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Venkatesan S, Suresh S, Ramu P, Arumugam J, Thambidurai S, Pugazhenthiran N. Methylene Blue Dye Degradation Potential of Zinc Oxide Nanoparticles Bioreduced using Solanum trilobatum Leaf Extract. Results in Chemistry 2022. [DOI: 10.1016/j.rechem.2022.100637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Ramu P, Vimal SP, Suresh P, Sanmugam A, Saravanakumar U, Kumar RS, Almansour AI, Arumugam N, Vikraman D. Investigation of the one-step electrochemical deposition of graphene oxide-doped poly(3,4-ethylenedioxythiophene)-polyphenol oxidase as a dopamine sensor. RSC Adv 2022; 12:15575-15583. [PMID: 35685176 PMCID: PMC9125988 DOI: 10.1039/d2ra00791f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Accepted: 03/14/2022] [Indexed: 12/04/2022] Open
Abstract
In this paper, we fabricated poly(3,4-ethylenedioxythiophene) (PEDOT)-graphene oxide-polyphenol oxidase (PEDOT-GO-PPO) as a dopamine sensor. The morphology of PEDOT-GO-PPO was observed using scanning electron microscopy. Cyclic voltammetry was conducted to study the oxidation-reduction characteristics of dopamine. To optimize the pH, potential and limit of detection of dopamine, the amperometric technique was employed. The found limit of detection was 8 × 10-9 M, and the linear range was from 5 × 10-8 to 8.5 × 10-5 M. The Michaelis-Menten constant (K m) was calculated to be 70.34 μM, and the activation energy of the prepared electrode was 32.75 kJ mol-1. The electrode shows no significant change in the interference study. The modified electrode retains up to 80% of its original activity after 2 months. In the future, the biosensor can be used for the quantification of dopamine in human urine samples. The present modified electrode constitutes a tool for the electrochemical analysis of dopamine.
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Affiliation(s)
- P Ramu
- Department of Electronics and Communication Engineering, Jaya Institute of Technology Tamilnadu India
| | - S P Vimal
- Department of Electronics and Communication Engineering, Jaya Institute of Technology Tamilnadu India
- Department of Electronics and Communication Engineering, Sri Ramakrishna Engineering College Coimbatore India
| | - P Suresh
- Department of Electronics and Communication Engineering, Vel Tech Rangarajan Dr Sagunthala R & D Institute of Science and Technology Chennai Tamilnadu 600062 India
| | - Anandhavelu Sanmugam
- Department of Applied Chemistry, Sri Vanketeswara College of Engineering Pennalur, Sriperambudur 602117 Chennai India
| | - U Saravanakumar
- Department of Electronics and Communication Engineering, Muthayammal Engineering College Rasipuram Tamilnadu India
| | - Raju Suresh Kumar
- Department of Chemistry, College of Science, King Saud University Riyadh 11451 Saudi Arabia
| | | | - Natarajan Arumugam
- Department of Chemistry, College of Science, King Saud University Riyadh 11451 Saudi Arabia
| | - Dhanasekaran Vikraman
- Division of Electronics and Electrical Engineering, Dongguk University-Seoul Seoul 04620 Korea
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Venkatesan S, Suresh S, Ramu P, Kandasamy M, Arumugam J, Thambidurai S, Prabu K, Pugazhenthiran N. Biosynthesis of zinc oxide nanoparticles using Euphorbia milii leaf constituents: Characterization and improved photocatalytic degradation of methylene blue dye under natural sunlight. J INDIAN CHEM SOC 2022. [DOI: 10.1016/j.jics.2022.100436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Elumalai N, Prabhu S, Selvaraj M, Silambarasan A, Navaneethan M, Harish S, Ramu P, Ramesh R. Enhanced photocatalytic activity of ZnO hexagonal tube/r-GO composite on degradation of organic aqueous pollutant and study of charge transport properties. Chemosphere 2022; 291:132782. [PMID: 34748798 DOI: 10.1016/j.chemosphere.2021.132782] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Revised: 10/11/2021] [Accepted: 11/02/2021] [Indexed: 06/13/2023]
Abstract
ZnO hexagonal tube and ZnO/r-GO nanocomposites were synthesized by hydrothermal method and the nanostructures were characterized by XRD, UV-DRS, PL, FTIR, FESEM, and TEM techniques. The main violet emission peak of the synthesized nanostructures is due to the transition between interstitial zinc and hole (valence band) of ZnO. The potential of ZnO/r-GO nanocomposite was evaluated using methyl orange (MO) and rhodamine-B (RhB), and the results were compared with the activity of synthesized ZnO nanostructures. More than 95% of MO and RhB were by ZnO/r-GO nanocomposite and it was found to be higher than that of ZnO hexagonal tube. The degradation MO and RhB were found to follow first-order kinetics and it has a rate constant of 7.68 × 10-2and 7.83 × 10-2 min-1, respectively. These results are mainly due to the enhanced charge transport property. Trapping experiments show that superoxide radical anion and hydroxide radicals are chief species responsible for the degradation of MO and RhB. The chemical stability of the nanocomposite was evaluated by cycle test experiments and it reveals that the catalyst can be reused up to few cycles without considerable loss of photocatalytic activity. This work affords a simple stratagem to integrate ZnO hexagonal tubes and r-GO nanosheets to construct effective catalysts for the degradation of organic compounds.
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Affiliation(s)
- N Elumalai
- Department of Physics, Government Arts College (Autonomous), Salem, 7, Tamil Nadu, India; Department of Physics, Periyar University, Salem, 11, Tamil Nadu, India
| | - S Prabhu
- Department of Physics, Periyar University, Salem, 11, Tamil Nadu, India
| | - M Selvaraj
- Department of Chemistry, Faculty of Science, King Khalid University, Abha, 61413, Saudi Arabia.
| | - A Silambarasan
- Department of Chemistry, Vivekanandha College of Arts and Sciences for Women (Autonomous), Elayampalayam, Namakkal, 637 205, Tamil Nadu, India.
| | - M Navaneethan
- Nanotechnology Research Centre, SRM Institute of Science and Technology, Kanchepuram, Tamil Nadu, India; Department of Physics and Nanotechnology, SRM Institute of Science and Technology, Kanchepuram, Tamil Nadu, India.
| | - S Harish
- Department of Physics and Nanotechnology, SRM Institute of Science and Technology, Kanchepuram, Tamil Nadu, India
| | - P Ramu
- Department of Physics, Government Arts College (Autonomous), Salem, 7, Tamil Nadu, India.
| | - R Ramesh
- Department of Physics, Periyar University, Salem, 11, Tamil Nadu, India.
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Ramu P, Vimal SP, Suresh P, Saravanakumar U, Sethuraman V, Anandhavelu S. Electrochemically Deposited Porous Graphene−Polypyrrole−Polyphenol Oxidase for Dopamine Biosensor. ELECTROANAL 2020. [DOI: 10.1002/elan.202060400] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- P. Ramu
- Electronics and Communication Engineering Jaya Institute of Technology Tamilnadu India
| | - S. P. Vimal
- Elctronics and Communication Engineering Sri Ramakrishna Engineering College Coimbatore India
| | - P. Suresh
- Dept of ECE Vel Tech Rangarajan Dr Sagunthala R & D Institute of Science and Technology Chennai Tamilnadu India
| | - U. Saravanakumar
- Dept of ECE Muthayammal Engineering College Rasipuram Tamilnadu India
| | - V. Sethuraman
- Dept. Of Chemistry Vel Tech Multi Tech Engineering College Chennai India
| | - S. Anandhavelu
- Dept. Of Chemistry Vel Tech Multi Tech Engineering College Chennai India
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Ramu P, Umamaheswaran G, Shewade D, Swaminathan R, Dutta T, Balachander J, Adithana C. Candidate Gene Polymorphisms of Renin Angiotensin System and Essential Hypertension in a South Indian Tamilian Population. INT J HUM GENET 2017. [DOI: 10.1080/09723757.2011.11886120] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- P. Ramu
- Pharmacogenomics Laboratory, Department of Pharmacology, JIPMER, Pondicherry 605 006, India
| | - G. Umamaheswaran
- Pharmacogenomics Laboratory, Department of Pharmacology, JIPMER, Pondicherry 605 006, India
| | - D.G. Shewade
- Pharmacogenomics Laboratory, Department of Pharmacology, JIPMER, Pondicherry 605 006, India
| | | | - T.K. Dutta
- Department of Medicine, JIPMER, Pondicherry 605 006, India
| | - J. Balachander
- Department of Cardiology, JIPMER, Pondicherry 605 006, India
| | - C. Adithana
- Pharmacogenomics Laboratory, Department of Pharmacology, JIPMER, Pondicherry 605 006, India
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Umapathy V, Manikandan A, Ramu P, Antony SA, Neeraja P. Synthesis and Characterization of Fe₂(MoO₄)₃Nano-Photocatalyst by Simple Sol-Gel Method. J Nanosci Nanotechnol 2016; 16:987-993. [PMID: 27398558 DOI: 10.1166/jnn.2016.10616] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Ferric molybdate (Fe₂(MoO₄)₃) nanorods (NRs) were successfully synthesized using metal nitrates, citric acid and ethyl cellulose by a simple sol-gel method. Structural, morphological, optical and magnetic properties of the obtained powder were characterized by powder X-ray diffraction (XRD), Fourier transform infrared (FT-IR) spectra, high resolution scanning electron microscope (HR-SEM), energy dispersive X-ray (EDX), UV-Visible diffuse reflectance spectra (DRS), photoluminescence (PL) spectra and vibrating sample magnetometer (VSM). XRD results indicated that the resultant powder was pure single phase crystalline with monoclinic structure. FT-IR spectra indicate the type of bonds between metals and oxygen. HR-SEM images shows that the morphology of the powder consist with well defined nanorods (NRs) structure. VSM results showed ferromagnetic behavior. The addition of TiO₂ catalyst, it enhanced the photo-catalytic activity of Fe₂(MoO₄)₃. The mixed oxide catalyst of Fe₂(MoO₄)₃-TiO₂ nano-composites (NCs) were also tested for the photocatalytic degradation (PCD) of 4-chlorophenol (4-CP). It was found that the PCD efficiency of Fe₂(MoO₄)₃ NCs is higher than pure Fe₂(MoO₄)₃ and TiO₂ catalysts.
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Ramu P, Billot C, Rami JF, Senthilvel S, Upadhyaya HD, Ananda Reddy L, Hash CT. Assessment of genetic diversity in the sorghum reference set using EST-SSR markers. Theor Appl Genet 2013; 126:2051-64. [PMID: 23708149 DOI: 10.1007/s00122-013-2117-6] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2012] [Accepted: 05/08/2013] [Indexed: 05/09/2023]
Abstract
Selection and use of genetically diverse genotypes are key factors in any crop breeding program to develop cultivars with a broad genetic base. Molecular markers play a major role in selecting diverse genotypes. In the present study, a reference set representing a wide range of sorghum genetic diversity was screened with 40 EST-SSR markers to validate both the use of these markers for genetic structure analyses and the population structure of this set. Grouping of accessions is identical in distance-based and model-based clustering methods. Genotypes were grouped primarily based on race within the geographic origins. Accessions derived from the African continent contributed 88.6 % of alleles confirming the African origin of sorghum. In total, 360 alleles were detected in the reference set with an average of 9 alleles per marker. The average PIC value was 0.5230 with a range of 0.1379-0.9483. Sub-race, guinea margaritiferum (Gma) from West Africa formed a separate cluster in close proximity to wild accessions suggesting that the Gma group represents an independent domestication event. Guineas from India and Western Africa formed two distinct clusters. Accessions belongs to the kafir race formed the most homogeneous group as observed in earlier studies. This analysis suggests that the EST-SSR markers used in the present study have greater discriminating power than the genomic SSRs. Genetic variance within the subpopulations was very high (71.7 %) suggesting that the germplasm lines included in the set are more diverse. Thus, this reference set representing the global germplasm is an ideal material for the breeding community, serving as a community resource for trait-specific allele mining as well as genome-wide association mapping.
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Affiliation(s)
- P Ramu
- International Crops Research Institute for the Semi-Arid Tropics, Hyderabad, Andhra Pradesh, India.
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Ramu P, Umamaheswaran G, Shewade DG, Swaminathan RP, Balachander J, Adithan C. Gly460Trp polymorphism of the ADD1 gene and essential hypertension in an Indian population: A meta-analysis on hypertension risk. Indian J Hum Genet 2011; 16:8-15. [PMID: 20838486 PMCID: PMC2927797 DOI: 10.4103/0971-6866.64938] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND: Essential hypertension is a complex genetic trait. Genetic variant of alpha adducin (ADD1) gene have been implicated as a risk factor for hypertension. Given its clinical significance, we investigated the association between ADD1 Gly460Trp gene polymorphism and essential hypertension in an Indian population. Further, a meta-analysis was carried out to estimate the risk of hypertension. METHODS: In the current study, 432 hypertensive cases and 461 healthy controls were genotyped for the Gly460Trp ADD1 gene polymorphism. Genotyping was determined by real time PCR using Taqman assay. Multiple logistic regression analysis was used to detect the association between Gly460Trp polymorphism and hypertension. RESULTS: No significant association was found in the genotype and allele distribution of Gly460Trp polymorphism with hypertension in our study. A total of 15 case-control studies were included in the meta-analysis. There was no evidence of the association of Gly460Trp polymorphism with hypertension in general or in any of the sub group. CONCLUSIONS: We found that the Gly460Trp polymorphism is not a risk factor for essential hypertension in a south Indian Tamilian population. However, the role of ADD1 polymorphism may not be excluded by a negative association study. Further, large and rigorous case-control studies that investigate gene–gene–environment interactions may generate more conclusive claims about the molecular genetics of hypertension.
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Affiliation(s)
- P Ramu
- Pharmacogenomics Laboratory, Department of Pharmacology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry - 605 006, India
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Leong BDK, Chan KW, Ramu P, Kumar VM, Chuah JA. Tuberculosis of gallbladder with candidiasis, a rare entity. Med J Malaysia 2011; 66:146-147. [PMID: 22106698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Gallbladder tuberculosis (GT) is an extremely rare condition. This is thought to be due to the protective property of bile against the infection. Clinical and radiological diagnosis of GT is difficult. We describe a case of GT who initially presented to us with jaundice, a right hypochondrial mass and computed tomographic findings suggestive of gallbladder empyema. Diagnosis was made from histopathological examination of the resected gallbladder which revealed epitheloid granulomas with caseating necrosis and presence of Langhan's giant cells. From a literature search and to the best of our knowledge, this is the first GT to be reported in South East Asia.
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Affiliation(s)
- B D K Leong
- Department of Surgery, Kuala Lumpur Hospital, Jalan Pahang, 50586 Kuala Lumpur, Malaysia.
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Rajan S, Ramu P, Umamaheswaran G, Adithan C. Association of aldosterone synthase (CYP11B2 C-344T) gene polymorphism & susceptibility to essential hypertension in a south Indian Tamil population. Indian J Med Res 2010; 132:379-385. [PMID: 20966514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023] Open
Abstract
BACKGROUND & OBJECTIVE Renin-angiotensin aldosterone system (RAAS) plays an important role in the regulation of blood pressure. Aldosterone, synthesized by aldosterone synthase in the adrenal cortex is encoded by the CYP11B2 gene. In this case-control study we examined the association between CYP11B2 C-344T polymorphism and essential hypertension in south Indian Tamil population. METHODS The study was conducted in 406 hypertensive cases and 424 healthy controls from Tamil population. Genotyping was performed by PCR-restriction fragment length polymorphism method. Statistical analysis was performed by logistic regression analysis. RESULTS The 344TT homozygous variant genotype (OR-1.8; 95% CI: 1.1-2.8; P=0.02) and T allele (P=0.007) were found to be significantly associated with hypertension. In gender based analysis, the risk was significantly higher in male hypertensives (OR-1.8; 95% CI: 1.0-3.6, P=0.05) but not in female subjects. INTERPRETATION & CONCLUSION A significant association between CYP11B2 gene polymorphism and essential hypertension was observed and the risk was confined to male subjects in south Indian Tamil population.
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Affiliation(s)
- S Rajan
- Department of Pharmacology, Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry, India
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Ramu P, Mahesh Kumar KN, Shewade DG, Swaminathan RP, Dutta TK, Balachander J, Adithan C. Polymorphic variants of beta1 adrenergic receptor gene (Ser49Gly & Arg389Gly) in healthy Tamilian volunteers. Indian J Med Res 2010; 132:62-66. [PMID: 20693591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023] Open
Abstract
BACKGROUND & OBJECTIVES Several studies reported the polymorphisms of beta1-adrenergic receptor gene in healthy volunteers and its influence on cardiovascular disorders. We investigated the genotype and allele frequencies of Ser49Gly and Arg389Gly polymorphism in healthy volunteers of South Indian Tamilian population vis-à-vis other major ethnic groups. METHODS The genetic variants were determined by using Taqman 5' nuclease assay- real time PCR analysis in 533 normal healthy volunteers (18-60 yr; M=290; F=243). The allelic discrimination analysis was done by 7700 SDS software. RESULTS The estimated genotype and allele frequencies of Ser49Gly and Arg389Gly polymorphism were compared with other major populations. The frequencies of the variant alleles Gly49 and Gly389 were 15.1 and 25.8 per cent respectively. INTERPRETATION & CONCLUSIONS Our study shows that interethnic variation exists in the polymorphisms of beta1-adrenergic receptor gene and the results generated in this study might serve as a genetic marker for further studies in Tamilian (South India) population.
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Affiliation(s)
- P Ramu
- Department of Pharmacology, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India
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Ramu P, Kassahun B, Senthilvel S, Ashok Kumar C, Jayashree B, Folkertsma RT, Reddy LA, Kuruvinashetti MS, Haussmann BIG, Hash CT. Exploiting rice-sorghum synteny for targeted development of EST-SSRs to enrich the sorghum genetic linkage map. Theor Appl Genet 2009; 119:1193-1204. [PMID: 19669123 DOI: 10.1007/s00122-009-1120-4] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2009] [Accepted: 07/20/2009] [Indexed: 05/28/2023]
Abstract
The sequencing and detailed comparative functional analysis of genomes of a number of select botanical models open new doors into comparative genomics among the angiosperms, with potential benefits for improvement of many orphan crops that feed large populations. In this study, a set of simple sequence repeat (SSR) markers was developed by mining the expressed sequence tag (EST) database of sorghum. Among the SSR-containing sequences, only those sharing considerable homology with rice genomic sequences across the lengths of the 12 rice chromosomes were selected. Thus, 600 SSR-containing sorghum EST sequences (50 homologous sequences on each of the 12 rice chromosomes) were selected, with the intention of providing coverage for corresponding homologous regions of the sorghum genome. Primer pairs were designed and polymorphism detection ability was assessed using parental pairs of two existing sorghum mapping populations. About 28% of these new markers detected polymorphism in this 4-entry panel. A subset of 55 polymorphic EST-derived SSR markers were mapped onto the existing skeleton map of a recombinant inbred population derived from cross N13 x E 36-1, which is segregating for Striga resistance and the stay-green component of terminal drought tolerance. These new EST-derived SSR markers mapped across all 10 sorghum linkage groups, mostly to regions expected based on prior knowledge of rice-sorghum synteny. The ESTs from which these markers were derived were then mapped in silico onto the aligned sorghum genome sequence, and 88% of the best hits corresponded to linkage-based positions. This study demonstrates the utility of comparative genomic information in targeted development of markers to fill gaps in linkage maps of related crop species for which sufficient genomic tools are not available.
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Affiliation(s)
- P Ramu
- M. S. Swaminathan Applied Genomics Laboratory, International Crops Research Institute for the Semi-Arid Tropics (ICRISAT), ICRISAT-Patancheru PO, Hyderabad, Andhra Pradesh 502 324, India
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Ramu P, Rajan S, Shewade DG, Swaminathan RP, Dutta TK, Balachander J, Adithan C. GENETIC VARIANTS OF β1-ADRENOCEPTOR GENE POLYMORPHISMS (SER49GLY AND ARG389GLY) AND ESSENTIAL HYPERTENSION IN A SOUTH INDIAN TAMIL POPULATION. Clin Exp Pharmacol Physiol 2009; 36:576-82. [DOI: 10.1111/j.1440-1681.2008.05117.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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Leong BDK, Ramu P, Kumar VM, Chuah JA. Synchronous adenocarcinoma of caecum, transverse colon and jejunum. Med J Malaysia 2008; 63:148-149. [PMID: 18942304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Synchronous cancers are defined as malignant tumours that occur simultaneously, each of which must be distinct with no possibility of one being the metastasis of the other. A 65 year old gentleman presented to us with two month history of epigastric pain associated with anaemia, loss of appetite and weight. He has no history of malignancy in his family. Colonoscopy revealed tumours at transverse colon and caecum. Intra-operatively, tumours were sited at caecum, transverse colon and jejunum. Tumours were diagnosed as synchronous adenocarcinoma histopathologically with loss of expression of MLH1 and MSH2. From literature search, this is the first reported triple synchronous tumours of the caecum, transverse colon and jejunum. We believe that this gentleman developed triple synchronous tumour through the sporadic MSI pathway.
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Affiliation(s)
- B D K Leong
- Department of Surgery, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
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