotide 563, is characterized with less than 10% of normal enzyme activity and is classified as severe G6PD deficiency. Nineteen unrelated males from Southern Croatia with severe G6PD deficiency were tested, by enzyme digestion, for the presence of the Mediterranean mutation. Individuals with G6PD Mediterranean were further screened for the silent C-->T transition at nucleotide 1311. Four of the nineteen individuals were positive for the Mediterranean mutation (21%) and all four had the silent mutation.

Expression of PAX2 gene during human development

The expression of human paired-box-containing PAX2 gene was examined in 7 human conceptuses 6 to 9 weeks old by in situ hybridization. The embryos were collected after legal abortions, embedded in paraffin, serially cut in transversal direction and treated with S35 labeled probe for PAX2. In the neural tube of 6-week embryos, PAX2 was expressed in the outer part of the ventricular zone on both sides of the sulcus limitans. At later stages, it was expressed in the intermediate zone of the spinal cord, both in alar and basal plates except in the region of motor neuroblasts. In the brain, expression of PAX2 extended from mesencephalic-rhombencephalic border along the entire rhombencephalon in a manner similar to that described for the spinal cord. Expression of PAX2 gene in the eye was seen in the optic cup and stalk, and later in the optic disc and nerve. In the ear, expression was restricted to the part of the otic vesicle flanking the neural tube and later to the utricle and cochlea. Expression of PAX2 was observed in developing kidneys as well. During human development PAX2 has a spatially restricted expression along the compartmental boundaries of the neural tube, and within developing eye, ear and kidneys. Differentiation of those organs seems to be mediated by PAX2 gene at the defined stages of human development.