Dr. Vishwas Sharma Research Associate. Signature of genetic associations in oral cancer

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2 Signature of genetic associations in oral cancer Every year around 274,300 new cases of oral cancer (OC) are diagnosed in Asia associated with a high mortality rate, due to probable delayed diagnosis of the disease. The risk of OC development depends on multiple factors such as exposure to environmental factors, Human papillomavirus (HPV), alcohol, tobacco and areca nut, etc. and genetic factors such as an alteration in DNA. Oral cancer (OC) etiology is complex and controlled by multi-factorial events including genetic once. Classically, Candidate gene studies (CGS) identified various genetic loci to be associated with OC. Later on genome-wide association studies (GWAS) and next-generation sequencing (NGS) validated the findings of CGS, and in addition identified various other chromosomal loci that were not trapped by CGS. Through our systematic literature search we found that there is no available review that could give us the comprehensive picture of genetic loci identified to be associated with OC by CGS, GWAS, and NGS based approaches. Hence, A systematic literature search was performed in the PubMed database to identify the loci associated with OC by exclusive CGS based, GWAS based, and NGS based study approaches. The information of loci associated with OC is made online through the resource "ORNATE.Next, screening of the loci validated by CGS and NGS approach or by two independent studies within CGS or NGS approaches were performed. A total of 264 loci were identified to be associated with OC by CGS, GWAS, and NGS approaches. In total, 28 loci, that is, 14q32.33 (AKT1), 5q22.2 (APC), 11q22.3 (ATM), 2q33.1 (CASP8), 11q13.3 (CCND1), 16q22.1 (CDH1), 9p21.3 (CDKN2A), 1q31.1 (COX-2), 7p11.2 (EGFR), 22q13.2 (EP300), 4q35.2 (FAT1), 4q31.3 (FBXW7), 4p16.3 (FGFR3), 1p13.3 (GSTM1-GSTT1), 11q13.2 (GSTP1), 11p15.5 (H-RAS), 3p25.3 (hogg1), 1q32.1 (IL-10), 4q13.3 (IL-8), 12p12.1 (KRAS), 12q15 (MDM2), 12q13.12 (MLL2), 9q34.3 (NOTCH1), 17p13.1 (p53), 3q26.32 (PIK3CA), 10q23.31 (PTEN), 13q14.2 (RB1), and 5q14.2 (XRCC4), were validated to be associated with OC. "ORNATE" gives a snapshot of genetic loci associated with OC. All 28 loci were validated to be linked to OC for which further fine-mapping followed by gene-by-gene and gene-environment interaction studies is needed to confirm their involvement in modifying OC. Dr. Vishwas Sharma Research Associate

3 ICMR-NICPR s Virtual Training on Cancer Screening through ECHO Model National Institute of Cancer Prevention and Research (NICPR) empowers health care providers to update knowledge and skills in the area of cancer prevention of common cancers in the country (cervical, breast and oral cancer) through ECHO (Extension for Community Healthcare Outcomes) platform. The mission of NICPR-ECHO is to build capacity in the area of cancer screening services among health care providers. This will empower them to carry out screening independently thereby enabling their services to be accessible to every eligible citizen in India. Under this program, started our first batch of beginner s/ basic training program in cancer screening on September 7, It was a twenty weeks program which would go on until Jan 25, Although we had restricted the number of participants to 25, due to high demand we had to extend it to 37 spokes. Since two international spokes also expressed interest, we enrolled them too. Out of the 37 people enrolled in the program, 13 were medical doctors, 9 were dentists, 10 were CHWs, 4 of them were public health professionals, and 1 cytologist. A total of 31 were able to complete the training program and received their e-certificates of completion. Apart from this, there were about 25 people from NICPR who participated and completed the training program, such as doctors, social workers and other project staff. After the success of the beginner s training program and the he demand for advanced training program, we will be starting the following programs: 1) NICPR-ECHO Advanced Cervical and Breast Cancer Screening Training Program for specialists such as gynecologists with MS/MD/DNB/DGO. 2) NICPR-ECHO Advanced Oral Cancer Screening Training Program for dentists and dental surgeons with a BDS/MDS degree. 3) Second cohort of NICPR-ECHO Basic Cancer Screening Training Program for anyone who is interested in knowing about basics of cancer screening in India. With such training programs, we intend to spread awareness among all about cancer screening as well as build the capacity of medical and paramedical staff who are involved in extending cancer screening services in their communities. Hopefully, we will be able to drastically reduce the burden of cancer in our country and improve the health of everyone

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5 Division of Clinical Oncology organized training workshop on early detection of breast cancer for ANMs and ASHA workers of Gautum Buddha Nagar District.

6 Screening Camps: The Clinical division of the Institute extends the cancer screening facilities to the rural areas of Gautam Budh Nagar district by organizing screening camps at primary health centers (PHC) and community health centers (CHC) with the help of State Health authorities. Screening and awareness camps are also organized at CGHS clinics, ESI hospitals and nearby government institutions. Individuals attending the camps are screened for oral (visual examination), breast (clinical breast examination) and cervical cancer (Pap smear and VIA). Women diagnosed to have abnormalities on clinical breast examination are invited to attend breast clinic at NICPR which is run by Prof Anurag Srivastava, Head, Department of surgery, AIIMS and his team on every Friday 2 pm. Women positive on VIA examination and Pap smear are invited to NICPR for further evaluation using Colposcopy and biopsy if needed.

7 List of screening camps organized by NICPR Sl No Date Place of camp Oral exami nation 1. 4 July, 2017 Sai Sansthan Charitable Hospital, Sec 40, Noida August 2017, SaiSansthan Charitable Hospital, Sector 40, Noida Clinical breast examinati on Pap smear September 2017 SaiSansthan Charitable Hospital, Sector 40, Noida September 2017, Community center Nithari, Sector 31, Noida 5. 3 October 2017 Sai Sansthan Charitable Hospital, Sector-40, NOIDA OCTOBER 2017, 7. 7 NOVEMBER 2017, 8. 5 DECEMBER 2017, NOIDA PUBLIC LIBRARY, SECTOR 15, NOIDA Sai Sansthan Charitable Hospital, Sec 40, Noida Sai Sansthan Charitable Hospital, Sec 40, Noida Publications: 2017 (July-Dec) 1. Sharma U, Singhal P, Bandil K, Kumar A, Bose S, Ahuja P, Kohli M, Dewan AK, Tayal J, Banerjee BD, Prasheri A, Mehrotra R, Sharma V, BharadwajM Genetic variations of IL-10: Identification of novel variations and evaluation of the impact of the SNPs/haplotype in the promoter region with the progression of oral squamous cell carcinoma in Indian population. Cytokinehttps S (17) doi.org/ /j.cyto (IF 3.5) 2. Mehrotra R, Hariprasad R, Rajaraman P, Mahajan V, Grover R, Kaur P, Swaminathan S. Stemming the wave of cervical cancer: HPV vaccine introduction in India.Jour Global Oncol

8 3. Sharma V, Nandan A, Sharma A, Singh H, Bharadwaj M, Sinha DN, Mehrotra R. (2017) Signature of genetic associations in oral cancer.tumor Biol (IF 3.64) 4. Gupta AK, Bharadwaj M, Mehrotra R : Spiro-oxindoles as a promising class of small molecule inhibitors of p53-mdm2 interaction useful in targeted cancer therapy. Top CurrChem 375:3DOI: /s , (IF 4.03) 5. Kaur P, Mehrotra R, Hariprasad R, Rajaraman P, Mahendale S, Swaminathan S.: Human Papilloma Virus (HPV) vaccine for Cancer Cervix Prevention: Rationale and Recommendations for Implementation in India. Indian J Med Res 145, 2017 (IF 1.5) 6. Gupta AK, Srikrishna S, Mehrotra R.: Novel KF Novel KF-Al2O3 Catalyzed Green Synthesis of some 3-substituted-2-oxindole derivatives and evaluation of their cytotoxic and cell apoptotic activity.chem Central Jour, 2017 (IF 2.1) 7. Bhatt D, Sharma S, Gupta R, Sinha DN, Mehrotra R.: Predictors of hypertension among non-pregnant females attending health promotion clinic with special emphasis on smokeless tobacco: A cross-sectional study. BioMed Research International. doi: /2017/ (IF 2.47) 8. Sinha DN, Kumar A, Bhartiya D, Sharma S, Gupta PC, Singh H, Mehrotra R. :The poorest of poor suffer the greatest burden from smokeless tobacco use: A study from 140 countries. Nicotine Tob Res., 2017 (IF 4.6) 9. Thakur N, Basir SF, Bharadwaj M, Mehrotra R :Computational prediction of novel human mirnas/ mirna target sites in correlation with SNP (rs678653) at 3 UTR of cyclin D1 gene. Integrative Mol Med doi: /IMM , Ogilvie G, NakisigeC, HuhW, Mehrotra R, Franco E, Jeronimo J :Optimizing secondary prevention of cervical cancer: recent advances and future challenges. Int J ObsGyn138 (Suppl. 1): (IF1.64) 11. Kumar M, Sahu RK, Goyal A, Sharma S, Kaur N, Mehrotra R, Singh UR, Hedau S. BRCA1 Promoter Methylation and Expression - Associations with ER+, PR+ and HER2+ Subtypes of Breast Carcinoma. Asian Pac J Cancer Prev, 18 (12), , (IF 2.6) 12. Asthana S, Satyanarayana L, Sodhani P, Gupta S. Co-Testing of cervical screening tests in detection of high grade cervical intraepithelial neoplasia. J Clin Diagn Res ; 11: c10-c14, IF:---

9 13. Kumar A, Sharma S, Kar P, Agarwal S, Ramji S, Husain SA, Prasad S, Sharma S. Impact of maternal nutrition in hepatitis E infection in Pregnancy Arch Gynecol obstet. 296(5): , (2.09) 14. Malik MZ, Alam MJ, Ishrat R, Agarwal SM, Singh RK. Control of apoptosis by SMAR1. Mol Biosyst. 13(2): (IF 2.92) 15. Agarwal SM, Pal D, Gupta M, Saini R. Insight into Discovery of Next Generation Reversible TMLR Inhibitors Targeting EGFR Activating and Drug Resistant T790M Mutants. Curr Cancer Drug Targets.;17(7): , Sheriff SA, Shaik Ibrahim S, Devaki T, Chakraborty S, Agarwal S, Pérez-Sánchez H. Lycopene Prevents Mitochondrial Dysfunction during d-galactosamine /Lipopolysaccharide-Induced Fulminant Hepatic Failure in Albino Rats. J Proteome Res16(9): , (IF 4.268) 17. Akhil Varshney, Jyoti Bala, Baby Santosh, Ashima Bhaskar, Suresh Kumar. R, Pramod K. Yadava, (2017) Identification of an RNA aptamer binding htertderived peptide and inhibiting telomerase activity in MCF7 cells, Mol Cell Biochem, 427: (1 2), , 2017IF 2.6) 18. Basu P, Meheus F, Chami Y, Hariprasad R, Zhao F, Sankaranarayanan R. Management algorithms for cervical cancer screening and precancer treatment for resource-limited settings. Int J Gynaecol Obstet. 2017;138 Suppl 1: (IF:2.1) द खड़ फ इल क एक क ऊपर एक फ इल क ह अ ब र ब ब स ब त करन क क श ह ब क र समझ ल शजय ह शजर ह सरक र दफ तर म आज आज क क म कल, कल क क म परस पर

10 फ इल अभ आई नह, अभ त यह ब पत नह कह गई य र समझ ल शजय ह शजर ह सरक र दफ तर म आज जब अपन फ इल क क ल द ख मह न ब त ज य क श करन पर भ क छ ह थ न आय समझ ल शजय ह शजर ह सरक र दफ तर म आज बलख त फ इल क च ल स ह गय ह पर न अब लग भगव न भ ह गय ह अ तर धय न समझ ल शजय ह शजर ह सरक र दफ तर म आज क ऐस ह ज य हर फ इल म एक ट र कर लग ज य इ टरन ट, ई-आफफस क ज़म न म थक गय फ इल क चक कर लग न म म द ज कहत ह अच छ फदन आ गय, फ इल क न म स नत ह फफर चक कर आ गय क प य टर क ज़म न म क य धक क ख त ह एक शक लक म क य नह फ इल शभजव त ह इस बह न प पर भ ब ख ज य ग हम पय वरण क स रक ष भ कर प य ग च द र प रज ञ वम

11 Other activities Staff members retired after attaining the age of superannuation in the following months. Institute has given the farewell to all the members in the respective months. 1. Dr. Veena Kashyap Scientist F Dr. P Sodhani P Scientist F Mr, D S Bhandari Sr. Driver Mr. J K Sharma Scientist F Mrs Tanakamma J TA

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