27 research outputs found

    Analysis of shared heritability in common disorders of the brain

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    Paroxysmal Cerebral Disorder

    Whole-genome sequencing reveals host factors underlying critical COVID-19

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    Critical COVID-19 is caused by immune-mediated inflammatory lung injury. Host genetic variation influences the development of illness requiring critical care1 or hospitalization2,3,4 after infection with SARS-CoV-2. The GenOMICC (Genetics of Mortality in Critical Care) study enables the comparison of genomes from individuals who are critically ill with those of population controls to find underlying disease mechanisms. Here we use whole-genome sequencing in 7,491 critically ill individuals compared with 48,400 controls to discover and replicate 23 independent variants that significantly predispose to critical COVID-19. We identify 16 new independent associations, including variants within genes that are involved in interferon signalling (IL10RB and PLSCR1), leucocyte differentiation (BCL11A) and blood-type antigen secretor status (FUT2). Using transcriptome-wide association and colocalization to infer the effect of gene expression on disease severity, we find evidence that implicates multiple genes—including reduced expression of a membrane flippase (ATP11A), and increased expression of a mucin (MUC1)—in critical disease. Mendelian randomization provides evidence in support of causal roles for myeloid cell adhesion molecules (SELE, ICAM5 and CD209) and the coagulation factor F8, all of which are potentially druggable targets. Our results are broadly consistent with a multi-component model of COVID-19 pathophysiology, in which at least two distinct mechanisms can predispose to life-threatening disease: failure to control viral replication; or an enhanced tendency towards pulmonary inflammation and intravascular coagulation. We show that comparison between cases of critical illness and population controls is highly efficient for the detection of therapeutically relevant mechanisms of disease

    A century of trends in adult human height

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    Being taller is associated with enhanced longevity, and higher education and earnings. We reanalysed 1472 population-based studies, with measurement of height on more than 18.6 million participants to estimate mean height for people born between 1896 and 1996 in 200 countries. The largest gain in adult height over the past century has occurred in South Korean women and Iranian men, who became 20.2 cm (95% credible interval 17.5-22.7) and 16.5 cm (13.3-19.7) taller, respectively. In contrast, there was little change in adult height in some sub-Saharan African countries and in South Asia over the century of analysis. The tallest people over these 100 years are men born in the Netherlands in the last quarter of 20th century, whose average heights surpassed 182.5 cm, and the shortest were women born in Guatemala in 1896 (140.3 cm; 135.8-144.8). The height differential between the tallest and shortest populations was 19-20 cm a century ago, and has remained the same for women and increased for men a century later despite substantial changes in the ranking of countries

    Towards an integrated Global Ocean Acidification Observation Network

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    The autonomous measurement of dissolved carbon dioxide (CO2) is of great and still increasing importance for addressing many scientific as well as socio-economic questions. Although there is a need for reliable, fast and easy-to-use instrumentation to measure the partial pressure of dissolved CO2 (pCO2) in situ, only few autonomous underwater sensors are available. Here we present the measuring principle as well as the latest development state of a commercial sensor (HydroC™/CO2, CONTROS Systems & Solutions GmbH, Kiel, Germany), which is optimized in a collaboration between the IFM-GEOMAR and the manufacturer. In situ tests and laboratory experiments are essential parts of the comprehensive optimization process, which aims at the successful autonomous long-term deployment on e.g. surface buoys, underwater observatories and floats

    Allied Professionals7Screening for eligibility for subcutaneous icd implant in adults with congenital heart disease: how many patients are eligible?8Identifying the outcome of patients in a multispeciality nurse led rapid access blackout clinic undergoing implantable loop recorders for unexplained syncope9Implant of medtronic linq in an outpatient setting10Does time from diagnosis of atrial fibrillation to ablation effect success of catheter ablation?11Detection and management of atrial fibrillation in the pacing clinic12The efficacy of a nurse-led cardioversion service on clinical outcomes13Do major ion channels of pacemaker clock also play a role in atrioventricular nodal conduction in young and aged rats?14Anatomical and functional determinants of preferential rotor locations and stability in atrial fibrillation15Pacemaker-induced cardiomyopathy in the sheep: rva but not rvot pacing results in a heart failure cellular phenotype16A steep apd-restitution slope does not cause apd-alternans in the intact human heart17Cardiac sites of the in-vivo human heart exhibiting apd-alternans show changes in calcium-handling proteins and repolarizing currents18Dynamic transmural activation recovery interval gradients exceed apico-basal gradients in the intact human heart: Table

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