13 research outputs found
Baseline status and effect of genotype, environment and genotype × environment interactions on iron and zinc content in Indian chickpeas (Cicer arietinum L.)
Genetic biofortification is a cost-effective
strategy to address iron (Fe) and zinc (Zn) deficiencies
prevalent worldwide. Being a rich and cheap protein
source, chickpea, a food legume grown and consumed
across the globe, is a good target for biofortification.
Nineteen popular commercial cultivars of India were
analysed for Fe and Zn content at four locations
representing different agro-climatic zones to study the
genotypic and genotype 9 environment interactions
on Fe and Zn. Distribution of phytic acid (PA), an
important anti-nutrient that chelates and reduces the
mineral bioavailability, was also analysed. Influence
of other agronomic traits like days to flowering, plant height and 100 seed weight on Fe and Zn content was
also studied. All the traits showed significant G and
G 9 E interactions; however, the magnitude of variance
of GXE was lesser than that of G alone.
Genotype ? genotype-by-environment and genotype-
by-trait biplots were used to assess the relations
between different environments, genotypes and traits.
Iron and zinc content showed positive correlation
between them indicating a possibility of their coselection
in breeding. A negative correlation between
Zn and PA was observed. However, there was very
low variability for PA content in the cultivars under
study, indicating that moderate PA is naturally
selected in these cultivars during breeding. Despite
significant GXE interactions, cultivars with high Fe
([70 lg/g) and Zn content ([40 lg/g) at three out of
four test locations were identified. Such genotypes will be useful in breeding programs for enhancing mineral
micronutrient content and understanding the molecular
mechanisms governing their differential uptake
LEFT VENTRICULAR FUNCTION IMPROVES AFTER OFF-PUMP OR PUMP-ASSISTED CABG WITHOUT HYPOTHERMIC CIRCULATORY ARREST
Baseline status and effect of genotype, environment and genotype × environment interactions on iron and zinc content in Indian chickpeas (Cicer arietinum L.)
Factors affecting survival in 267 consecutive patients undergoing surgery for spinal metastasis from renal cell carcinoma
Object
Renal cell carcinoma (RCC) frequently metastasizes to the spine, and the prognosis can be quite variable. Surgical removal of the tumor with spinal reconstruction has been a mainstay of palliative treatment. The ability to predict prognosis is valuable when determining the role and magnitude of surgical intervention in cancer patients. To better identify factors affecting survival in patients undergoing surgery for spinal metastasis from RCC, the authors undertook a retrospective analysis of a large patient cohort at a tertiary care cancer center.
Methods
Relevant clinical data on a consecutive series of patients who had undergone surgery for spinal metastasis of RCC between 1993 and 2007 at The University of Texas MD Anderson Cancer Center were retrospectively reviewed. Demographic data, histopathological grade of primary tumor, timing of spinal surgery relative to diagnosis, treatment history prior to surgery, neurological status, and systemic disease burden were analyzed to determine the impact of these factors on survival outcome.
Results
The authors identified 267 patients who met the study criteria. Five-year overall survival (OS) after spine tumor resection was 7.8%, with a median OS of 11.3 months (95% CI 9.5–13.0 months). Patients with Fuhrman Grade 4 RCC had a median OS of 6.1 months (95% CI 3.5–8.7 months), which was significantly lower than the 14.3 months (95% CI 9.1–19.4 months) observed in patients with Fuhrman Grade 3 or less RCC (p < 0.001). Patients with preoperative neurological deficits had a median survival of 5.9 months (95% CI 4.1–7.7 months), which was significantly lower than the 13.5 months (95% CI 10.4–16.6 months) observed in patients with a normal neurological examination (p < 0.001). Patients whose spine was the only site of metastasis had a median OS of 19 months (95% CI 9.8–28.2 months) after surgery, significantly longer than the 9.7 months (95% CI 8.1–11.3 months) observed in patients with additional extraspinal metastasis sites (p < 0.001). Patients with nonprogressing extraspinal metastasis (no metastasis, stable, or concurrent) had a median survival of 20.6 months (95% CI 15.1–26.1 months), compared with 5.6 months (95% CI 4.4–6.8 months) in patients with progressing metastasis (p < 0.001).
Conclusions
The authors identified several factors influencing survival after spine surgery for metastatic spinal RCC, including grade of the original nephrectomy specimen, activity of the systemic disease, and neurological status at the time of surgery. These clinical features may help to identify patients who may benefit from aggressive surgical intervention.</jats:sec
