Multiple myeloma (MM) is an exceptionally complicated and heterogeneous disease that is caused by the abnormal proliferation of malignant monoclonal plasma cells initiated in the bone marrow. In disease progression, a multistep process including differentiation, proliferation, and invasion is involved. Despite great improvement in treatment outcomes in recent years due to the substantial discovery of novel therapeutic drugs, MM is still regarded as an incurable disease. Patients with MM are afflicted by confronting remission periods accompanied by relapse or progression outcomes, which inevitably progress to the refractory stage. In this regard, MM may need new medications or modifications in therapeutic strategies to overcome resistance. A variety of genetic abnormalities (e.g., point mutations, translocations, and deletions) and epigenetic changes (e.g., DNA methylation, histone modification, and non-coding RNA) contribute to the pathogenesis and development of MM. Here, we review the significant roles of epigenetic mechanisms in the development and progression of MM. We also highlight epigenetic pathways as potential novel treatment avenues for MM, including their interplay, use of epigenetic inhibitors, and major involvement in immuno-oncology.
A study of the bat diversity was conducted in Hulu Terengganu dipterocarp forest and Setiu Wetland Beach Ridges Interspersed with Swales (BRIS) forest in Terengganu, to study the species diversity, composition and stratification of fruit bats from the understorey to the forest canopy. Mist nets were set up at the understorey, sub-canopy and canopy layer while harp traps were set up at the understorey layer. We recorded 170 individuals from six families' compromised 21 species from Hulu Terengganu dipterocarp forests and four species from Setiu Wetland BRIS forests throughout the sampling period. Megaerops ecaudatus and Cynopterus brachyotis were the most dominant species in Hulu Terengganu dipterocarp forest and Setiu Wetland BRIS forests. Our study also recorded two species with new distributional records for the east coast of Peninsular Malaysia, namely, Rhinolophus chiewkweeae and Chaerephon johorensis in Hulu Terengganu dipterocarp forests. Potential factors that might influence the results were in terms of the canopy covers, the structural complexity of canopy, food availability and spatial characteristics. This study was able to increase the knowledge on the species diversity and composition of bats in Hulu Terengganu dipterocarp forest and Setiu Wetland BRIS forest, thus, further aid in the effort of bat conservation in both areas.
The antiphospholipid syndrome (APS) manifests through venous or arterial thrombosis, with or without pregnancy complication alongside the continuous presence of antiphospholipid antibodies (aPL). APS classification relies on three aPL subtypes: anticardiolipin (aCL), anti-β2-glycoprotein I antibodies (anti-β2GPI), and lupus anticoagulants (LA) antibodies. Given that thrombosis and pregnancy issues are not unique to APS, the precise and reliable identification of aPL forms the basis for diagnosis. Semi-quantitative solid-phase assays identify two antibodies, aCL and anti-β2GPI, while LA detection occurs through various phospholipid-dependent coagulation assays that are based on antibody behaviour. LA, specifically, is conclusively associated with thrombosis, prompting discussions around the serological criteria for APS. Despite advancements in LA detection, the standardisation of all aPL detection assays remains imperative. The combined presence of aCL and anti-β2GPI with thrombosis inconsistently triggers concern. Initial presentations by APS patients commonly exhibit a heightened risk of stroke, miscarriages in the later stages of pregnancy, positive results of LA tests, and widespread thrombosis across multiple organs, often leading to adverse outcomes. Correctly diagnosing this condition is pivotal to avoid unnecessary long-term secondary thromboprophylaxis.
This data article presents the diversity of flora and selected fauna in Tasik Kenyir, Malaysia. This man-made lake once suffered huge loss of biodiversity for allowing an earth-dam construction during 1980s. Series of publications on different types of target taxa have been published separately after the post-dam construction. A biodiversity assessment was conducted in Tasik Kenyir from March 2015 until February 2016. The one year assessment were compiled with the previous published data to document and updated the biodiversity checklist in the lake. The data show that Tasik Kenyir is occupied by 113 tree species, 217 butterfly species, 35 bee species, 26 reptile species, 267 aves species and 153 mammal species. The micro-climate data was downloaded from the Malaysian Meteorological Department and analysed in R Studio to highlight the relationship between climate data and biodiversity data.
Immune thrombocytopenia (ITP) is an acquired autoimmune disease that occurs in adults and children. In Malaysia, the clinical practice guideline (CPG) for the management of ITP was issued in 2006, which focused almost exclusively on primary ITP (pITP), and only a few secondary ITP (sITP) forms were addressed. All published (twenty-three) sITP articles among children and adults in Malaysia, identified on the academic databases were retrieved. The articles were published between 1981 and 2019, at a rate of 0.62 publications per year. The publications were considered low and mainly focused on rare presentation and followed-up of secondary diseases. This review revealed that sITP in Malaysia is commonly associated with autoimmune diseases (Evan’s syndrome, SLE and WAS), malignancy (Kaposi’s sarcoma and breast cancer) and infection (dengue haemorrhagic fever, Helicobacter pylori and hepatitis C virus). The relationship between ITP and autoimmune diseases, malignancy and infections raise the question concerning the mechanism involved in these associations. Further studies should be conducted to bridge the current knowledge gap, and the further information is required to update the existing CPG of management of ITP in Malaysia.
Orang Asli is the aboriginal people in Peninsular Malaysia who have been recognized as indigenous to the country and still practicing traditional lifestyle. The molecular interest on the Orang Asli started when the earliest prehistoric migration occurred approximately 200 kya and entering Peninsular Malaysia 50 kya in stages. A total of three groups of Orang Asli present in Peninsular Malaysia, namely, Negrito also known as Semang, Senoi and Proto Malays. Through records, there is no research has been conducted on mtDNA variations in the Semoq Beri population, one of the tribes in Senoi group. In this report, variations of mtDNA were analysed in the population in Hulu Terengganu as an initial effort to establish the genetic characterisation and elucidating the history of Orang Asli expansion in Peninsular Malaysia. An array of mtDNA parameters was estimated and the observed polymorphisms with their respective haplogroups in comparison to rCRS were inferred respectively. The DNA sequences are registered in the NCBI with accession numbers KY853670-KY853753.