Detection of genes mutations in cerebrospinal fluid circulating tumor DNA from neoplastic meningitis patients using next generation sequencing
BMC CANCER
Authors: Zhao, Yue; He, Jun Ying; Cui, Jun Zhao; Meng, Zi-Qi; Zou, Yue Li; Guo, Xiao Su; Chen, Xin; Wang, Xueliang; Yan, Li-Tian; Han, Wei Xin; Li, Chunyan; Guo, Li; Bu, Hui
Abstract
Background This study profiled the somatic genes mutations and the copy number variations (CNVs) in cerebrospinal fluid (CSF)-circulating tumor DNA (ctDNA) from patients with neoplastic meningitis (NM). Methods A total of 62 CSF ctDNA samples were collected from 58 NM patients for the next generation sequencing. The data were bioinformatically analyzed by (Database for Annotation, Visualization and Integrated Discovery) DAVID software. Results The most common mutated gene wasTP53(54/62; 87.10%), followed byEGFR(44/62; 70.97%),PTEN(39/62; 62.90%),CDKN2A(32/62; 51.61%),APC(27/62: 43.55%),TET2(27/62; 43.55%),GNAQ(18/62; 29.03%),NOTCH1(17/62; 27.42%),VHL(17/62; 27.42%),FLT3(16/62; 25.81%),PTCH1(15/62; 24.19%),BRCA2(13/62; 20.97%),KDR(10/62; 16.13%),KIT(9/62; 14.52%),MLH1(9/62; 14.52%),ATM(8/62; 12.90%),CBL(8/62; 12.90%), andDNMT3A(7/62; 11.29%). The mutated genes were enriched in the PI3K-Akt signaling pathway by the KEGG pathway analysis. Furthermore, the CNVs of these genes were also identified in these 62 samples. The mutated genes in CSF samples receiving intrathecal chemotherapy and systemic therapy were enriched in the ERK1/2 signaling pathway. Conclusions This study identified genes mutations in all CSF ctDNA samples, indicating that these mutated genes may be acted as a kind of biomarker for diagnosis of NM, and these mutated genes may affect meningeal metastasis through PI3K-Akt signaling pathway.
Case-Based Learning as an Effective Tool in Teaching Pharmacology to Undergraduate Medical Students in a Large Group Setting
JOURNAL OF MEDICAL EDUCATION AND CURRICULAR DEVELOPMENT
Authors: Kaur, Gurleen; Rehncy, Jagdeep; Kahal, Karamdeep Singh; Singh, Jaspreet; Sharma, Vidushi; Matreja, Prithpal Singh; Grewal, Harmandeep
Abstract
Background: The need for case-based learning in basic subjects is being recognized world over. Early clinical illustrations and actual clinical exposure enable students to associate basic science and real patient situations, probably increasing their retention of knowledge. The study was conducted to introduce an alternate method of teaching-learning in pharmacology in a large classroom setting to integrate pharmacology into clinical setting for better learning and understanding of the subject. Methods: Ninety-four students of second professional MBBS of a medical college in Punjab were divided into 2 groups and were taught a 2-hour topic in pharmacology using case-based learning (CBL) method and didactic lecture (DL) method using a crossover design. Their attendance and written test score at the end of teaching session were compared. Feedback from students and faculty was taken by prestructured questionnaires. Results: There was an increase in students' attendance (P = .008) in CBL sessions but insignificant difference in their performance (P = .98) in the tests. Most (84%) of the students felt that CBL is a better method of teaching-learning than traditional DL. The teaching faculty felt that the students looked more interested and were themselves more motivated for the newer method of teaching. Conclusions: Case-based learning led to improvement in student motivation, satisfaction, and engagement. Most students and faculty accepted that CBL was an effective learning tool for pharmacology teaching in a large group setting and supported the incorporation of CBL into traditional DL teaching.