438 research outputs found

    Next generation mitochondrial disease: change in diagnostics with eyes on therapy

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    Efficient Methods for Predicting Soil Hydraulic Properties

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    Both empirical and process-simulation models are useful for evaluating the effects of management practices on environmental quality and crop yield. The use of these models is limited, however, because they need many soil property values as input. The first step towards modelling is the collection of input data. Soil properties can be highly variable spatially and temporally, and measuring them is time-consuming and expensive. Efficient methods, which consider the uncertainty and cost of measurements, for estimating soil hydraulic properties form the main thrust of this study. Hydraulic properties are affected by other soil physical, and chemical properties, therefore it is possible to develop empirical relations to predict them. This idea quantified is called a pedotransfer function. Such functions may be global or restricted to a country or region. The different classification of particle-size fractions used in Australia compared with other countries presents a problem for the immediate adoption of exotic pedotransfer functions. A database of Australian soil hydraulic properties has been compiled. Pedotransfer functions for estimating water-retention and saturated hydraulic conductivity from particle size and bulk density for Australian soil are presented. Different approaches for deriving hydraulic transfer functions have been presented and compared. Published pedotransfer functions were also evaluated, generally they provide a satisfactory estimation of water retention and saturated hydraulic conductivity depending on the spatial scale and accuracy of prediction. Several pedotransfer functions were developed in this study to predict water retention and hydraulic conductivity. The pedotransfer functions developed here may predict adequately in large areas but for site-specific applications local calibration is needed. There is much uncertainty in the input data, and consequently the transfer functions can produce varied outputs. Uncertainty analysis is therefore needed. A general approach to quantifying uncertainty is to use Monte Carlo methods. By sampling repeatedly from the assumed probability distributions of the input variables and evaluating the response of the model the statistical distribution of the outputs can be estimated. A modified Latin hypercube method is presented for sampling joint multivariate probability distributions. This method is applied to quantify the uncertainties in pedotransfer functions of soil hydraulic properties. Hydraulic properties predicted using pedotransfer functions developed in this study are also used in a field soil-water model to analyze the uncertainties in the prediction of dynamic soil-water regimes. The use of the disc permeameter in the field conventionally requires the placement of a layer of sand in order to provide good contact between the soil surface and disc supply membrane. The effect of sand on water infiltration into the soil and on the estimate of sorptivity was investigated. A numerical study and a field experiment on heavy clay were conducted. Placement of sand significantly increased the cumulative infiltration but showed small differences in the infiltration rate. Estimation of sorptivity based on the Philip's two term algebraic model using different methods was also examined. The field experiment revealed that the error in infiltration measurement was proportional to the cumulative infiltration curve. Infiltration without placement of sand was considerably smaller because of the poor contact between the disc and soil surface. An inverse method for predicting soil hydraulic parameters from disc permeameter data has been developed. A numerical study showed that the inverse method is quite robust in identifying the hydraulic parameters. However application to field data showed that the estimated water retention curve is generally smaller than the one obtained in laboratory measurements. Nevertheless the estimated near-saturated hydraulic conductivity matched the analytical solution quite well. Th author believes that the inverse method can give a reasonable estimate of soil hydraulic parameters. Some experimental and theoretical problems were identified and discussed. A formal analysis was carried out to evaluate the efficiency of the different methods in predicting water retention and hydraulic conductivity. The analysis identified the contribution of individual source of measurement errors to the overall uncertainty. For single measurements, the inverse disc-permeameter analysis is economically more efficient than using pedotransfer functions or measuring hydraulic properties in the laboratory. However, given the large amount of spatial variation of soil hydraulic properties it is perhaps not surprising that lots of cheap and imprecise measurements, e.g. by hand texturing, are more efficient than a few expensive precise ones

    Nijmegen paediatric CDG rating scale: a novel tool to assess disease progression

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    Congenital disorders of glycosylation (CDG) are a group of clinically heterogeneous inborn errors of metabolism. At present, treatment is available for only one CDG, but potential treatments for the other CDG are on the horizon. It will be vitally important in clinical trials of such agents to have a clear understanding of both the natural history of CDG and the corresponding burden of disability suffered by patients. To date, no multicentre studies have attempted to document the natural history of CDG. This is in part due to the lack of a reliable assessment tool to score CDG’s diverse clinical spectrum. Based on our earlier experience evaluating disease progression in disorders of oxidative phosphorylation, we developed a practical and semi-quantitative rating scale for children with CDG. The Nijmegen Paediatric CDG Rating Scale (NPCRS) has been validated in 12 children, offering a tool to objectively monitor disease progression. We undertook a successful trial of the NPCRS with a collaboration of nine experienced physicians, using video records of physical and neurological examination of patients. The use of NPCRS can facilitate both longitudinal and natural history studies that will be essential for future interventions

    Glycosylation defects underlying fetal alcohol spectrum disorder: a novel pathogenetic model: “When the wine goes in, strange things come out” – S.T. Coleridge, The Piccolomini

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    Fetal alcohol spectrum disorder (FASD) is an umbrella term used to describe the craniofacial dysmorphic features, malformations, and disturbances in growth, neurodevelopment and behavior occurring in individuals prenatally exposed to alcohol. Fetal alcohol syndrome (FAS) represents the severe end of this spectrum. Many pathophysiological mechanisms have hitherto been proposed to account for the disrupted growth and morphogenesis seen in FAS. These include impaired cholesterol-modification of the Sonic hedgehog morphogen, retinoic acid deficiency, lipoperoxidative damage due to alcohol-induced reactive oxygen species combined with reduced antioxidant defences, and malfunctioning cell adhesion molecules. In this report, we propose a completely novel concept regarding the pathogenesis of FAS. Based on our observation that transferrin isoelectric focusing (TIEF) – the most widely used screening tool for congenital disorders of glycosylation (CDG) – was transiently abnormal in a newborn with FAS and a confirmed maternal history of gestational alcohol abuse, we came to believe that FAS exemplifies a congenital disorder of glycosylation secondary to alcohol-inflicted disruption of (N-linked) protein glycosylation. Various pieces of evidence were found in the literature to substantiate this hypothesis. This observation implies, among others, that one might need to consider the possibility of maternal alcohol consumption in newborns with transient glycosylation abnormalities. We also present an integrated pathophysiological model of FAS, which incorporates all existing theories mentioned above as well as our novel concept. This model highlights the pivotal role of disrupted isoprenoid metabolism in the origination of FAS

    Public and patient involvement in needs assessment and social innovation: a people-centred approach to care and research for congenital disorders of glycosylation

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    Background: Public and patient involvement in the design of people-centred care and research is vital for communities whose needs are underserved, as are people with rare diseases. Innovations devised collectively by patients, caregivers, professionals and other members of the public can foster transformative change toward more responsive services and research. However, attempts to involve lay and professional stakeholders in devising community-framed strategies to address the unmet needs of rare diseases are lacking. In this study, we engaged with the community of Congenital Disorders of Glycosylation (CDG) to assess its needs and elicit social innovations to promote people-centred care and research. Methods: Drawing on a qualitative study, we conducted three think tanks in France with a total of 48 participants, including patients/family members (n = 18), health care professionals (n = 7), researchers (n = 7) and people combining several of these roles (n = 16). Participants came from 20 countries across five continents. They were selected from the registry of the Second World Conference on CDG through heterogeneity and simple random sampling. Inductive and deductive approaches were employed to conduct interpretational analysis using open, axial and selective coding, and the constant-comparison method to facilitate the emergence of categories and core themes. Results: The CDG community has unmet needs for information, quality health care, psychosocial support and representation in decision-making concerned with care and research. According to participants, these needs can be addressed through a range of social innovations, including peer-support communities, web-based information resources and a CDG expertise platform. Conclusion: This is one of the few studies to engage lay and professional experts in needs assessment and innovation for CDG at a global level. Implementing the innovations proposed by the CDG community is likely to have ethical, legal and social implications associated with the potential donation of patients’ clinical and biological material that need to be assessed and regulated with involvement from all stakeholders. To promote people-centred care for the CDG community, and increase its participation in the governance of care and research, it is necessary to create participatory spaces in which the views of people affected by CDG can be fully expressed.FCT - Foundation for Science and Technology (Portuguese Ministry of Science, Technology and Higher Education), the Social European Fund and the POPH Programme supported this study with research grants: SFRH/BPD/111344/2015 (CF) and IF/01674/2015 (SS)

    Congenital disorders of glycosylation: narration of a story through its patents

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    Congenital disorders of glycosylation are a group of more than 160 rare genetic defects in protein and lipid glycosylation. Since the first clinical report in 1980 of PMM2-CDG, the most common CDG worldwide, research made great strides, but nearly all of them are still missing a cure. CDG diagnosis has been at a rapid pace since the introduction of whole-exome/whole-genome sequencing as a diagnostic tool. Here, we retrace the history of CDG by analyzing all the patents associated with the topic. To this end, we explored the Espacenet database, extracted a list of patents, and then divided them into three major groups: (1) Drugs/therapeutic approaches for CDG, (2) Drug delivery tools for CDG, (3) Diagnostic tools for CDG. Despite the enormous scientific progress experienced in the last 30 years, diagnostic tools, drugs, and biomarkers are still urgently needed

    Metabolic cutis laxa syndromes

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    Cutis laxa is a rare skin disorder characterized by wrinkled, redundant, inelastic and sagging skin due to defective synthesis of elastic fibers and other proteins of the extracellular matrix. Wrinkled, inelastic skin occurs in many cases as an acquired condition. Syndromic forms of cutis laxa, however, are caused by diverse genetic defects, mostly coding for structural extracellular matrix proteins. Surprisingly a number of metabolic disorders have been also found to be associated with inherited cutis laxa. Menkes disease was the first metabolic disease reported with old-looking, wrinkled skin. Cutis laxa has recently been found in patients with abnormal glycosylation. The discovery of the COG7 defect in patients with wrinkled, inelastic skin was the first genetic link with the Congenital Disorders of Glycosylation (CDG). Since then several inborn errors of metabolism with cutis laxa have been described with variable severity. These include P5CS, ATP6V0A2-CDG and PYCR1 defects. In spite of the evolving number of cutis laxa-related diseases a large part of the cases remain genetically unsolved. In metabolic cutis laxa syndromes the clinical and laboratory features might partially overlap, however there are some distinct, discriminative features. In this review on metabolic diseases causing cutis laxa we offer a practical approach for the differential diagnosis of metabolic cutis laxa syndromes
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