40 research outputs found

    Next-generation sequencing approach to hyperCKemia: A 2-year cohort study

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    Next-generation sequencing (NGS) was applied in molecularly undiagnosed asymptomatic or paucisymptomatic hyperCKemia to investigate whether this technique might allow detection of the genetic basis of the condition

    Congenital myopathies: Clinical phenotypes and new diagnostic tools

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    Congenital myopathies are a group of genetic muscle disorders characterized clinically by hypotonia and weakness, usually from birth, and a static or slowly progressive clinical course. Historically, congenital myopathies have been classified on the basis of major morphological features seen on muscle biopsy. However, different genes have now been identified as associated with the various phenotypic and histological expressions of these disorders, and in recent years, because of their unexpectedly wide genetic and clinical heterogeneity, next-generation sequencing has increasingly been used for their diagnosis. We reviewed clinical and genetic forms of congenital myopathy and defined possible strategies to improve cost-effectiveness in histological and imaging diagnosis

    Genetic loci linked to Type 1 Diabetes and Multiple Sclerosis families in Sardinia

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    <p>Abstract</p> <p>Background</p> <p>The Mediterranean island of Sardinia has a strikingly high incidence of the autoimmune disorders Type 1 Diabetes (T1D) and Multiple Sclerosis (MS). Furthermore, the two diseases tend to be co-inherited in the same individuals and in the same families. These observations suggest that some unknown autoimmunity variant with relevant effect size could be fairly common in this founder population and could be detected using linkage analysis.</p> <p>Methods</p> <p>To search for T1D and MS loci as well as any that predispose to both diseases, we performed a whole genome linkage scan, sequentially genotyping 593 microsatellite marker loci in 954 individuals distributed in 175 Sardinian families. In total, 413 patients were studied; 285 with T1D, 116 with MS and 12 with both disorders. Model-free linkage analysis was performed on the genotyped samples using the Kong and Cox logarithm of odds (LOD) score statistic.</p> <p>Results</p> <p>In T1D, aside from the HLA locus, we found four regions showing a lod-score ≥1; 1p31.1, 6q26, 10q21.2 and 22q11.22. In MS we found three regions showing a lod-score ≥1; 1q42.2, 18p11.21 and 20p12.3. In the combined T1D-MS scan for shared autoimmunity loci, four regions showed a LOD >1, including 6q26, 10q21.2, 20p12.3 and 22q11.22. When we typed more markers in these intervals we obtained suggestive evidence of linkage in the T1D scan at 10q21.2 (LOD = 2.1), in the MS scan at 1q42.2 (LOD = 2.5) and at 18p11.22 (LOD = 2.6). When all T1D and MS families were analysed jointly we obtained suggestive evidence in two regions: at 10q21.1 (LOD score = 2.3) and at 20p12.3 (LOD score = 2.5).</p> <p>Conclusion</p> <p>This suggestive evidence of linkage with T1D, MS and both diseases indicates critical chromosome intervals to be followed up in downstream association studies.</p

    Influence of Ecto-Nucleoside Triphosphate Diphosphohydrolase Activity on Trypanosoma cruzi Infectivity and Virulence

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    The protozoan Trypanosoma cruzi is the causative agent of Chagas disease, an endemic zoonosis present in some countries of South and Central Americas. The World Health Organization estimates that 100 million people are at risk of acquiring this disease. The infection affects mainly muscle tissues in the heart and digestive tract. There are no vaccines or effective treatment, especially in the chronic phase when most patients are diagnosed, which makes a strong case for the development of new drugs to treat the disease. In this work we evaluate a family of proteins called Ecto-Nucleoside-Triphosphate-Diphosphohydrolase (Ecto-NTPDase) as new chemotherapy target to block T. cruzi infection in mammalian cells and in mice. We have used inhibitors and antibodies against this protein and demonstrated that T. cruzi Ecto-NTPDases act as facilitators of infection in mammalian cells and virulence factors in mice model. Two of the drugs used in this study (Suramin and Gadolinium) are currently used for other diseases in humans, supporting the possibility of their use in the treatment of Chagas disease

    A statistical approach for the assessment of reliability in ceramic materials from ultrasonic velocity measurement: Cumulative Flaw Length Theory

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    A primary objective of statistical fracture approach is to predict the probability of failure of a component for an arbitrary stress state when the failure statistics are known. This study introduces the fundamentals and application of a new approach to characterize the mechanical behaviour of high temperature ceramic materials, including refractory materials, by coupling non-destructive methods, in particular ultrasonic velocity measurement, and the Batdorf statistical fracture theory. A new approach, termed Cumulative Flaw Length Theory (CFLT), has been developed for the case of macroscopically homogeneous isotropic materials containing randomly oriented microcracks uniformly distributed in a location subjected to non-uniform multiaxial stresses. A function representing the number of cracks per unit volume is estimated based on the histograms of ultrasonic velocity measurements. This function is used without additional assumptions to determine the probability of fracture under an arbitrary stress condition. Two different cordierite-mullite high temperature ceramic materials were characterized under the assumptions of this theory to provide experimental evidence to support the model

    A lifetime prediction method based on Cumulative Flaw Length Theory

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    Ultrasonic pulse velocity testing (UPVT) was carried out to perform non-destructive quality control of refractory plates. Used in conjunction with fracture mechanics, ultrasonic velocity measurements have proved a powerful technique for detecting, positioning and sizing internal voids and cracks in the samples, originated from the manufacturing process. Two cordierite-mullite refractory compositions exhibiting different microstructure and crack propagation behaviour were characterized through their lifetime during which they were subjected to thermal shock loading. In this paper, a new statistical method is proposed which allows to estimate the lifetime when the stress state that will be applied in service (loading) and the scattering of the ultrasonic velocity data in the as-received state are known. Since this lifetime prediction method is based on a non-destructive technique, it could be implemented into a code in an automatic quality control device for continuous lifetime estimation. The correlation between crack propagation behaviour and thermal shock resistance is discussed and semi-empirical models were developed to predict the service life of refractory plates from the measured values of ultrasonic velocities on as-received samples

    A novel mutation in the central rod domain of lamin A/C producing a phenotype resembling the Emery-Dreifuss muscular dystrophy phenotype

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    Abstract Lamins are the principal components of the nuclear lamina, a network constituting the major structural framework of the nuclear envelope. Alterations in lamin A/C have been associated with a heterogeneous series of human disorders known as laminopathies. We report the finding of a novel deletion in the central rod domain of lamin A/C exon 3 gene in four members of the same family. This genetic alteration was likely responsible for the relatively homogeneous clinical phenotype observed in our three patients, represented by a prominent cardiac conduction-system disease necessitating permanent pacemaker implantation, and limited skeletal involvement manifested by spinal rigidity and contractures. The findings from these cases further expand the clinical spectrum associated with mutations in the LMNA gene
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