Implementation of a pharmacogenomics consult service to support the INGENIOUS trial

Hospital systems increasingly utilize pharmacogenomic testing to inform clinical prescribing. Successful implementation efforts have been modeled at many academic centers. In contrast, this report provides insights into the formation of a pharmacogenomics consultation service at a safety-net hospital, which predominantly serves low-income, uninsured, and vulnerable populations. The report describes the INdiana GENomics Implementation: an Opportunity for the UnderServed (INGENIOUS) trial and addresses concerns of adjudication, credentialing, and funding

Atmospheric sources, transport and deposition of mercury in Michigan: Two years of event precipitation

To assess the sources, transport and deposition of atmospheric mercury (Hg) in Michigan, a multi-site network was implemented in which Hg concentrations in event precipitation and ambient samples (vapor and participate phases) were determined. Results from the analysis of 2 years of event precipitation samples for Hg are reported here. The volume-weighted average Hg concentration in precipitation was 7.9, 10.8 and 10.2 ng/L for the Pellston, South Haven and Dexter sites, respectively. Yearly wet deposition of Hg for 1992–93 and 1993–94 was 5.8 and 5.5 μg/m 2 at Pellston, 9.5 and 12.7 μg/m 2 at South Haven and 8.7 and 9.1 μg/m at Dexter. A spatial gradient in both the Hg concentration and wet deposition was observed. Northern Michigan received almost half the deposition of Hg recorded at the southern Michigan sites. The concentration of Hg in precipitation exhibited a strong seasonal behavior with low values of 1.0 to 2.0 ng/L in winter and maximum values greater than 40 ng/L in summer. The spring, summer and autumn precipitation accounted for 89 to 91% of the total yearly Hg deposition. Mixed-layer back trajectories were calculated for each precipitation event to investigate the meteorological history and transport from potential Hg source regions. Elevated Hg concentrations were observed with air mass transport from the west, southwest, south, and southeast. At each of the sites precipitation events for which the Hg concentration was in the 90th and 10th percentile were-analyzed for trace elements by ICP-MS to investigate source impacts.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/43912/1/11270_2005_Article_BF01189668.pd

Loss-of-function mutations in UDP-Glucose 6-Dehydrogenase cause recessive developmental epileptic encephalopathy

Developmental epileptic encephalopathies are devastating disorders characterized by intractable epileptic seizures and developmental delay. Here, we report an allelic series of germline recessive mutations in UGDH in 36 cases from 25 families presenting with epileptic encephalopathy with developmental delay and hypotonia. UGDH encodes an oxidoreductase that converts UDP-glucose to UDP-glucuronic acid, a key component of specific proteoglycans and glycolipids. Consistent with being loss-of-function alleles, we show using patients’ primary fibroblasts and biochemical assays, that these mutations either impair UGDH stability, oligomerization, or enzymatic activity. In vitro, patient-derived cerebral organoids are smaller with a reduced number of proliferating neuronal progenitors while mutant ugdh zebrafish do not phenocopy the human disease. Our study defines UGDH as a key player for the production of extracellular matrix components that are essential for human brain development. Based on the incidence of variants observed, UGDH mutations are likely to be a frequent cause of recessive epileptic encephalopathy

Global data set of long-term summertime vertical temperature profiles in 153 lakes

peer reviewedClimate change and other anthropogenic stressors have led to long-term changes in the thermal structure, including surface temperatures, deepwater temperatures, and vertical thermal gradients, in many lakes around the world. Though many studies highlight warming of surface water temperatures in lakes worldwide, less is known about long-term trends in full vertical thermal structure and deepwater temperatures, which have been changing less consistently in both direction and magnitude. Here, we present a globally-expansive data set of summertime in-situ vertical temperature profiles from 153 lakes, with one time series beginning as early as 1894. We also compiled lake geographic, morphometric, and water quality variables that can influence vertical thermal structure through a variety of potential mechanisms in these lakes. These long-term time series of vertical temperature profiles and corresponding lake characteristics serve as valuable data to help understand changes and drivers of lake thermal structure in a time of rapid global and ecological change. © 2021, The Author(s)