There are 27 complete genomes available within Rickettsiales

There are 27 complete genomes available within Rickettsiales.

These include, 4 Wolbachia, including wBm, 3 genomes from the genus Anaplasma, 5 Ehrlichia, 11 Rickettsia, 1 Neorickettsia, 2 Orientia, and 1 Pelagibacter (Table 3). Of these genomes, all but Pelagibacter are obligate endosymbionts residing either in vacuoles or within the host cell cytoplasm. Of the endosymbionts, all but Wolbachia replicate within vertebrate hosts with most transmitted via an invertebrate vector. Wolbachia, on the other hand infects a diverse LY2874455 chemical structure spectrum of arthropod hosts as well as filarial nematodes, many of which are themselves vertebrate parasites [37]. Table 3 Genomes available within the order Rickettsiales Genus species Strain Taxon ID Anaplasma marginale St Maries 234826 Anaplasma phagocytophilum HZ 212042 Anaplasma marginale Florida 320483 Candidatus Pelagibacter ubique HTCC1062 335992 Ehrlichia canis Jake 269484 Ehrlichia chaffeensis Arkansas 205920 Ehrlichia ruminantium Gardel 302409 Ehrlichia ruminantium Welgevonden UPSA 254945 Ehrlichia ruminantium Welgevonden CIRAD 254945 Orientia tsutsugamushi Boryong 357244 Orientia tsutsugamushi Ikeda 334380 Neorickettsia sennetsu Miyayama 222891 Rickettsia akari Hartford 293614 Rickettsia bellii OSU 85-389 391896 Rickettsia bellii RML369-C 336407 Rickettsia canadensis McKiel 293613 Rickettsia conorii Malish 7 272944 Rickettsia felis

URRWXCal2 315456 learn more Rickettsia massiliae MTU5 416276 Rickettsia Epothilone B (EPO906, Patupilone) prowazekii Madrid E 272947 Rickettsia rickettsii Iowa 452659 Rickettsia rickettsii Sheila Smith 392021 Rickettsia typhi wilmington 257363 Wolbachia Drosophila

melanogaster 163164 Wolbachia Drosophila simulans 66084 Wolbachia Culex quinquefasciatus 570417 Wolbachia Brugia malayi TRS 292805 Refseq protein sequences from the 27 available genomes (as of April 1, 2009) were retrieved from NCBI. The OrthoMCL package was used to predict clusters of orthologs among the genomes [38]. To gauge the extent of taxonomic diversity within each orthologous gene cluster, we initially tallied the number of taxa represented in the cluster. However, this measure inflated the phylogenetic diversity for groups containing multiple highly related taxa. To compensate, a minimum spanning tree (MST) was constructed using Acalabrutinib distances derived from aligned 16S rRNA gene sequences as edge weights between taxonomic nodes. A score for the MST was calculated by summing the distances between the connected taxonomic nodes. The MST was used to minimize the contributions from closely related taxa, while reflecting the overall taxonomic diversity. The MST distances for each cluster were incorporated into a metric we termed the gene conservation score (GCS), which represents both the extent of gene conservation across species, as well as the quality of that conservation.

Methods Sampling The seawater-brine interfaces (haloclines) of th

Methods Sampling The seawater-brine interfaces (haloclines) of the DHABs Tyro, Thetis, and Medee in the Mediterranean Sea were sampled on the cruise aboard the R/V Urania in 2009. Samples from the DHAB Urania were collected in 2009 on the R/V Oceanus. Sampling sites are depicted in Figure 1 and coordinates with environmental data for each DHAB halocline

and brine are provided in Table 3. The positions of the interfaces were determined using a SBE911plus CTD (Sea-Bird Electronics, Bellevue, WA, USA) equipped with an SBE43 oxygen sensor (Sea-Bird Electronics, USA). Samples were collected from the interface and brine of each basin using a rosette equipped with 12-L Niskin bottles. The Sapitinib supplier salinity gradient from the top to the bottom of individual Niskin bottles was confirmed on board the ship using a WTW portable sensor for conductivity, pH and selleck chemical temperature (WTW, Weinheim, Germany). Water samples were collected from Niskin bottles into 50-L Nalgene bottles flushed with argon gas and 6–10 L water were filtered immediately onto Durapore Buparlisib membranes (47 mm; 0.65 μm; Millipore, USA) under gentle vacuum (flow rate: ca. 50 ml/min) and under argon in the case of anoxic samples [2], followed by storage in RNAlater (Ambion, Applied Biosystems, USA). According to Ambion’s RNAlater manual,

the filters were stored at 4°C for 24 hours prior to freezing at −20°C until RNA extraction. RNA was used to ensure that samples were not contaminated by settling DNA from above

the investigated layers. Table 3 Coordinates, sampling depths and physico-chemical data of the brines (B) and halocline interfaces (IF) of the different DHABs under study   Coordinates (Long, Lat) Depth (m) Salinitya(PSU) Conductivitya(S/m) Oxygena(ml/l) Na+(mmol) Mg2+(mmol) SO4 2-(mmol) HS-(mmol) MIF 22.312124 E, 34.19468 N 2924 70 7.7 0.5 847 161 41 n.a. TIF 26.21962 E, 33.524236 N 3327 67 7.8 0.5 1111 15 11 0.07 ThIF 22.084368 E, 34.401134 N 3259 80 8.2 0.68 1368 174 76 0.11 UIF 21.283252 E, 35.13528 N 3468 63 7.8 1.22 876 79 42 0.66 MB 22.312124 E, Adenosine 34.19468 N 2950 320 16.7 0 4818 792 201 2.9 TB 26.21962 E, 33.524236 N 3448 321 16.7 0 5300b 71b 53b 2.1b ThB 22.084368 E, 34.401134 N 3380 348 16.7 0 4760b 604b 265b 2.1b UB 21.283252 E, 35.13528 N 3493 240 15.6 0 3505b 315b 107b 15 M Medee, T Tyro, Th Thetis, U Urania. Data are from the literature and from this study (measured as described in [5]). n.a. not available. afrom [54]; bfrom [5]. Environmental RNA Isolation, transcription and PCR amplification of ciliate SSU rRNAs The method for the extraction and reverse transcription of environmental RNA (envRNA) from protistan plankton collected on membranes has been described in detail previously [2].

Methods Bacterial strains and routine culture conditions Campylob

Methods Bacterial strains and routine culture conditions Campylobacter jejuni strains derived from the parent 81–176 [30, 31] (Table 1) were routinely maintained with minimal passage on blood agar plates (Remel; Lenexa, KS) at 37°C in sealed culture boxes (Mitsubishi Gas JPH203 price Chemical [MGC], New York, NY) containing a microaerobic atmosphere generated by Pack-Micro Aero (MGC). Liquid cultures of C. jejuni were grown in Brucella broth or Mueller-Hinton (MH) broth and cultured in microaerobic environments. When appropriate, strains were cultured in the presence of chloramphenicol (30 μg/ml) or streptomycin (30 μg/ml) to select for antibiotic resistance markers. Table 1 Strains used in this

study Strain Reference or source C. jejuni 81–176 [30] C. jejuni 81–176cj0596 This study C. jejuni 81–176cj0596 + This study C. jejuni NCTC11168 [22] C. jejuni 81116 [43] C. jejuni HB95-29

[44] C. jejuni INP44 [44] C. jejuni INP59 [44] C. coli D3088 [44] C. jejuni RM1221 TIGR CMR [62] C. jejuni subsp. doylei 269.97 TIGR CMR [62] C. jejuni subsp. jejuni 260.94 TIGR CMR [62] C. jejuni subsp. jejuni 84-25 TIGR CMR [62] C. jejuni subsp. jejuni CF93-6 TIGR CMR [62] C. jejuni subsp. jejuni CG8486 [45] C. jejuni subsp. jejuni HB93-13 TIGR CMR [62] C. coli RM2228 TIGR CMR [62] C. concisus 13826 TIGR CMR [62] C. curvus 525.92 TIGR CMR [62] C. fetus subsp. fetus see more 82–40 TIGR CMR [62] C. hominis ZD1839 chemical structure ATCC BAA-381 TIGR CMR [62] C. lari RM2100 TIGR CMR [62] C. upsaliensis RM3195 TIGR CMR [62] E. coli BL21(DE3)pLysS [32] H. pylori 84–183 [50] Escherichia coli JM109 was used as the host strain for cloning experiments and E. coli

BL21(DE3)pLysS [32] was used as the host strain for expression of the his-tagged Cj0596 protein. E. coli strains were cultured in Luria-Bertani (LB) broth or agar [33], supplemented with the following antibiotics as appropriate for selection of plasmids: ampicillin, 50 μg/ml; chloramphenicol, 30 μg/ml; streptomycin, 30 μg/ml. Proteome analysis of C. jejuni strains Proteomics experiments were performed on C. jejuni cells grown at 37°C and 42°C as BI 10773 in vivo described [34]. Briefly, cells were grown overnight at 37°C in Brucella broth, then diluted the following morning into two aliquots of fresh Brucella broth (OD600 = 0.1), which were grown at 37°C and 42°C to mid-log phase (OD600 = 0.1). Chloramphenicol (187 μg/ml) was added to stop protein synthesis [35], and the cells were harvested for proteome analysis as described [34]. Proteomics experiments were performed using Differential In-Gel Electrophoresis (DIGE) technology from GE Biosystems (Piscataway, NJ), Whole-cell protein lysates from the 37°C- and 42°C-grown C. jejuni (25 μg each) were labelled individually with Cy3 and Cy5 dyes according to the protocol supplied by the manufacturer (GE Biosystems), then mixed in equal mass and separated using two-dimensional (2D) SDS-PAGE.

Recently, the enzymatic characterization has been investigated fo

Recently, the enzymatic characterization has been investigated for FabZ enzymes from several different strains including Enterococcus faecalis (EfFabZ) [32, 33], Pseudomonas aeruginosa (PaFabZ) [34], Plasmodium falciparum (PfFabZ) [29, 35], and H. pylori (HpFabZ) [7]. The crystal structural analyses have been determined for PaFabZ and PfFabZ [6, 29, 34], while some inhibitors against PaFabZ and HpFabZ were also discovered [8, 29, 30, 36, 37]. In the current work, the crystal structure of HpFabZ/Emodin complex was determined, and two different binding Emricasan purchase models (models A and B) were put forwarded. In the models, the hydrophobic interactions between Emodin and

the click here nearby Gemcitabine in vitro residues of HpFabZ contributed to the major interaction forces. In model

A, the interaction between ring A of Emodin and residues Tyr100 and Pro112′ in sandwich manner is the main hydrophobic interaction force, resulting in better electron density map around ring A, while ring C at the other end of Emodin had only weak interactions with residues nearby. In model B, the whole molecule of Emodin dove deeply into the active tunnel forming intense hydrophobic interactions with the residues nearby, thus the electron density map around Emodin was continuous, completive and much better than the map in model A (Fig. 3). Additionally, this interaction has also made the average B factor Methisazone of Emodin in model B better than in model A (The average B factor of Emodin was 45.03 in model A, while 39.24 in model B). In comparison with our recent published crystal structure of HpFabZ in complex with compound

1 (PDB code 2GLP) [8], there are some differences concerning their binding features due to the longer molecule of compound 1 than Emodin. In model A, the pyridine ring of compound 1 was sandwiched between residues Tyr100 and Pro112′ linearly as ring A of Emodin, while the 2,4-dihydroxy-3,5-dibromo phenyl ring at the other end of compound 1 stretched into another pocket formed by Arg158, Glu159, Phe59′, Lys62′ through hydrophobic interactions, which can not be found in the binding model A of Emodin (Fig. 5A). In model B, compound 1 entered into the middle of the tunnel. Its pyridine ring accessed the end of the tunnel where the ring C of Emodin located in the model B, and stayed in the right place via hydrophobic interactions. However, the 2,4-dihydroxy-3,5-dibromo phenyl ring of compound 1 was too large to dive into the tunnel. Thus it had to adopt a crescent shaped conformation and stretched the 2,4-dihydroxy-3,5-dibromo phenyl ring out of the tunnel forming a sandwich conformation with residues Ile98 and Phe59′ via π-π interactions. Based on these additional interactions, compound 1 should have a better inhibition activity against HpFabZ than Emodin.

Contrary to our prediction, the gingipain null mutant KDP136 and

Contrary to our prediction, the gingipain null mutant KDP136 and Rgp mutant KDP133 showed different tendencies of autoaggregation from MPG4167, although all of these strains were considered to be long/short fimbriae deficient mutants. Thus, not only fimbrial expression but also other

factors, modified by gingipains, seem to be involved in autoaggregation. In addition, it was found that autoaggregation and biofilm parameters such as biovolume, number of peaks Navitoclax chemical structure and peak height were not significantly correlated in every strain (Figure 2, Figure 4, Table 1 and Table 3). This result suggests that autoaggregation is not the sole determinant of alteration in structure of P. gingivalis biofilms. Tenacity of biofilms To analyze the influence of the

molecules under investigation on vulnerability of biofilms, the physical strength of the biofilms against https://www.selleckchem.com/products/Pazopanib-Hydrochloride.html brief ultrasonication was compared (Figure 6). Consistent with the results of image analysis CCI-779 described in Figure 4 and Figure 5A, the long/short fimbriae mutant MPG4167 and Rgp mutant KDP133 formed expansive biofilms with large numbers of cells in dTSB, however, their strength was found to be very fragile compared to the other strains, suggesting that these biofilms consisted of loosely connected microcolonies. In contrast, the biofilms of the long fimbria mutant KDP150 were resistant to sonic disruption, suggesting that long fimbriae are initial mediator of biofilm formation but are not required to maintain resistance against environmental shear force. Figure 6 Tenacity Vasopressin Receptor of biofilms formed by P. gingivalis wild tstrain and mutants. Standardized cultures of P. gingivalis were inoculated into dTSB in saliva-coated 12-well polystyrene plate and incubated in a static manner at 37°C for 60 hours, with the resulting biofilms sonicated for 1 second. Immediately

after sonication, supernatants containing floating cells were removed by aspiration and the biofilm remains were gently washed with PBS. P. gingivalis genomic DNA was isolated from the biofilms and the numbers of P. gingivalis cells were determined using real-time PCR. Relative amounts of bacterial cell numbers were calculated based on the number of wild-type cells without sonication considered to be 1.0. Percentages shown indicate the amount of remaining biofilm after sonic disruption. The experiment was repeated independently three times with each strain in duplicate. Standard error bars are shown. Statistical analysis was performed using a Scheffe test. *p < 0.05 and **p < 0.01 in comparison to the wild-type strain. Collectively, these results suggest that long fimbriae are required for initial formation of biofilms by P. gingivalis, but suppress the development of an exopolysaccharide-enriched basal layer that is related to the adhesive property of biofilms.

This fluorescent dye-labeled triglyceride could be used for parti

This fluorescent dye-labeled triglyceride could be used for particle localization in biological studies with the advantage among other fluorescent materials that any carrier that contains a triglyceride in its formulation

composition can be obtained and tracked. Acknowledgements The authors are grateful to CNPq/Brasília/KPT-8602 Brazil (LAF and RVC), CAPES (FF), and PIBIC/CNPq (JFB) for student scholarships and to Pronex and Pronem FAPERGS/CNPq, INCT-if CNPq/MCT, CNPq Brasil/Mexico, FAPERGS, CAPES, and Rede Nanobiotecnologia CAPES for the financial support. Electronic supplementary material Additional file 1: Supplementary Silmitasertib mouse material. Proton nuclear magnetic resonance of product 1. (DOCX 36 KB) References 1. Mora-Huertas CE, Fessi H, Elaissari A: Polymer-based nanocapsules for drug delivery. Int J Pharm 2010, 385:113–142.CrossRef 2. Bernardi A,

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Pharm Biopharm 2005, 59:491–500.CrossRef 6. Cruz L, Soares LU, Dalla-Costa T, Mezzalira G, da Silveira NP, Guterres SS, Pohlmann AR: Diffusion and mathematical modeling of release profiles from nanocarriers. Int J Pharm 2006, 313:198–205.CrossRef 7. Jager E, Venturini CG, Poletto Carteolol HCl FS, Colomé LM, Pohlmann JPU, Bernardi A, Battastini AMO, Guterres SS, Pohlmann AR: Sustained release from lipid-core nanocapsules by varying the core viscosity and the particle surface area. J Biomed Nanotechnol 2009, 5:130–140.CrossRef 8. Venturini CG, Jager E, Oliveira CP, Bernardi A, Battastini AMO, Guterres SS, Pohlmann AR: Formulation of lipid core nanocapsules. Colloids Surf A 2011, 375:200–208.CrossRef 9. Poletto FS, Oliveira CP, Wender H, Regent D, Teixeira SR, Guterres SS, Rossi Bergmann B, Pohlmann AR: How sorbitan monostearate can increase drug-loading capacity of lipid-core polymeric nanocapsules. J Nanosci Nanotechnol 2014. in press 10. Gumbleton ME, Stephens DJ: Coming out of the dark: the evolving role of fluorescence imaging in drug delivery research. Adv Drug Deliv Rev 2005,57(1):5–15.CrossRef 11.

In summary, our data suggest that Ku80 expression level could pre

In summary, our data suggest that Ku80 expression level could predict the outcome and the sensitivity to cisplatin-based chemotherapy in patients with lung adenocarcima. Ku80 knockdown increases the sensitivity of cisplatin resistant human lung Wortmannin chemical structure adenocarcinoma cells to cisplatin in vitro. Therefore, Ku80 has the potential to serve as a biomarker for the prediction of cisplatin response and represent a promising target for the combination of cisplatin-based chemotherapy in patients with lung adenocarcinoma. Acknowledgments This work was supported by the

National Natural Science Foundation of China (No. 30971315) and the Science & Technology Development Planning Project of Jilin Province (No. 200905147 and 200705236). References 1. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D: Global cancer statistics. CA Cancer J Clin 2011, 61:69–90.PubMedCrossRef

2. Fan Z, this website Schraeder R: click here The changing pathology of lung cancer. Surg Oncol Clin N Am 2011, 20:637–653.PubMedCrossRef 3. Azzoli CG, Baker S, Temin S, Pao W, Aliff T, Brahmer J, Johnson DH, Laskin JL, Masters G, Milton D, et al.: American society of clinical oncology clinical practice guideline update on chemotherapy for stage IV Non-small-cell lung cancer. J Clin Oncol 2009, 27:6251–6266.PubMedCrossRef 4. Breathnach OS, Freidlin B, Conley B, Green MR, Johnson DH, Gandara DR, O’Connell M, Shepherd FA, Johnson BE: Twenty-two years of phase III trials for patients with advanced non-small-cell lung cancer: sobering results. J Clin Oncol 2001, 19:1734–1742.PubMed 5. Suzuki K, Kodama S, Watanabe M: Role of Ku80-dependent end-joining in delayed genomic instability in mammalian cells surviving ionizing radiation. Mutat Res 2010, 683:29–34.PubMedCrossRef 6. Postow L, Ghenoiu C, Woo EM, Krutchinsky AN, Chait BT, Funabiki H: Ku80 removal from DNA through double strand break-induced ubiquitylation. J Cell Biol 2008, 182:467–479.PubMedCrossRef 7. Wang HC, Liu CS, Chiu CF, Chiang SY, Wang CH, Wang RF, Lin CC, Tsai RY, Bau DT: Significant association of DNA repair

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References 1 Burgess TL, Qian Y, Kaufman S, Ring BD, Van G, Capp

mTOR inhibitor References 1. Burgess TL, Qian Y, Kaufman S, Ring BD, Van G, Capparelli C, Kelley M, Hsu H, Boyle WJ, Dunstan CR, Hu S, Lacey DL (1999) The ligand for

osteoprotegerin (OPGL) directly activates mature osteoclasts. J Cell Biol 145:527–538PubMedCrossRef 2. Lacey DL, Tan HL, Lu J, Kaufman S, Van G, Qiu W, Rattan A, Scully S, Fletcher F, Juan T, Kelley M, Burgess TL, Boyle WJ, Polverino AJ (2000) Osteoprotegerin ligand modulates murine osteoclast JNJ-26481585 datasheet survival in vitro and in vivo. Am J Pathol 157:435–448PubMedCrossRef 3. Lacey DL, Timms E, Tan HL, Kelley MJ, Dunstan CR, Burgess T, Elliott R, Colombero A, Elliott G, Scully S, Hsu H, Sullivan J, Hawkins N, Davy E, Capparelli C, Eli A, Qian YX, Kaufman S, Sarosi I, Shalhoub V, Senaldi G, Guo J, Delaney J, Boyle WJ (1998) selleck products Osteoprotegerin ligand is a cytokine that regulates osteoclast differentiation and activation. Cell 93:165–176PubMedCrossRef 4. Udagawa N, Takahashi N, Yasuda H, Mizuno A, Itoh K, Ueno Y, Shinki T, Gillespie MT, Martin TJ, Higashio K, Suda T (2000)

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We believe that, with the further development of fundamental rese

We believe that, with the further development of fundamental research, we are looking forward to an increasing application prospect of tyrosine kinase inhibitors in clinical practice.

Acknowledgements The authors wish to thank Dr. Jan Zhang for his kind review of the manuscript, Dr. Feng Wei TPX-0005 cost for their expert technical assistance, Ms. Min-Yu Wang for her excellent laboratory management. This work was supported by a grant from the Ministry of Civil Affair, China ([2008]18). References 1. Masui H, Kawamoto T, Sato JD: Growth inhibition of human tumor cells in athymicmice by anti-Tideglusib cost Epidermal growth factor receptor monoclonal antibodies. Cancer Res 1984, 44: 1002–1007.PubMed 2. Yaish P, Gazit A, Gilon C: Blocking of EGF-dependent cell proliferation by EGF receptor kinase inhibitors. Science 1988, 242: 933–935.CrossRefPubMed 3. Gschwind A, Fischer OM, Ullrich A: The discovery of receptor tyrosine kinases: targets for cancer therapy. Nat Rev Cancer 2004, 4: 361–370.CrossRefPubMed 4. Jose B: Epidermal growth factor receptor pathway inhibitors. Update on cancer therapeutics 2006, 1: 299–310.CrossRef 5. Fortunato C, Giampaolo T: EGFR Antagonists in

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Both cases and controls were characterized by high BMI (58% of ca

Both cases and S63845 price controls were characterized by high BMI (58% of cases compared to 61% of controls). Waist circumference >88 cm was measured in 53% of cases – OR 1.58- (95% CI 0.8-2.8) CBL0137 mouse and in 46% of controls. Hypertriglyceridemia was found in 14% of cases respect to 9% of controls [OR 1.4]. 27% of cases presented HDL-C <50 mg/dl compared to 24% of controls [OR 1.09]. High blood pressure was detected in 40% of cases – OR 1.58 (95% CI 0.37-0.47) respect to 30% of controls. Hyperinsulinemia was detected in 7% of cases – OR 2.14 (95% CI 1.78-2.99) and only in 3% of controls (Table 2). Table 2 Metabolic variables by case–control status   Cases

(410)   Controls (565)       N° % N° % p-value Fasting plasma glucose (mg/dl) < 110 345 84.1 508 90.0   ≥ 110 65 15.9 57 10.0 <0.001 Insulin           0-25 regular 386 94.2 545 96.5   ≥ 25 hyperinsulinemia 24 5.8 20 3.5 0.13 High blood pressure Yes

161 39.4 180 31.8 0.01 No 249 60.6 385 68.2   Tryglicerides ≤150 354 86.4 508 90.4   >150 56 13.6 57 9.6 0.006 HDL-Col < 50 mg/dL 109 26.5 Navitoclax datasheet 140 24.9   ≥ 50 mg/dl 301 73.5 425 75.1 0.9 WC           ≤ 88 cm 195 47.7 304 53.8 0.003 >88 cm 215 52.3 261 46.2   BMI ≤ 25 172 42.0 222 39.3 0.7 >25 238 58.0 343 60.7   WHR <0.8 99 24.2 118 20.9   ≥0.8 311 75.8 447 79.1 0.001 Metabolic syndrome criteria 0-2 301 73.4 484 85.70   3-5 109 26.6 81 14.3 < 0.001 HDL-Chol = HDL-Cholesterol; BMI = Body Mass Index; WC = Waist Circumference; Silibinin WHR = Waist Hip Ratio. HOMA-IR was ≥ 2.50 in 49% of cases – OR 1.86 (C.I.95% =0.42 to 0.52) respect to 34% of controls (C.I.95% =0.03 to 0.38), showing a positive trend for breast cancer patients. Interestingly, 80% of insulin resistant cases were postmenopausal, whereas premenopausal were only 20% (C.I.95% =0.85 to 0.74 vs 0.33 to 0.7) (Figure 1). Figure 1 HOMA- IR as indicator of insulin resistance in pre and post-menopausal patients

with breast cancer. HOMA-IR and insulin were positively associated to at least three other MS criteria in 89% of cases compared to 50% of controls. Remarkably, 75% of cases were insulin resistant (HOMA-IR ≥ 2.5) with waist circumference > 88 cm (Table 3, Figure 2). Table 3 HOMA-IR by categories of waist circumference   WAIST CIRCUMFERENCE HOMA-IR ≤ 88cm >88cm Total ≥ 2.50 51 (25%) 150 (75%) 201 < 2.50 137 (66%) 72 (34%) 209 Total 188 222   Figure 2 Histogram comparing insulin resistance and waist circumference among breast cancer patients. Statistical significance (P < 0.05) for comparison waist circumference in insulin resistant patients. Insulin resistant cases and controls have been further stratified in four subgroups according to fasting plasma glucose and insulin values.