Volume 1- Issue 1

Title : Pattern of delayed presentation of breast cancer patients: Evidence from Rangpur Medical Hospital, Rangpur, Bangladesh
Authors : Bimal Chandra Roy,Saimun Naher,Md. Shafiul Alam,Md. Abu Hanifa,Prosannajid Sarkar

Background: Bangladesh is facing a high burden of breast cancer disease. It is the 2nd leading cause of cancer death after cervical cancer. Delay in seeking treatment contributes in breast cancer patients’ presentation at the tertiary hospitals when cancer is at an advanced stage and leads to poor prognosis. Late presentation with advanced stage is the common feature of breast cancer patients of Bangladesh. Objectives: The main objective of this study is to explore factors associated with delay in seeking cancer treatment among breast cancer patients at a tertiary care Hospital. Methods: Cross sectional observational study was conducted in the Department of Surgery Rangpur Medical College Hospital, Rangpur from January 2013 to December 2014. Patients who admitted to surgery ward and fulfill inclusion criteria during my study period was included in this study. Sixty two patients with carcinoma breast were included in this study. Thorough search for personal information and reasons behind delayed presentation was made from the patients. Information regarding tumor stage at time of diagnosis was extracted from hospital records and involved pathologic and clinical data. The data was collected in a pre designed data collection sheet. Correlation between personal and social factors and delayed presentation were made to find out the factors responsible for delayed presentation. Results: 36% patients came within 3 months of noticing the lump in breast and 64% delayed more than 3 months. Among 62 patients 76% were from low socioeconomic class, 62% had no formal primary education and 74% took initial treatment from Homeopath and traditional healer. Significant association was found with these patient related factors and delayed presentation. Association was also found between delayed presentation and advanced stage of disease. Conclusion: The findings suggest that 64% women with breast cancer presented late and have significant effect on their disease prognosis. There is a great impact of patient factors (personal and social) on delayed presentation. To reduce patient delay community awareness, health education programs regarding breast cancer should be implemented for target women who are at higher risk of delay.

Keywords : Breast cancer , Pattern , delayed.
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Title : Carbon nanotubes- the holy grail in anticancer therapy
Authors : Varsha Tripathi,Manoj Kumar Mishra,Pallavi Tiwari,Mayank Srivastava,Saurav Ghoshal

Carbon nanotubes(CNT) are allotropes of carbon with cylindrical nanostructures. They can be visualized as a sheet of carbon atoms rolled up into a tube with a diameter of around tens of nanometers. They have electrical, optical, thermal, mechanical properties. There are two types of CNTs, single walled CNTs and multi walled CNTs. The multiwalled CNTs are formed by several concentric layers of rolled graphite. It has good adsorption properties which can detect some chemicals and biological agents. It is used to transport drug as well as proteins, DNA, RNA, into cells. The carbon network of shell is considered to be a result of the arrangement of carbon atoms in graphite sheets. Some properties of CNTs such as ease of cellular uptake, high drug loading, thermal ablation, among others, render them useful for cancer therapy. Cancer is one of the most challenging diseases of modern times because its therapy involves distinguishing normal healthy cells from affected cells. CNTs may prove to be the Holy Grail in cancer therapy because phenomena such as EPR, allow CNTs to distinguish normal cells from affected ones,. Considerable work has been done on CNTs as drug delivery systems over the last two decades. However, concerns over certain issues such as biocompatibility and toxicity have been raised and warrant extensive research in this field.

Keywords : Carbon Nanotubes , Anticancer , SWCNT , MWCNT , Drug Delivery
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Title : Development of a Novel Near-Infrared Fluorescent Theranostic Cancer Prodrug
Authors : Jake Cui,Yali Kong
With the improvement of real-time tracking and cancer treatment mechanisms in mind, the goal of this project was to develop an anticancerous, theranostic platform that could simultaneously monitor and selectively inhibit tumorigenic growth. A prodrug consisting of a synthesized DCM-NH2 fluorophore and a tubulin inhibitor, Combretastatin A4 (CA4), was formulated, conjugated with a disulfide bridge, and tested with physicochemical and biological analyses. The designed prodrug linker is reduced by glutathione (GSH), a thiol found at 4000% greater concentrations in cancer cells than in healthy tissue. The near-infrared fluorophore was designed to penetrate tissue with minimal organ damage, be out of range of tissue autofluorescence, and possess maximum quantum yield to effectively diagnose and track cancerous tissue. The prodrug was successfully characterized by NMR, mass spectrometry, and fluorescent spectral analyses. In vitro biological applications demonstrated an IC50 value of 0.055 uM against cancerous MCF7 tissue, whereas no signs of toxicity were seen on noncancerous MCF10a cells up to concentrations of 100 uM. Measuring cellular fluorescence via flow cytometry indicated a 90.93% prodrug activation rate within cancerous tissue. The results of this study suggest that there was in fact a successful reduction of harmful side effects with the incorporation of the proposed prodrug delivery platform.
Keywords : Prodrug , Near-infrared Fluorophore , Theranostics , Drug synthesization
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Title : Toxicological effect of plant flavonoids on MCF-7, A-549 and PA-1 cancer cell lines
Authors : Rajeev Nema,Sarita Khare

The research aimed in the direction of five different medicinal plants (hydro alcoholics extract) to evaluate anticancer activity and cytotoxcity. The most important purpose of this study is to evaluate cytotoxicity of these medicinal plants with facilitate of MTT assay. Concentrations are prepared of each plant extracts which are 100 μg/ml, 10 μg/ml, 0.1 μg/ml, 0.01 μg/ml and 5-10×103 cells/ml are taken into each well which are exposed to different Concentrations of plant extracts crude and elute of column chromatography [CC] for 96 hrs and then treated with MTT and take absorbance at 570 nm. Standard drug was used for IC50 of Doxorubicin MCF-7 500nm, A549- 550nm, PA-1- 580nm.

Keywords : Toxicology , Medicinal Plants
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Title : Li-Fraumeni syndrome in a patient with familial hyperlipidemia from Western Iran, a case report
Authors : Mehrdad Payandeh,Reza Khodarahmi, Masoud Sadeghi,Edris Sadeghi

Mutations of germ-cell line TP53 gene are mainly reported in Li–Fraumeni syndrome(LFS). LFS-associated breast cancers are both hormone receptor and human epidermal growth factor receptor 2 positive. The purpose of this study is presentation of one case of LFS, associated with familial hyperlipidemias. A 52-year-old woman referred to clinic of oncology with a pain in the left breast. Her pathology report showed that she had breast cancer and computed tomography scan showed no evidence of metastasis. Markers of estrogen receptor, progesterone receptor and p53 were positive, IHC3+ and Ki67 in 20% of cells. We report the first case of a LFS patient with breast cancer and familial hyperlipidemias in Iran who ER, PR, P53 and HER-2 markers for her are positive. Also it is probably that LFS-associated cancer and atherosclerosis diseases are related to each other.

Keywords :
Germ-Line Mutation , Hyperlipidemias , Li-Fraumeni Syndrome
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Title : Cancer –From the Horizons of Unani Medicine
Authors : Amena Khatoon,Mohd azeem

Cancer is an abnormal growth of cells which tend to proliferate in an uncontrolled way and in some cases to metastasize.cancer is the Latin word for crab .The ancients used the word to mean malignancy because of the crab like tenacity.It is a mass of tissue formed as a result of abnormal, excessive, uncoordinated, autonomous and purposeless proliferation of cell. Hippocrates [460-377BC] coined the term karkinos for cancer of the breast.. Cancer cells in other words refuse to stop multiplying and continue to increase in number. It is the failure to stop multiplying which is the hallmark of a cancer. This they do even at the cost of other normal cells of the body which are starved to death for lack of nutrition. In Unani literature the basic cause of disease is change in akhlat with respect to their quality and quantity. When the black bile (sauda) deviates from its normal quantity and quality.

Keywords : Akhlat ,Sauda ,Unani Literature
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Title : Association between ABO Rh Blood Groups and Oral Potentially Malignant Disorders
Authors : Jyoti R Byakodi,K Pushpangali

Background: A number of potentially malignant disorders like leukoplakia, erythroplakia, oral submucous fibrosis constitute a detectable pre-clinical phase of oral cancer. There is a high prevalence of these lesions in India, which is attributed to culture, ethnic, geographic factors, low socio-economic status and varying lifestyle factors. The genetic relation of these lesions is less studied. Blood groups play an important role in the immunogenetic system. Very few studies have been done in India to see the association between blood group and potentially malignant disorders. Hence the present study was under taken to assess the relationship between ABO Rh blood group and oral potentially malignant disorders. Materials and methods: 154 cases with oral potentially malignant disorders diagnosed based on the WHO criteria (1980) were included in the study. Patients reporting to M.S.Ramaiah Dental and Hospital, Bangalore and Kaiwara center (a peripheral outreach center) were included in the study after obtaining an informed consent. Information regarding socio-demographic details was collected using proforma and blood group was assessed using blood group kit with Rapid slide test method. Statistical analysis was done using SPSS software11. Descriptive statistics and chi square test were used to find the correlation. Result: Out of 154 cases, 88(57.14%) were males and 66(42.86%) females. 84(54.5%) cases were leukoplakia, 2(1.3%) cases were erythroplakia, 53(34.4%) cases were OSMF and 15(9.7%) cases were with multiple oral potentially malignant disorders. 57(37.01%) of cases belonged to B+ve blood group followed by 37(20.43%) belonged to A+ve blood group.

Keywords : Oral Potentially Malignant Disorders , Leukoplakia , Erythroplakia , Oral Submucous Fibrosis , Blood Group
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Title : Analysis of gene expression in normal and oncogene transfected cells of rat Model
Authors : G. Renuga,J. Amba Bhavani

Cells in culture offer many opportunities to study the characteristics of both the normal and cancer cells. In order to understand the molecular mechanisms of cell proliferation, an attempt has been made to study the proteins which are at different phases of the cell cycle. To achieve this objective, rat embryo fibroblasts were synchronized at Go phase by serum starvation for 72h and then stimulated with serum mitogens or purified growth factors. The newly synthesized proteins were labeled with [35] methionine at different phases of the cell cycle after stimulation and the secreted proteins were analyzed by SDS- polyacrylamide gels. One of the proteins which has shown to be involved in growth regulation was purified and bioassays were carried out to determine its function. The protein 48 KDa was found to be a major compound of the extracellular matrix (ECM) whereas the protein 26 KDa was not a matrix associated protein. When the cells were arrested at G1/S boundary with hydroxyurea (HOU), high levels of protein with 45KDa protein was observed in the medium. Normal rat embro fibroblasts were transfected with myc and ras oncogenes and the transformed colonies were cultured and purified 45KDa protein inhibited the DNA synthesis of myc and ras oncogene transformed cells in which the 45KDa protein secretion was down regulated, indicating the inhibition of DNA synthesis.

Keywords : Cell cycle , DNA synthesis , growth factor , Protein , Oncogene , rat embryo fibroblasts
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Title : Histopathological study of tumours of cervix
Authors : Atul Jain

Carcinoma of cervix is the most common cancer in Indian women and accounts for 20% of all malignant tumours in the females. Squamous cell carcinomas (SCC) account for 75-80%, adenocarcinoma 15-25%, and adenosquamous carcinomas 3-5% of cervical cancers. Objectives: To study histopathology of carcinoma of cervix and to find out the incidence rate, most common type of the carcinoma of cervix and to find out age predilection in various types of carcinoma of cervix. Material and Method: This study was undertaken in the department of pathology over a period of 2 years from May 2010 to April 2012. All Hysterectomy specimens and cervical biopsies were processed routinely and paraffin sections were taken and stained with Haematoxylin and Eosin (H&E) for microscopic examination. Tumours of the cervix were classified and studied according to WHO classification. Results: The most frequent condition diagnosed on cervical biopsies and hysterectomy specimens were benign cervical polyp (66.3%), followed by carcinoma (23.7%) and squamous intraepithelial lesion (0.2%). Out of all benign cervical polyps, occurrence of adenomatous polyp was highest. Incidence of squamous cell carcinoma (19.6%) was more as compared to adenocarcinoma (3.7%). The mean age of the squamous cell carcinoma, adenocarcinoma, squamous intraepithelial lesion and benign cervical polyp was 49.1 years, 43.5 years, 47.7 years and 44.6 years respectively. Conclusion: Incidence of squamous cell carcinoma was more as compared to adenocarcinoma. Occurrence of malignant lesions was earlier during 4th decade as compared to benign cervical lesions.

Keywords : Cervical polyp , Carcinoma cervix , Squamous cell carcinoma , Adenocarcinoma
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Title : Loading and Release of 6-Mercaptopurine from Functionalized Multiwalled Carbon Nanotubes Using Fusion Method
Authors : Saurav Ghoshal,Swatantra Kumar Singh Kushwaha,Pallavi Tiwari,Mayank Srivastava

Most of the existing anticancer drugs are very potent small molecules, their efficacy is constrained by their systemic toxicity, narrow therapeutic window, low drug loading, size control, scale up, cost of formulation but also as a result of drug resistance and limited cellular entry. In the last few years, carbon nanotubes have been projected as a promising carrier for many drugs including anticancer agents because of the high surface area and efficient targeting capabilities. The present work is an attempt to investigate the potentialities of multi-walled carbon nanotubes (MWCNT) as a carrier for targeting 6 Mercaptopurine to cancer tissues. MWCNTs were carboxy functionalized and then loaded with 6 Mercaptopurine (6MP) using the Fusion method to produce 6MP loaded CNTs. The conjugate was characterized for drug loading efficiency, in vitro drug release and release kinetics. The result indicated that a maximum of about 65% entrapment was achieved. The loaded nanotubes were shown to release the drug for more than 20 hours and thus controlling the release. The release was found to follow the Zero Order and Hixson Crowell release pattern. Our work established a novel, easy to prepare formulation of MWCNTs with better drug loading efficiency and increased dispersibility of CNTs and thus bioavailability at cancer site with reduced systemic toxicity.

Keywords : Multiwalled Carbon Nanotubes , 6-Mercaptopurine , Anticancer , Fusion Method
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Title : Frequency of ABO Blood Group and Decreased Level of Hemoglobin in Lung Cancer Patients
Authors : Sachin Sharma,B.R Shrivastav,Archana Shrivastav,Vivek Shrivastav

The present study was done in Cancer Hospital and Research Institute Gwalior (MP) to find out the frequency of ABO blood group and hemoglobin levels in lung cancer patients. ABO blood group is one of the main factor in patient’s genetic makeup and found to be associated with many diseases. Lung cancer is one of the major cancer affecting a large population now a day throughout the world. The frequency of B blood group was found to be highest with percentile frequency of 0.38 followed by O i.e. 0.33 in lung cancer patients. The ᵪ2 value found to be 0.954 (p = 0.328<0.05). Low hemoglobin level (Anemia) was also found in cancer patients, Z test value 2.3324 (p= 0.0198<0.05) indicated the hemoglobin level was significantly lower in male patients than female patients. Z test value for the hemoglobin levels of smoker and non smoker lung cancer patients was found to be 3.1226 (p =0.0018<0.001) which showed significant lower level of hemoglobin in lung cancer patients with smoking habits than the non smoker lung cancer patients

Keywords : ABO Blood group , Lung cancer , Population genetics , Frequency allele , Anemia
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Title : Increased anticancer efficacy by the combined administration of quercetin in multidrug resistant breast cancer cells
Authors : Krishnamoorthy Kavithaa,Sundaravadivelu Sumathi,Manickam Paulpandi,Palakkad Ragunathan Padma

Quercetin is one of the bioactive flavonoid isolated from the leaves of Euphorbia hirta (Euphorbiaceae). The isolated quercetin was investigated for its antiproliferative activity in human breast adenocarcinoma MCF-7 cells. Furthermore, the combined efficacy of quercetin with standard chemotherapeutic drug tamoxifen also studied. The results showed greater reduction in the cell viability from the QuerTam group (quercetin with tamoxifen) than tamoxifen and quercetin alone group. The IC50 values of test compounds were determined as 2µM, 0.5µM and 1.8µM for quercetin, Quertam and tamoxifen respectively. An elevated induction of apoptosis was found in QuerTam treatment when compared to quercetin and tamoxifen alone. The combined efficacy of QuerTam showed significant inhibition of cell viability by decreasing Bcl-2 protein expression and inducing apoptosis. Flow cytometry revealed a decrease in normal cells and increasing pro and late apoptotic cells indicative of apoptosis induction, while fluorescence microscopy showed evidence of the induction of apoptosis and nuclear fragmentation. To summarize these results showed that quercetin enhances the MCF-7 cell sensitivity to tamoxifen, as demonstrated by the improvement in the anticancer therapy.

Keywords : Quercetin , MCF-7 cells , anti-cancer , Euphorbia hirta , Bcl-2 , Tamoxifen
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Authors : Nivedhitha K P,Karthikeyan M

Papaya (Carica papaya.L) is known for its nutritional and medicinal properties throughout the world. It acts as a multi faceted plant. FRAP assay proved chloroform and acetone leaf extract have maximum reducing power. Latex has high reducing power than leaf extracts, due to presence of higher content of flavanoids. The studies on Anticancer effect on Breast cancer cell line (MCF-7), for acetone leaf extract 125 μg/ml concentration and for latex extract 62.5 μg/ml concentration is the minimum lethal dose that kills approximately 50% of cells. The morphological observation confirmed the apoptosis nature of papaya extracts on cells as their membrane kept intact and no membrane permeabilization was observed. The extracts of papaya significantly decreased the growth rate and cell survival of breast cancer cell lines. On the whole the results suggest among all four leaf extracts, acetone leaf extract showed better activity on all evaluation studies. But compared to acetone leaf extract, latex extract proved to have maximum activity on all analysis due to the presence of highest content of phytocompounds.

Keywords : Carica papaya , Antioxidant activity , anticancerous activity , MCF-7 cancer cell line
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