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Research Profile - College of Medicine and Health Science - United ...

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Department <strong>of</strong> Pathology<br />

In addition, a second project studied the<br />

differences <strong>of</strong> the distribution pattern <strong>of</strong> NHL<br />

between native UAE cases <strong>and</strong> a similar number<br />

<strong>of</strong> cases diagnosed in expatriates living in the<br />

UAE. No differences are found between the two<br />

population groups suggesting that<br />

environmental factors may play a role in the<br />

developing <strong>of</strong> NHL in the UAE.<br />

The results <strong>of</strong> some <strong>of</strong> this work have already<br />

been published in peer-reviewed journals <strong>and</strong><br />

presented in International pathology <strong>and</strong><br />

oncology conferences.<br />

The expression <strong>of</strong> EBV in Hodgkin lymphoma<br />

among UAE nationals was studied in<br />

collaboration with Dr. Suhail Al-Salam (PI), by<br />

immunohistochemistry for the latent membrane<br />

protein- I <strong>and</strong> in situ hybridization for EBV<br />

encoded RNA (EBER). EBV was seen in 17 <strong>of</strong> 45<br />

(38%) cases <strong>of</strong> HL <strong>and</strong> was predominately seen<br />

in the MC subtype followed by NS, LD <strong>and</strong> LR<br />

subtypes, respectively.<br />

Clinical chemistry: (Pr<strong>of</strong>. Mukesh M. Agarwal)<br />

In the UAE, the prevalence <strong>of</strong> diabetes mellitus<br />

(DM) is the second highest in the world. This<br />

remains a major epidemiological challenge for<br />

the country. Multiple studies agree that<br />

aggressive life-style changes (after delivery) in<br />

women with gestational diabetes (GDM) can<br />

delay <strong>and</strong> even prevent the onset <strong>of</strong> Type 2 DM.<br />

Much <strong>of</strong> our research efforts are directed to<br />

GDM. How to screen a large population in a<br />

cost-effective manner We are continually<br />

studying the value <strong>of</strong> various simple screening<br />

tests for GDM, which have a high degree <strong>of</strong><br />

sensitivity. Ultimately, not missing any pregnant<br />

woman with GDM will help us to start prevention<br />

for DM, after childbirth. This will help our main<br />

objective: to decrease the epidemic <strong>of</strong> Type 2 DM<br />

in the UAE.<br />

Histopathology/lymph node <strong>and</strong> bone<br />

marrow pathology: (Dr. S. M. Chong)<br />

The incidence <strong>of</strong> malignant lymphomas is<br />

increasing worldwide. Curiously, however, there<br />

are pronounced differences in the incidence <strong>of</strong><br />

the different types <strong>of</strong> lymphoma in different<br />

parts <strong>of</strong> the world.<br />

A pilot study has been performed <strong>of</strong> the<br />

differences between lymphoma in the UAE <strong>and</strong><br />

in Singapore <strong>and</strong> the findings presented at the<br />

23rd World Congress <strong>of</strong> Pathology <strong>and</strong><br />

Laboratory <strong>Medicine</strong> in Istanbul in May 2005.<br />

Figure: above, classic binucleated Reed-Sternberg cell in a<br />

case <strong>of</strong> Hodgkin’s disease (arrow) (H & E x 40), below,<br />

immunohistochemistry with CD30 antibodies highlights the<br />

Reed-Sternberg cells (dark brown color).<br />

In collaboration with Dr. Suhail Al-Salam from<br />

the Department <strong>and</strong> Dr YC Lim <strong>of</strong> the<br />

Department <strong>of</strong> Pathology <strong>of</strong> the National<br />

University <strong>of</strong> Singapore, I am studying the role<br />

<strong>of</strong> leukotriene B4 in malignant lymphoma<br />

growth <strong>and</strong> survival; the role <strong>of</strong> lipid mediators,<br />

LTB4 <strong>and</strong> LXA4 as inflammatory <strong>and</strong> immune<br />

modulators in Hodgkin lymphoma; <strong>and</strong> the<br />

expression <strong>of</strong> CD137 on Hodgkin <strong>and</strong> Non-<br />

Hodgkin lymphoma Cells. Dr. Lim <strong>and</strong> I are also<br />

continuing our previous studies on lymphoma<br />

cell interactions with endothelial adhesion<br />

molecules under flow.<br />

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