Evolution of TNM Classification for Clinical Staging of Oral Cancer: The Past, Present and the Future.

Purpose: The AJCC (American Joint Committee on Cancer) Cancer Staging Manual, 1st Edition, was published in 1977 which focused on the TNM classification and staging of cancer to allow easy communication, formulation of a treatment plan and predict the prognosis, among the medical fraternity. Methods: Ever since the beginning, various modifications of the classification were introduced and released by the joint collaboration of AJCC and UICC (International Union Against Cancer) in various editions of cancer staging manuals. Results: The present review article was kept focused onto the changes introduced in the clinical staging of cancers of oral cavity. These changes came a long way since 1st edition 1944, to the eighth edition which was published in 2017. Conclusions: This article is a critical review on the past and present perspectives of the TNM classification of the oral cavity that were addressed and changed, adding a light on the future trends or necessary inclusions that would formulate a much easily acceptable and useful classification system.

Comparative virulence of strains of entomopathogenic nematodes for management of eggplant Grey Weevil, Myllocerus subfasciatus Guerin (Coleoptera: Curculionidae).

The Grey Weevil, Myllocerus subfasciatus Guerin, is an important emerging pest of quarantine significance in Solanaceae crops including the eggplant, Solanum melongena. Entomopathogenic nematodes (EPNs) have been shown to be a potential source of safe and effective control of M. subfasciatus. In this study, we determined the virulence of seven strains of EPNs (Nematoda: Rhabditida) viz. Heterorhabditis bacteriophora NBAIIHb105, H. indica NBAIIHi101, H. indica NBAIIHiMah, Steinernema abbasi NBAIISa01, Steinernema abbasi NBAIISa04, S. carpocapsae NBAIISc04 and S. glaseri NBAIISg01, with different foraging behaviour, against larvae of eggplant grey weevil, M. subfasciatus (Coleoptera: Curculionidae), and their suitability in five representative soils from the eggplant grown areas under laboratory conditions. All seven nematode strains caused >80% mortality of M. subfasciatus larvae at 40 IJs/cm2. LC90 values ranged between 21.18 and 46.41 IJs/cm2 at 96 h post-application, which corresponded to field concentrations between 2.1-4.6×109 IJs/ha. H. indica NBAIIHi101, S. glaseri NBAIISg01, S. abbasi NBAIISa01 and S. carpocapsae NBAIISc04 recorded higher grub mortality, compared to H. indica NBAIIHiMah, H. bacteriophora NBAIIHb05 and S. abbasi NBAIISa04 indicating existence of inter- and intra-specific variation in virulence. Response Surface Modelling (RSM) optimized LC and LT values for maximised larval mortality. RSM predicted a concentration of 58.05-62.54 IJs/cm2 of these EPN (corresponding to a field dose of 5.8-6.2×109 IJs/ha) required for effecting 97.10-99.67% grub mortality, at 90-97 h of exposure. EPN strains performed better in terms of larval mortality in loamy sand, alluvial, mountain soil, red laterite compared to black cotton soils. Efficacy of EPN was positively correlated with the content of sand, and negatively with the clay content. It is possibly the first report that established the potential of local strains of EPNs with different foraging ability and their dosages for suppression of subterranean root feeding larvae of M. subfasciatus in five broad soil types of eggplant grown areas. Validation of this baseline data in real-time eggplant crop situations may help in evolving EPN-based viable management schedules for M. subfasciatus.

Functional recovery after transplantation of bone marrow-derived human mesenchymal stromal cells in a rat model of spinal cord injury.

BACKGROUND AIMS: Spinal cord injury (SCI) is a medically untreatable condition for which stem cells have created hope. Pre-clinical and clinical studies have established that these cells are safe for transplantation. The dose dependency, survivability, route of administration, cell migration to injury site and effect on sensory and motor behavior in an SCI-induced paraplegic model were studied. METHODS: A spinal cord contusion injury model was established in rats. Bone marrow (BM) mesenchymal stromal cells (MSC) were tagged to facilitate tracing in vivo. Two different doses (2 and 5 million cells/kg body weight) and two different routes of infusion (site of injury and lumbar puncture) were tested during and after the spinal shock period. The animals were tested post-transplantation for locomotor capacity, motor control, sensory reflex, posture and body position. Stem cell migration was observed 1 month post-transplantation in spinal cord sections. RESULTS: The overall results demonstrated that transplantation of BM MSC significantly improved the locomotor and sensory behavior score in the experimental group compared with the sham control group, and these results were dose dependent. All the infused stem cells could be visualized at the site of injury and none was visualized at the injected site. This indicated that the cells had survived in vivo, were probably chemoattracted and had migrated to the lesion site. CONCLUSIONS: MSC transplanted with a lumbar puncture method migrate to the site of injury and are the most suitable for SCI healing. These cells demonstrate a dose-dependent effect and promote functional recovery when injected during or after the spinal shock period.

Biochemical changes in Glomus fasciculatum colonized roots of Lycopersicon esculentum in presence of Meloidogyne incognita.

Glasshouse experiments were conducted to elicit biochemical substantiation for the observed difference in resistance to nematode infection in roots colonized by mycorrhiza, and susceptibility of the fresh flush of roots of the same plant that escaped mycorrhizal colonization. Tomato roots were assayed for their biochemical profiles with respect to total proteins, total phenols, indole acetic acid, activities of polyphenol oxidase, phenylalanine ammonia lyase and indole acetic acid oxidase. The roots of the same plant (one set) received Glomus fasciculatum and G. fasciculatum plus juveniles of Meloidogyne incognita separately; and half the roots of second set of plants received G. fasciculatum while the other half of roots did not receive any treatment. Roots colonized by G. fasciculatum recorded maximum contents of proteins and phenols followed by that of the roots that received G. fasciculatum plus M. incognita. However, IAA content was lowest in the roots that received mycorrhiza or mycorrhiza plus juveniles of root-knot nematode and correspondingly. Roots that received juveniles of root-knot nematode recorded maximum IAA content and per cent increase over healthy check and mycorrhiza-inoculated roots. The comparative assay on the activities of PPO, PAL and IAA oxidase enzymes in treated and healthy roots of tomato, indicated that PAL and IAA oxidase activities were maximum in G. fasciculatum colonized roots followed by the roots that received mycorrhiza plus juveniles of root-knot nematode, while the activity of PPO was minimum in these roots. The roots that received juveniles of root-knot nematode recorded minimum PAL and IAA oxidase activities and maximum PPO activity. Since the roots of same plant that received mycorrhiza and that did not receive mycorrhiza; and the plant that received nematode alone and mycorrhiza plus nematode recorded differential biochemical contents of proteins, total phenols and IAA, and differential activities of enzymes under study, it was evident that the biochemical defense response to mycorrhizal colonization against root-knot nematodes was localized and not systemic. This explained for the response of plant that differed in root galling due to nematode infection in presence of mycorrhizal colonization. The new or fresh roots which missed mycorrhizal colonization, got infected by nematodes and developed root galls.