Dongxian Xu, Lingyu Zhang, Chi Zhang, Lei Song, Wanhui Qian, Hao Luo, Qing Zhao
Background: Mycetia, a subshrub genus within the subfamily Rubioideae (Rubiaceae), is predominantly distributed in tropical Asia, lacking comprehensive plastid genomic resources. This study aimed to characterize the complete plastid genomes of two Mycetia species and explore their structural features and evolutionary relationships.
Methods: The plastid genomes of Mycetia hirta and Mycetia sinensis were sequenced and assembled. We analyzed genome structure, simple sequence repeats (SSRs), long repeats, codon usage, nucleotide diversity (π), and Ka/Ks and conducted phylogenetic analysis.
Results: Both genomes exhibited a typical quadripartite structure (153,989-154,588 bp; GC content 37.7-37.8%), encoding 126 genes (86 protein-coding, 8 rRNA, and 32 tRNA). Both chloroplast genomes contained 52-60 SSRs and three repeat types with minor interspecific differences. Junction regions and codon usage were highly conserved, with slight variations in RSCU values. The average π was 0.0096, and the non-coding trnE-trnT (π = 0.0817) emerged as a potential DNA barcode. The average Ka/Ks was 0.2900, indicating purifying selection. Phylogenetic analysis confirmed the monophyly of Mycetia within Argostemmateae.
Conclusions: This study provides the first comparative plastid genomic analysis for Mycetia, enhancing our understanding of its genetic diversity and supporting future phylogenetic and taxonomic research on the genus.
{"title":"Comparative Analysis and Characterization of Plastid Genomes of <i>Mycetia</i> (Rubiaceae).","authors":"Dongxian Xu, Lingyu Zhang, Chi Zhang, Lei Song, Wanhui Qian, Hao Luo, Qing Zhao","doi":"10.3390/genes16121481","DOIUrl":"10.3390/genes16121481","url":null,"abstract":"<p><strong>Background: </strong><i>Mycetia</i>, a subshrub genus within the subfamily Rubioideae (Rubiaceae), is predominantly distributed in tropical Asia, lacking comprehensive plastid genomic resources. This study aimed to characterize the complete plastid genomes of two <i>Mycetia</i> species and explore their structural features and evolutionary relationships.</p><p><strong>Methods: </strong>The plastid genomes of <i>Mycetia hirta</i> and <i>Mycetia sinensis</i> were sequenced and assembled. We analyzed genome structure, simple sequence repeats (SSRs), long repeats, codon usage, nucleotide diversity (π), and Ka/Ks and conducted phylogenetic analysis.</p><p><strong>Results: </strong>Both genomes exhibited a typical quadripartite structure (153,989-154,588 bp; GC content 37.7-37.8%), encoding 126 genes (86 protein-coding, 8 rRNA, and 32 tRNA). Both chloroplast genomes contained 52-60 SSRs and three repeat types with minor interspecific differences. Junction regions and codon usage were highly conserved, with slight variations in RSCU values. The average π was 0.0096, and the non-coding <i>trnE-trnT</i> (π = 0.0817) emerged as a potential DNA barcode. The average Ka/Ks was 0.2900, indicating purifying selection. Phylogenetic analysis confirmed the monophyly of <i>Mycetia</i> within Argostemmateae.</p><p><strong>Conclusions: </strong>This study provides the first comparative plastid genomic analysis for <i>Mycetia</i>, enhancing our understanding of its genetic diversity and supporting future phylogenetic and taxonomic research on the genus.</p>","PeriodicalId":12688,"journal":{"name":"Genes","volume":"16 12","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12733169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145854754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background/objectives: Mammary gland traits (milk quality and lactation performance) are economically critical for B. taurus and O. aries, but core regulatory hub genes remain unclear due to high false positives in single-method transcriptomic analyses. This study aimed to identify robust hub genes linked to species-specific differences in mammary gland tissue via an integrated bioinformatics strategy.
Methods: Raw transcriptomic data (77 B. taurus and 77 O. aries mammary gland samples) were retrieved from the European Nucleotide Archive (ENA); after quality control, differential expression gene (DEG) screening, weighted gene co-expression network analysis (WGCNA), and SHapley Additive exPlanations (SHAP)-assisted machine learning were performed, with core genes defined as the intersection of the three gene sets, and functional enrichment and protein-protein interaction (PPI) network analyses were used to prioritize hub genes.
Results: A total of 13,138 high-quality genes were retained, including 6148 DEGs, 4698 WGCNA core module genes, and 500 SHAP-high-contribution genes, yielding 178 core genes that were significantly enriched in the "translation" (p < 0.001) pathways; hub genes were identified via PPI network analysis.
Conclusions: These findings indicate that RPS15 and RPL7A are core species-difference signals in mammary gland tissue of B. taurus and O. aries, providing insights into inter-species molecular differences, and this integrated strategy enhances the robustness of hub gene identification in pure bioinformatics studies.
{"title":"Integrated Transcriptomic Analysis Identifies Core Hub Genes Regulating Mammary Gland Traits (Milk Quality/Lactation) in Dairy Livestock: <i>Bos taurus</i> and <i>Ovis aries</i>.","authors":"Qiang Zhang, Lulu Yang, Yunhan Li, Pengbo Gu, Riguleng Si, Shuai Li, Lin Zhu, Wenguang Zhang","doi":"10.3390/genes16121483","DOIUrl":"10.3390/genes16121483","url":null,"abstract":"<p><strong>Background/objectives: </strong>Mammary gland traits (milk quality and lactation performance) are economically critical for <i>B. taurus</i> and <i>O. aries</i>, but core regulatory hub genes remain unclear due to high false positives in single-method transcriptomic analyses. This study aimed to identify robust hub genes linked to species-specific differences in mammary gland tissue via an integrated bioinformatics strategy.</p><p><strong>Methods: </strong>Raw transcriptomic data (77 <i>B. taurus</i> and 77 <i>O. aries</i> mammary gland samples) were retrieved from the European Nucleotide Archive (ENA); after quality control, differential expression gene (DEG) screening, weighted gene co-expression network analysis (WGCNA), and SHapley Additive exPlanations (SHAP)-assisted machine learning were performed, with core genes defined as the intersection of the three gene sets, and functional enrichment and protein-protein interaction (PPI) network analyses were used to prioritize hub genes.</p><p><strong>Results: </strong>A total of 13,138 high-quality genes were retained, including 6148 DEGs, 4698 WGCNA core module genes, and 500 SHAP-high-contribution genes, yielding 178 core genes that were significantly enriched in the \"translation\" (<i>p</i> < 0.001) pathways; hub genes were identified via PPI network analysis.</p><p><strong>Conclusions: </strong>These findings indicate that <i>RPS15</i> and <i>RPL7A</i> are core species-difference signals in mammary gland tissue of <i>B. taurus</i> and <i>O. aries</i>, providing insights into inter-species molecular differences, and this integrated strategy enhances the robustness of hub gene identification in pure bioinformatics studies.</p>","PeriodicalId":12688,"journal":{"name":"Genes","volume":"16 12","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12732383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145855528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Claudio Ricciardi Tenore, Eugenia Tulli, Alessia Perrucci, Roberto Bertozzi, Ludovica Fortuna, Giulia Maneri, Concetta Santonocito, Andrea Urbani, Maria De Bonis, Angelo Minucci
Background/Objectives: The RET (Rearranged during Transfection) gene encodes a receptor tyrosine kinase. RET plays a critical role in embryonic development and postnatal physiology. This review provides a comprehensive overview of RET-associated disorders, focusing on the molecular mechanisms of RET activation, associated clinical phenotypes and therapeutic implications. In addition, we present an updated RET mutation database. Methods:RET mutation database is built through the integration and curation of data from two major RET mutation repositories: the Leiden Open Variation Database (LOVD) and the Cancer Knowledge Base (CKB) as well as information derived from the ClinVar database. Results: To date, 78 pathogenic RET mutations have been identified, among these, 71 (91.0%) are single nucleotide substitutions (missense variants), 2 (2.6%) are deletions, 1 (1.3%) are indels, 2 (2.6%) are nonsense mutations and 1 (1.3%) mutation affecting the introns. A pronounced clustering was observed in exons 10-11, accounting for ~60% of cases, suggesting a potential mutational hotspot with structural or functional relevance. Conclusions: Aberrant RET activation, resulting from activating missense variants, gene fusions, or overexpression, underlies a wide spectrum of human diseases. These include multiple endocrine neoplasia type 2A (MEN2A), medullary thyroid carcinoma (MTC), Hirschsprung disease, and pheochromocytoma. The existence and use of a database classifying variants in the RET gene plays a fundamental role in molecular diagnostics and personalized medicine.
背景/目的:RET(转染期间重排)基因编码酪氨酸激酶受体。RET在胚胎发育和产后生理中起着关键作用。这篇综述提供了RET相关疾病的全面概述,重点是RET激活的分子机制,相关的临床表型和治疗意义。此外,我们提出了一个更新的RET突变数据库。方法:通过整合和整理来自莱顿开放变异数据库(Leiden Open Variation database, LOVD)和癌症知识库(Cancer Knowledge Base, CKB)两大RET突变库的数据以及ClinVar数据库的信息,构建RET突变数据库。结果:迄今已鉴定出致病性RET突变78例,其中单核苷酸替换71例(91.0%),缺失2例(2.6%),缺失1例(1.3%),无义突变2例(2.6%),影响内含子的突变1例(1.3%)。外显子10-11有明显的聚类现象,约占60%,提示存在与结构或功能相关的潜在突变热点。结论:由于激活错义变异、基因融合或过度表达而导致的RET异常激活是广泛的人类疾病的基础。其中包括多发性内分泌瘤2A型(MEN2A)、甲状腺髓样癌(MTC)、巨结肠病和嗜铬细胞瘤。RET基因变异分类数据库的存在和使用在分子诊断和个性化医疗中起着重要作用。
{"title":"<i>RET</i> Gene Alterations in Clinical Practice: A Comprehensive Review and Database Update.","authors":"Claudio Ricciardi Tenore, Eugenia Tulli, Alessia Perrucci, Roberto Bertozzi, Ludovica Fortuna, Giulia Maneri, Concetta Santonocito, Andrea Urbani, Maria De Bonis, Angelo Minucci","doi":"10.3390/genes16121472","DOIUrl":"10.3390/genes16121472","url":null,"abstract":"<p><p><b>Background/Objectives:</b> The <i>RET</i> (Rearranged during Transfection) gene encodes a receptor tyrosine kinase. <i>RET</i> plays a critical role in embryonic development and postnatal physiology. This review provides a comprehensive overview of <i>RET</i>-associated disorders, focusing on the molecular mechanisms of <i>RET</i> activation, associated clinical phenotypes and therapeutic implications. In addition, we present an updated <i>RET</i> mutation database. <b>Methods:</b><i>RET</i> mutation database is built through the integration and curation of data from two major <i>RET</i> mutation repositories: the Leiden Open Variation Database (LOVD) and the Cancer Knowledge Base (CKB) as well as information derived from the ClinVar database. <b>Results:</b> To date, 78 pathogenic <i>RET</i> mutations have been identified, among these, 71 (91.0%) are single nucleotide substitutions (missense variants), 2 (2.6%) are deletions, 1 (1.3%) are indels, 2 (2.6%) are nonsense mutations and 1 (1.3%) mutation affecting the introns. A pronounced clustering was observed in exons 10-11, accounting for ~60% of cases, suggesting a potential mutational hotspot with structural or functional relevance. <b>Conclusions</b>: Aberrant <i>RET</i> activation, resulting from activating missense variants, gene fusions, or overexpression, underlies a wide spectrum of human diseases. These include multiple endocrine neoplasia type 2A (MEN2A), medullary thyroid carcinoma (MTC), Hirschsprung disease, and pheochromocytoma. The existence and use of a database classifying variants in the <i>RET</i> gene plays a fundamental role in molecular diagnostics and personalized medicine.</p>","PeriodicalId":12688,"journal":{"name":"Genes","volume":"16 12","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12732688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145855419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Filiz Ekim Çevik, Esra Guzel Tanoglu, Kadriye Nur Cakmur, Muhammed Fevzi Esen, Fatma Rumeysa Uzun, Murat Erkiran
Background: ATP-binding cassette (ABC) transporters regulate xenobiotic efflux, oxidative stress responses, and blood-brain barrier (BBB) homeostasis. Dysregulation of transporters such as ABCC1, ABCB1, and ABCA2 has been linked to neuropsychiatric disorders, yet their expression patterns in schizophrenia and their modulation by antipsychotic treatment remain unclear. This study investigated longitudinal changes in the expression of these genes in schizophrenia patients before and after antipsychotic therapy, compared with healthy controls.
Methods: Sixty individuals with schizophrenia and sixty matched healthy controls were included. Serum samples were obtained from patients during the acute pre-treatment phase and after clinical improvement following antipsychotic therapy. Gene expression of ABCC1, ABCB1, and ABCA2 was measured by RT-qPCR (normalized to ACTB). Log2 fold-change (log2FC) values relative to controls were calculated. Group differences were assessed with Mann-Whitney U and Wilcoxon signed-rank tests, and associations with clinical severity were analyzed using correlations with Positive and Negative Syndrome Scale (PANSS) scores.
Results: In the acute phase, ABCC1 and ABCB1 expression were significantly downregulated in schizophrenia compared with controls (both p < 0.001). Antipsychotic treatment produced significant increases in both genes, though expression remained below control levels. ABCA2 showed no baseline differences but exhibited marked upregulation after treatment (p < 0.001). Higher baseline ABCC1 expression was associated with greater pre-treatment symptom severity, whereas higher baseline ABCB1 expression was associated with, rather than predicted, poorer clinical improvement. No significant correlations were found for ABCA2.
Conclusions: These findings demonstrate distinct, gene-specific alterations in ABC transporter expression in schizophrenia. ABCC1 and ABCB1 appear suppressed during acute illness and partially restored with antipsychotic therapy, while ABCA2 shows a strong treatment-related upregulation. ABC transporter expression-particularly ABCB1-may provide preliminary molecular insight into treatment-related variability, although biomarker utility cannot be established from the present data. Longitudinal pharmacogenomic studies are needed to clarify their clinical relevance.
{"title":"Antipsychotic Treatment-Associated Modulation of ABC Transporter Genes (ABCC1, ABCB1, and ABCA2) in Schizophrenia: A Longitudinal Expression Study.","authors":"Filiz Ekim Çevik, Esra Guzel Tanoglu, Kadriye Nur Cakmur, Muhammed Fevzi Esen, Fatma Rumeysa Uzun, Murat Erkiran","doi":"10.3390/genes16121471","DOIUrl":"10.3390/genes16121471","url":null,"abstract":"<p><strong>Background: </strong>ATP-binding cassette (ABC) transporters regulate xenobiotic efflux, oxidative stress responses, and blood-brain barrier (BBB) homeostasis. Dysregulation of transporters such as ABCC1, ABCB1, and ABCA2 has been linked to neuropsychiatric disorders, yet their expression patterns in schizophrenia and their modulation by antipsychotic treatment remain unclear. This study investigated longitudinal changes in the expression of these genes in schizophrenia patients before and after antipsychotic therapy, compared with healthy controls.</p><p><strong>Methods: </strong>Sixty individuals with schizophrenia and sixty matched healthy controls were included. Serum samples were obtained from patients during the acute pre-treatment phase and after clinical improvement following antipsychotic therapy. Gene expression of ABCC1, ABCB1, and ABCA2 was measured by RT-qPCR (normalized to ACTB). Log2 fold-change (log2FC) values relative to controls were calculated. Group differences were assessed with Mann-Whitney U and Wilcoxon signed-rank tests, and associations with clinical severity were analyzed using correlations with Positive and Negative Syndrome Scale (PANSS) scores.</p><p><strong>Results: </strong>In the acute phase, ABCC1 and ABCB1 expression were significantly downregulated in schizophrenia compared with controls (both <i>p</i> < 0.001). Antipsychotic treatment produced significant increases in both genes, though expression remained below control levels. ABCA2 showed no baseline differences but exhibited marked upregulation after treatment (<i>p</i> < 0.001). Higher baseline ABCC1 expression was associated with greater pre-treatment symptom severity, whereas higher baseline ABCB1 expression was associated with, rather than predicted, poorer clinical improvement. No significant correlations were found for ABCA2.</p><p><strong>Conclusions: </strong>These findings demonstrate distinct, gene-specific alterations in ABC transporter expression in schizophrenia. ABCC1 and ABCB1 appear suppressed during acute illness and partially restored with antipsychotic therapy, while ABCA2 shows a strong treatment-related upregulation. ABC transporter expression-particularly ABCB1-may provide preliminary molecular insight into treatment-related variability, although biomarker utility cannot be established from the present data. Longitudinal pharmacogenomic studies are needed to clarify their clinical relevance.</p>","PeriodicalId":12688,"journal":{"name":"Genes","volume":"16 12","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12733190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145855397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background/Objectives: In digenic populations, all females produce males and females in their offspring. Monogenic populations are composed of gynogenic (female-producing) and androgenic (male-producing) females. A theoretical population genetic model for evolution of digenic to monogenic populations is presented here. Methods: A controlling gene was associated with each of the four processes that characterise monogenic populations: (1) oogenesis is conventional, whereas spermatogenesis is unusual and it is characterised by the exclusive formation of X-bearing sperm (gene (s)), i.e., the paternal chromosomes are eliminated so that only the maternal ones are transmitted to the next generation; (2) the X chromosome that is eliminated in the zygote is the one inherited from the father (gene r); (3) an imprinting process occurs in the mother (gene g), which protects the maternally inherited X chromosome from elimination in the zygote and the whole maternal chromosome complement in spermatogenesis; (4) a maternal factor is produced during oogenesis (gene e), which inactivates the elimination factor [r] in the zygote, thus controlling the elimination of the paternal X chromosome. The sequences of emergence of the genes (e s r g) that transform a digenic population into a monogenic one were analysed. Results: The following evolutionary sequences were found: (1) the sequence (r s e) under dominant conditions of gene (s) and recessive conditions of gene (r); and (2) the sequences (s r e), (r s e), and (e s r) under recessive conditions of gene (s) and gene (r). It was also found that the process of genomic imprinting is a necessary condition for the generation of a monogenic population. Furthermore, a quantitative change in the interaction between the elimination factor and its maternal inhibitor modifies the genotypic formula of the monogenic state. Conclusions: The number and types of evolutionary transitions of a digenic to a monogenic population depends on the dominant or recessive characteristic of the newly emerging genes. The imprinting process must already be present in the digenic population from which the monogenic one evolves; otherwise, the population cannot reach the monogenic state.
背景/目的:在遗传种群中,所有的雌性在其后代中产生雄性和雌性。单基因种群由雌性(产生雌性)和雄性(产生雄性)的雌性组成。本文提出了遗传种群向单基因种群进化的理论种群遗传模型。方法:一个控制基因与单基因种群特征的四个过程中的每一个都有关:(1)卵子发生是常规的,而精子发生是不寻常的,它的特点是只形成带有x的精子(基因),即父亲的染色体被消除,因此只有母亲的染色体遗传给下一代;(2)受精卵中被消除的X染色体是遗传自父亲的(基因r);(3)在母体(基因g)中发生印记过程,保护母体遗传的X染色体在受精卵中不被消除,在精子发生过程中保护整个母体染色体补体;(4)在卵子发生过程中产生一种母体因子(基因e),它使受精卵中的消除因子[r]失活,从而控制父亲X染色体的消除。分析了将基因群体转化为单基因群体的基因(e - s - r - g)的出现序列。结果:发现了以下进化序列:(1)基因(s)的显性条件和基因(r)的隐性条件下的序列(r ~ e);(2)基因(s)和基因(r)隐性条件下的序列(s re)、(r se)、(e s r)。研究还发现基因组印迹过程是单基因群体产生的必要条件。此外,消除因子与其母体抑制剂之间相互作用的定量变化改变了单基因状态的基因型公式。结论:基因向单基因群体进化转变的数量和类型取决于新出现基因的显性或隐性特征。印迹过程必须已经存在于单基因进化的遗传群体中;否则,种群无法达到单基因状态。
{"title":"From Digenic to Monogenic Sex Determination in Insects: A Genetic Model Based on Imprinting and X Chromosome Elimination.","authors":"Lucas Sánchez","doi":"10.3390/genes16121478","DOIUrl":"10.3390/genes16121478","url":null,"abstract":"<p><p><b>Background/Objectives:</b> In digenic populations, all females produce males and females in their offspring. Monogenic populations are composed of gynogenic (female-producing) and androgenic (male-producing) females. A theoretical population genetic model for evolution of digenic to monogenic populations is presented here. <b>Methods:</b> A controlling gene was associated with each of the four processes that characterise monogenic populations: (1) oogenesis is conventional, whereas spermatogenesis is unusual and it is characterised by the exclusive formation of X-bearing sperm (gene (<i>s</i>)), i.e., the paternal chromosomes are eliminated so that only the maternal ones are transmitted to the next generation; (2) the X chromosome that is eliminated in the zygote is the one inherited from the father (gene <i>r</i>); (3) an imprinting process occurs in the mother (gene <i>g</i>), which protects the maternally inherited X chromosome from elimination in the zygote and the whole maternal chromosome complement in spermatogenesis; (4) a maternal factor is produced during oogenesis (gene <i>e</i>), which inactivates the elimination factor [r] in the zygote, thus controlling the elimination of the paternal X chromosome. The sequences of emergence of the genes (<i>e s r g</i>) that transform a digenic population into a monogenic one were analysed. <b>Results:</b> The following evolutionary sequences were found: (1) the sequence (<i>r s e</i>) under dominant conditions of gene (<i>s</i>) and recessive conditions of gene (<i>r</i>); and (2) the sequences (<i>s r e</i>), (<i>r s e</i>), and (<i>e s r</i>) under recessive conditions of gene (<i>s</i>) and gene (<i>r</i>). It was also found that the process of genomic imprinting is a necessary condition for the generation of a monogenic population. Furthermore, a quantitative change in the interaction between the elimination factor and its maternal inhibitor modifies the genotypic formula of the monogenic state. <b>Conclusions:</b> The number and types of evolutionary transitions of a digenic to a monogenic population depends on the dominant or recessive characteristic of the newly emerging genes. The imprinting process must already be present in the digenic population from which the monogenic one evolves; otherwise, the population cannot reach the monogenic state.</p>","PeriodicalId":12688,"journal":{"name":"Genes","volume":"16 12","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12732547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145855420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samira Marie Comtesse, Ivana Tašková, Nicole Safářová, Martina Hahn
Background/Objectives: Pharmacogenetic (PGx) testing is gaining importance in optimizing psychiatric pharmacotherapy, yet routine use remains limited due to cost and unclear patient selection criteria. The CYP Pharmacogenetic Risk Score (CYPRI) is a clinical tool designed to identify psychiatric patients most likely to benefit from PGx testing, based on medication profile, adverse drug reactions (ADRs), and therapeutic drug monitoring (TDM) results. This study aimed to evaluate the clinical relevance of the CYPRI by identifying its weaknesses and gaps in a clinical setting, propose targeted modifications to address those limitations, and assess the applicability of the improved version in a routine clinical setting. Methods: In a retrospective analysis, data from 92 patients with depression at Frankfurt University Hospital were evaluated using the CYPRI score. Its association with the clinical impact of PGx testing, measured by the IMPACT score, was analyzed using ordinal regression and Receiver Operating Characteristic (ROC) analysis. Based on the findings, a revised version of CYPRI was developed and applied to the retrospective cohorts of Frankfurt and Prague. Results: The original CYPRI score was significantly associated with increased IMPACT score, suggesting its clinical value in detecting non-normal CYP2D6 and/or CYP2C19 metabolizers. However, the corrected version (hereafter referred to as CYPRI_cor), which emphasized clinically relevant pharmacokinetic factors, showed improved clinical specificity while maintaining similar discriminative performance. In the Frankfurt cohort, the area under the curve (AUC) for CYPRI_cor was 0.68 (95% CI 0.56-0.79), and in the Prague cohort, the AUC for CYPRI_cor was 0.71 (95% CI 0.60-0.81). While the overall discriminative ability in Frankfurt was slightly lower, CYPRI_cor achieved a specificity of 0.69, enabling more precise identification of patients most likely to benefit from PGx testing. A CYPRI Cut-off of ≥4 was determined to indicate clinical impact. Conclusions: The CYPRI_cor score was designed to optimize and to rule out potential limitations of the original score, particularly regarding the attribution of ADRs and the weighting of TDM results. Although the modifications did not improve discriminative performance in the Frankfurt dataset, the proposed changes remain meaningful. Prospective clinical studies need to verify the clinical utility of the CYPRI_cor.
背景/目的:药物遗传学(PGx)检测在优化精神药物治疗中越来越重要,但由于成本和患者选择标准不明确,常规使用仍然有限。CYP药物遗传风险评分(cyi)是一种临床工具,旨在根据药物概况、药物不良反应(adr)和治疗药物监测(TDM)结果,识别最有可能从PGx测试中受益的精神病患者。本研究旨在通过确定其在临床环境中的弱点和差距来评估塞浦路斯的临床相关性,提出有针对性的修改以解决这些局限性,并评估改进版本在常规临床环境中的适用性。方法:回顾性分析来自法兰克福大学医院的92例抑郁症患者的数据,使用塞浦路斯评分进行评估。采用序贯回归和受试者工作特征(ROC)分析,以impact评分衡量其与PGx检测临床影响的关系。根据调查结果,制定了一个修订版本的塞浦路斯并应用于法兰克福和布拉格的回顾性队列。结果:原cypi评分与IMPACT评分升高有显著相关性,提示其在检测CYP2D6和/或CYP2C19代谢异常方面具有临床价值。然而,修正后的版本(以下简称塞浦路斯人)强调了临床相关的药代动力学因素,在保持相似的鉴别性能的同时,提高了临床特异性。在法兰克福队列中,塞浦路斯的曲线下面积(AUC)为0.68 (95% CI 0.56-0.79),在布拉格队列中,塞浦路斯的AUC为0.71 (95% CI 0.60-0.81)。虽然法兰克福的总体判别能力略低,但塞浦路斯科的特异性为0.69,从而能够更精确地识别最有可能从PGx检测中受益的患者。cypi Cut-off≥4表示临床影响。结论:塞浦路斯科评分旨在优化并排除原始评分的潜在局限性,特别是在adr的归因和TDM结果的权重方面。虽然这些修改并没有提高法兰克福数据集的判别性能,但所提出的变化仍然是有意义的。前瞻性临床研究需要验证塞浦路斯的临床效用。
{"title":"An Exploratory, Retrospective Study of the CYPRI Score for Pharmacogenetic Testing Among Mental Health Patients.","authors":"Samira Marie Comtesse, Ivana Tašková, Nicole Safářová, Martina Hahn","doi":"10.3390/genes16121479","DOIUrl":"10.3390/genes16121479","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Pharmacogenetic (PGx) testing is gaining importance in optimizing psychiatric pharmacotherapy, yet routine use remains limited due to cost and unclear patient selection criteria. The CYP Pharmacogenetic Risk Score (CYPRI) is a clinical tool designed to identify psychiatric patients most likely to benefit from PGx testing, based on medication profile, adverse drug reactions (ADRs), and therapeutic drug monitoring (TDM) results. This study aimed to evaluate the clinical relevance of the CYPRI by identifying its weaknesses and gaps in a clinical setting, propose targeted modifications to address those limitations, and assess the applicability of the improved version in a routine clinical setting. <b>Methods</b>: In a retrospective analysis, data from 92 patients with depression at Frankfurt University Hospital were evaluated using the CYPRI score. Its association with the clinical impact of PGx testing, measured by the IMPACT score, was analyzed using ordinal regression and Receiver Operating Characteristic (ROC) analysis. Based on the findings, a revised version of CYPRI was developed and applied to the retrospective cohorts of Frankfurt and Prague. <b>Results</b>: The original CYPRI score was significantly associated with increased IMPACT score, suggesting its clinical value in detecting non-normal CYP2D6 and/or CYP2C19 metabolizers. However, the corrected version (hereafter referred to as CYPRI_cor), which emphasized clinically relevant pharmacokinetic factors, showed improved clinical specificity while maintaining similar discriminative performance. In the Frankfurt cohort, the area under the curve (AUC) for CYPRI_cor was 0.68 (95% CI 0.56-0.79), and in the Prague cohort, the AUC for CYPRI_cor was 0.71 (95% CI 0.60-0.81). While the overall discriminative ability in Frankfurt was slightly lower, CYPRI_cor achieved a specificity of 0.69, enabling more precise identification of patients most likely to benefit from PGx testing. A CYPRI Cut-off of ≥4 was determined to indicate clinical impact. <b>Conclusions</b>: The CYPRI_cor score was designed to optimize and to rule out potential limitations of the original score, particularly regarding the attribution of ADRs and the weighting of TDM results. Although the modifications did not improve discriminative performance in the Frankfurt dataset, the proposed changes remain meaningful. Prospective clinical studies need to verify the clinical utility of the CYPRI_cor.</p>","PeriodicalId":12688,"journal":{"name":"Genes","volume":"16 12","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12733029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145855447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diego Rivera, Milagros Ros-Sala, Diego-José Rivera-Obón, Francisco Alcaraz, P Pablo Ferrer-Gallego, Emilio Laguna, Nikolay P Goncharov, Yulia V Kruchinina, Concepción Obón
Background/objectives: Identifying archaeobotanical wheat remains is central to reconstructing the evolutionary history of cereal crops. Beyond documenting agricultural practices, such analyses provide critical evidence of phylogenetic diversity, lineage persistence, and local extinction events within the genus Triticum L. This study applies advanced computational morphometrics to reveal deep-time changes in wheat species distribution, including the disappearance of taxa now phylogeographically confined to central Asia.
Methods: We developed a machine learning framework integrating Random Forest compared with logistic regression to classify morphometric data from 848 dry and 340 experimentally carbonized modern grains representing multiple wheat taxa (genus Triticum), alongside 15 archaeobotanical T. turgidum subsp. parvicoccum and 38 T. aestivum var. antiquorum. This probabilistic classifier was then applied to 2463 archeological wheat grains, including 48 from Punta de los Gavilanes and 517 from Almizaraque (southeastern Spain, 3rd-2nd millennium BC).
Results: The analysis identified Triticum sphaerococcum and other phylogenetically distinct wheat taxa-today restricted to central and south Asia-among western European Bronze Age assemblages. These findings indicate that lineages now regionally extinct once formed part of a broader cultivated gene pool spanning into the western Mediterranean. Morphometric evidence highlights that past wheat diversity encompassed multiple clades and morphotypes absent from modern European germplasm.
Conclusions: Our results demonstrate substantial phylogenetic turnover in wheat over the past 4000 years, marked by regional extirpations and contraction of once-widespread lineages to central Asia. This provides rare archeological evidence for the tempo and mode of cereal phylogeography, illustrating how domesticated lineages underwent extinction and range restriction akin to wild taxa. By integrating computational morphometrics with archaeobotanical evidence, this study establishes a scalable framework for tracing cryptic phylogenetic diversity, refining models of wheat domestication and assessing long-term genetic erosion in cultivated plants.
背景/目的:鉴定小麦遗迹是重建谷类作物进化史的核心。除了记录农业实践之外,这些分析还提供了小麦属系统发育多样性、谱系持久性和局部灭绝事件的关键证据。这项研究应用先进的计算形态计量学来揭示小麦物种分布的深时间变化,包括现在系统地理上局限于中亚的分类群的消失。方法:我们开发了一个机器学习框架,将随机森林与逻辑回归相结合,对代表多个小麦分类群(小麦属)的848粒干燥谷物和340粒实验性碳化现代谷物的形态测量数据进行分类,以及15个考古植物T. turgidum亚种。parvicoccum和38 T. aestivum变种。然后将这种概率分类器应用于2463个考古小麦颗粒,其中48个来自Punta de los Gavilanes, 517个来自Almizaraque(公元前3 -2千年西班牙东南部)。结果:在西欧青铜器时代的组合中,该分析确定了小麦(Triticum sphaerococum)和其他在系统发育上不同的小麦分类(今天仅限于中亚和南亚)。这些发现表明,现在已经局部灭绝的谱系曾经是跨越地中海西部的更广泛的栽培基因库的一部分。形态计量学证据强调,过去的小麦多样性包含了现代欧洲种质资源中缺失的多个分支和形态型。结论:我们的研究结果表明,在过去的4000年里,小麦发生了实质性的系统发生转变,其特征是区域性灭绝和曾经广泛分布的小麦谱系向中亚地区的收缩。这为谷物系统地理学的发展速度和模式提供了罕见的考古证据,说明驯化谱系如何经历类似于野生分类群的灭绝和范围限制。通过将计算形态计量学与考古植物学证据相结合,本研究建立了一个可扩展的框架,用于追踪隐性系统发育多样性,完善小麦驯化模型,评估栽培植物的长期遗传侵蚀。
{"title":"Revealing Ancient Wheat Phylogenetic Diversity: Machine Learning and Logistic Regression Identify <i>Triticum sphaerococcum</i> in Bronze Age Iberia.","authors":"Diego Rivera, Milagros Ros-Sala, Diego-José Rivera-Obón, Francisco Alcaraz, P Pablo Ferrer-Gallego, Emilio Laguna, Nikolay P Goncharov, Yulia V Kruchinina, Concepción Obón","doi":"10.3390/genes16121477","DOIUrl":"10.3390/genes16121477","url":null,"abstract":"<p><strong>Background/objectives: </strong>Identifying archaeobotanical wheat remains is central to reconstructing the evolutionary history of cereal crops. Beyond documenting agricultural practices, such analyses provide critical evidence of phylogenetic diversity, lineage persistence, and local extinction events within the genus <i>Triticum</i> L. This study applies advanced computational morphometrics to reveal deep-time changes in wheat species distribution, including the disappearance of taxa now phylogeographically confined to central Asia.</p><p><strong>Methods: </strong>We developed a machine learning framework integrating Random Forest compared with logistic regression to classify morphometric data from 848 dry and 340 experimentally carbonized modern grains representing multiple wheat taxa (genus <i>Triticum</i>), alongside 15 archaeobotanical <i>T. turgidum</i> subsp. <i>parvicoccum</i> and 38 <i>T. aestivum</i> var. <i>antiquorum.</i> This probabilistic classifier was then applied to 2463 archeological wheat grains, including 48 from Punta de los Gavilanes and 517 from Almizaraque (southeastern Spain, 3rd-2nd millennium BC).</p><p><strong>Results: </strong>The analysis identified <i>Triticum sphaerococcum</i> and other phylogenetically distinct wheat taxa-today restricted to central and south Asia-among western European Bronze Age assemblages. These findings indicate that lineages now regionally extinct once formed part of a broader cultivated gene pool spanning into the western Mediterranean. Morphometric evidence highlights that past wheat diversity encompassed multiple clades and morphotypes absent from modern European germplasm.</p><p><strong>Conclusions: </strong>Our results demonstrate substantial phylogenetic turnover in wheat over the past 4000 years, marked by regional extirpations and contraction of once-widespread lineages to central Asia. This provides rare archeological evidence for the tempo and mode of cereal phylogeography, illustrating how domesticated lineages underwent extinction and range restriction akin to wild taxa. By integrating computational morphometrics with archaeobotanical evidence, this study establishes a scalable framework for tracing cryptic phylogenetic diversity, refining models of wheat domestication and assessing long-term genetic erosion in cultivated plants.</p>","PeriodicalId":12688,"journal":{"name":"Genes","volume":"16 12","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12733154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145855290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah Moncado, Sourat Darabi, Diana Ivankovic, Luigi Boccuto
Background: Secondary pathogenic/likely pathogenic germline variants (P/LPGVs) identified on solid tumor genomic profiling (TGP) are a commonly encountered clinical issue. A proportion of oncology patients that undergo TGP will have a secondary P/LPGV identified that may not have been otherwise discovered based on clinical and family history criteria for hereditary cancer syndrome screening. The confirmation of P/LPGVs on germline sequencing has potential treatment implications for patients.
Methods: The study design was a retrospective review for secondary data analysis. The inclusion criteria for this study were adult patients with solid tumor malignancy who underwent TGP and germline sequencing. The objective of this study is to evaluate the concordance rate of secondary P/LPGVs on TGP of adult patients with solid tumor malignancy at Hoag Presbyterian Hospital and Tower Health-Reading Hospital. The second and third aims are to analyze if the confirmed P/LPGVs are concordant with the patient's tumor type and to analyze the variant allele frequencies (VAFs) of the identified secondary P/LPGVs on the tumor genomic profiling.
Results: The data included 75 patients who underwent both TGP and germline sequencing, with a median age of 62.5 years. The most represented genes with P/LPGVs in the combined data included BRCA1 and BRCA2, both with 14, and MSH2, with 9. The overall germline concordance rate for the combined population was 64.1%, with 59 out of 92 P/LPGVs identified on both germline and somatic tumor testing.
Conclusions: The overall germline concordance rate of 64% for the combined population is in accordance with the reported literature. Possible reasons for the variability in rates could be related to reporting guidelines for secondary germline variants, which can vary by company, and differences between somatic and germline variant curation. The study of P/LPGVs in populations from community cancer centers has the potential to increase the data of underrepresented minority groups regarding this important clinical issue and help expand understanding of hereditary cancer syndrome phenotypes.
{"title":"The Concordance of Secondary Pathogenic Germline Variants Identified by Tumor Genomic Profiling in Adult Solid Tumor Patients at Two US Community Cancer Centers.","authors":"Sarah Moncado, Sourat Darabi, Diana Ivankovic, Luigi Boccuto","doi":"10.3390/genes16121476","DOIUrl":"10.3390/genes16121476","url":null,"abstract":"<p><strong>Background: </strong>Secondary pathogenic/likely pathogenic germline variants (P/LPGVs) identified on solid tumor genomic profiling (TGP) are a commonly encountered clinical issue. A proportion of oncology patients that undergo TGP will have a secondary P/LPGV identified that may not have been otherwise discovered based on clinical and family history criteria for hereditary cancer syndrome screening. The confirmation of P/LPGVs on germline sequencing has potential treatment implications for patients.</p><p><strong>Methods: </strong>The study design was a retrospective review for secondary data analysis. The inclusion criteria for this study were adult patients with solid tumor malignancy who underwent TGP and germline sequencing. The objective of this study is to evaluate the concordance rate of secondary P/LPGVs on TGP of adult patients with solid tumor malignancy at Hoag Presbyterian Hospital and Tower Health-Reading Hospital. The second and third aims are to analyze if the confirmed P/LPGVs are concordant with the patient's tumor type and to analyze the variant allele frequencies (VAFs) of the identified secondary P/LPGVs on the tumor genomic profiling.</p><p><strong>Results: </strong>The data included 75 patients who underwent both TGP and germline sequencing, with a median age of 62.5 years. The most represented genes with P/LPGVs in the combined data included <i>BRCA1</i> and <i>BRCA2</i>, both with 14, and <i>MSH2</i>, with 9. The overall germline concordance rate for the combined population was 64.1%, with 59 out of 92 P/LPGVs identified on both germline and somatic tumor testing.</p><p><strong>Conclusions: </strong>The overall germline concordance rate of 64% for the combined population is in accordance with the reported literature. Possible reasons for the variability in rates could be related to reporting guidelines for secondary germline variants, which can vary by company, and differences between somatic and germline variant curation. The study of P/LPGVs in populations from community cancer centers has the potential to increase the data of underrepresented minority groups regarding this important clinical issue and help expand understanding of hereditary cancer syndrome phenotypes.</p>","PeriodicalId":12688,"journal":{"name":"Genes","volume":"16 12","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12732780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145855378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background/Objectives: Arnica montana L. is widely recognized for its diverse biological activities, including antimicrobial effects. This study aimed to evaluate the antimicrobial and antibiofilm activity of A. montana L. extracts against Acinetobacter baumannii, a pathogen of urgent public health concern due to its increasing antibiotic resistance and capacity for biofilm formation. Methods: The antimicrobial activity of ethanolic (EtE) and aqueous (AqE) extracts of A. montana flowers was evaluated via the broth microdilution method. The minimal inhibitory concentration (MIC) and minimal bactericidal concentration (MBC), and the MBC/MIC ratio were used. The effects of EtE on A. baumannii biofilm formation were assessed via a crystal violet assay. Additionally, transcriptional profiling of biofilm-associated genes following exposure to sub-MIC levels of the extract was conducted via RT-qPCR. Results: The anti-Acinetobacter activity of EtE was demonstrated (MIC = 234.4 and 468.75 µg/mL for A. baumannii ATCC BAA-3252 and ATCC 19606, respectively). The EtE exhibited bactericidal activity against both strains, whereas the AqE showed no activity. Additionally, EtE inhibited biofilm formation and significantly downregulated the expression of key biofilm-associated genes, including those of the csu operon and ompA. Conclusions: Arnica montana EtE demonstrated antimicrobial and antibiofilm activities against A. baumannii and inhibited biofilm development by suppressing the transcription of genes involved in pilus assembly and surface adherence, highlighting their essential role in biofilm formation.
{"title":"Preliminary Assessment of <i>Arnica montana</i> L. Extract: Antimicrobial Activity Against <i>Acinetobacter baumannii</i> and Biofilm-Related Gene Expression Profiling.","authors":"Sylwia Andrzejczuk, Magdalena Sozoniuk, Danuta Sugier","doi":"10.3390/genes16121473","DOIUrl":"10.3390/genes16121473","url":null,"abstract":"<p><p><b>Background/Objectives</b>: <i>Arnica montana</i> L. is widely recognized for its diverse biological activities, including antimicrobial effects. This study aimed to evaluate the antimicrobial and antibiofilm activity of <i>A. montana</i> L. extracts against <i>Acinetobacter baumannii</i>, a pathogen of urgent public health concern due to its increasing antibiotic resistance and capacity for biofilm formation. <b>Methods</b>: The antimicrobial activity of ethanolic (EtE) and aqueous (AqE) extracts of <i>A. montana</i> flowers was evaluated via the broth microdilution method. The minimal inhibitory concentration (MIC) and minimal bactericidal concentration (MBC), and the MBC/MIC ratio were used. The effects of EtE on <i>A. baumannii</i> biofilm formation were assessed via a crystal violet assay. Additionally, transcriptional profiling of biofilm-associated genes following exposure to sub-MIC levels of the extract was conducted via RT-qPCR. <b>Results</b>: The anti-<i>Acinetobacter</i> activity of EtE was demonstrated (MIC = 234.4 and 468.75 µg/mL for <i>A. baumannii</i> ATCC BAA-3252 and ATCC 19606, respectively). The EtE exhibited bactericidal activity against both strains, whereas the AqE showed no activity. Additionally, EtE inhibited biofilm formation and significantly downregulated the expression of key biofilm-associated genes, including those of the <i>csu</i> operon and <i>ompA</i>. <b>Conclusions</b>: <i>Arnica montana</i> EtE demonstrated antimicrobial and antibiofilm activities against <i>A. baumannii</i> and inhibited biofilm development by suppressing the transcription of genes involved in pilus assembly and surface adherence, highlighting their essential role in biofilm formation.</p>","PeriodicalId":12688,"journal":{"name":"Genes","volume":"16 12","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12732620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145855134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hypophosphatasia (HPP) is an exceptional genetic bone disorder of metabolic character caused by a deficit of the tissue-nonspecific alkaline phosphatase isoenzyme (TNSALP). This protein is encoded by the ALPL (alkaline phosphatase liver/bone/kidney) gene. In the medical literature, HPP is also known as Rathbun's syndrome, named after the Canadian physician who first identified this disorder. Patients exhibit persistently low serum alkaline phosphatase (ALP) levels. In fact, ALP renders this measure a reliable indicator of the condition. Adult HPP is varied, with some patients exhibiting only moderate, non-pathognomonic symptoms. They include arthropathy, arthrodynia, chondrocalcinosis, osteopenia, osteomalacia, and generic musculoskeletal discomfort. Healthcare may require coordinating several services to manage a patient with HPP. This comprehensive review will highlight the genetic knowledge, pathology data, and patient management approaches, including Medicare's coverage. In addition, this paper aims to address specific themes related to HPP, including its significance, current challenges, and controversies.
{"title":"Hypophosphatasia: 90 Years from a Canadian Discovery-A Comprehensive Review of the <i>ALPL</i> Gene Underlying Rathbun's Syndrome.","authors":"Consolato M Sergi","doi":"10.3390/genes16121475","DOIUrl":"10.3390/genes16121475","url":null,"abstract":"<p><p>Hypophosphatasia (HPP) is an exceptional genetic bone disorder of metabolic character caused by a deficit of the tissue-nonspecific alkaline phosphatase isoenzyme (TNSALP). This protein is encoded by the <i>ALPL</i> (alkaline phosphatase liver/bone/kidney) gene. In the medical literature, HPP is also known as Rathbun's syndrome, named after the Canadian physician who first identified this disorder. Patients exhibit persistently low serum alkaline phosphatase (ALP) levels. In fact, ALP renders this measure a reliable indicator of the condition. Adult HPP is varied, with some patients exhibiting only moderate, non-pathognomonic symptoms. They include arthropathy, arthrodynia, chondrocalcinosis, osteopenia, osteomalacia, and generic musculoskeletal discomfort. Healthcare may require coordinating several services to manage a patient with HPP. This comprehensive review will highlight the genetic knowledge, pathology data, and patient management approaches, including Medicare's coverage. In addition, this paper aims to address specific themes related to HPP, including its significance, current challenges, and controversies.</p>","PeriodicalId":12688,"journal":{"name":"Genes","volume":"16 12","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12732684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145855347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}