209 research outputs found

    Transcription factor genetics and biology in predisposition to bone marrow failure and hematological malignancy

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    Transcription factors (TFs) play a critical role as key mediators of a multitude of developmental pathways, with highly regulated and tightly organized networks crucial for determining both the timing and pattern of tissue development. TFs can act as master regulators of both primitive and definitive hematopoiesis, tightly controlling the behavior of hematopoietic stem and progenitor cells (HSPCs). These networks control the functional regulation of HSPCs including self-renewal, proliferation, and differentiation dynamics, which are essential to normal hematopoiesis. Defining the key players and dynamics of these hematopoietic transcriptional networks is essential to understanding both normal hematopoiesis and how genetic aberrations in TFs and their networks can predispose to hematopoietic disease including bone marrow failure (BMF) and hematological malignancy (HM). Despite their multifaceted and complex involvement in hematological development, advances in genetic screening along with elegant multi-omics and model system studies are shedding light on how hematopoietic TFs interact and network to achieve normal cell fates and their role in disease etiology. This review focuses on TFs which predispose to BMF and HM, identifies potential novel candidate predisposing TF genes, and examines putative biological mechanisms leading to these phenotypes. A better understanding of the genetics and molecular biology of hematopoietic TFs, as well as identifying novel genes and genetic variants predisposing to BMF and HM, will accelerate the development of preventative strategies, improve clinical management and counseling, and help define targeted treatments for these diseases.Jiarna R. Zerella, Claire C. Homan, Peer Arts, Anna L. Brown, Hamish S. Scott, and Christopher N. Hah

    The Grizzly, September 17, 2009

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    Recycling Team Takes Action Against Campus Waste • Annual Activities Fair Starts the Year Off • Campus Safety, Police Relations: Battle of Jurisdiction • Berman\u27s New Exhibit: Muriel\u27s Moores • Is the Power Plant Damaging More Than Our Eardrums? • Restaurant Review: Iron Hill Brewery • Club Spotlight: InterVarsity Christian Fellowship • Hidden Treasures in the Berman and Myrin • Opinion: Liberal Arts, Limited Choices?; Facebook Friends: How Far is Too Far?; Obama\u27s Administration and the Takeover of the Communist Czar Regime; Socialism is the New Word for Progress • UC Men\u27s Soccer Coach Adds Sustainability Coordinator to His Title • Positivity and Friendship Staples of the UC Women\u27s Volleyball Teamhttps://digitalcommons.ursinus.edu/grizzlynews/1791/thumbnail.jp

    Diagnostic accuracy of the primary care screener for affective disorder (PC-SAD) in primary care

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    Background: Depression goes often unrecognised and untreated in non-psychiatric medical settings. Screening has recently gained acceptance as a first step towards improving depression recognition and management. The Primary Care Screener for Affective Disorders (PC-SAD) is a self-administered questionnaire to screen for Major Depressive Disorder (MDD) and Dysthymic Disorder (Dys) which has a sophisticated scoring algorithm that confers several advantages. This study tested its performance against a ‘gold standard’ diagnostic interview in primary care. Methods: A total of 416 adults attending 13 urban general internal medicine primary care practices completed the PC-SAD. Of 409 who returned a valid PC-SAD, all those scoring positive (N=151) and a random sample (N=106) of those scoring negative were selected for a 3-month telephone follow-up assessment including the administration of the Structured Clinical Interview for DSM-IV-TR Axis I Disorders (SCID-I) by a psychiatrist who was masked to PC-SAD results. Results: Most selected patients (N=212) took part in the follow-up assessment. After adjustment for partial verification bias the sensitivity, specificity, positive and negative predictive value for MDD were 90%, 83%, 51%, and 98%. For Dys, the corresponding figures were 78%, 79%, 8%, and 88%. Conclusions: While some study limitations suggest caution in interpreting our results, this study corroborated the diagnostic validity of the PC-SAD, although the low PPV may limit its usefulness with regard to Dys. Given its good psychometric properties and the short average administration time, the PC-SAD might be the screening instrument of choice in settings where the technology for computer automated scoring is available
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