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22q11.2 Deletion Syndrome in Offspring Conceived via Assisted Reproductive Technology Versus Spontaneously. 22q11.2通过辅助生殖技术受孕的后代与自然受孕的后代的缺失综合征。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-06 DOI: 10.3390/genes17010068
Jennifer Borowka, Terrence Blaine Crowley, Ashika Mani, Victoria Guinta, Daniel E McGinn, Bekah Wang, Audrey Green, Lydia Rockart, Oanh Tran, Beverly S Emanuel, Elaine H Zackai, Lorraine Dugoff, Kathleen Valverde, Donna M McDonald-McGinn

Background/Objectives: The majority of chromosome 22q11.2 deletions are de novo, resulting from meiotic non-allelic homologous recombination (NAHR). While 22q11.2 deletion syndrome (22q11.2DS)-associated phenotypes are well characterized, risk factors leading to NAHR are poorly understood, including the possible relationship with assisted reproductive technology (ART). Here we examined the prevalence of ART conceptions and medical comorbidities in patients with 22q11.2DS vs. spontaneously conceived (SC) patients with 22q11.2DS. Methods: Retrospective analysis, under IRB approval, of medical records on 1184 patients with laboratory-confirmed de novo chromosome 22q11.2 deletions was performed. ART conceptions included IVF with and without ICSI. Deletion size and obstetric, family, and medical histories were examined. Results: We identified 30 pregnancies conceived using ART (2.57%) compared with the U.S. general population rate of 2.3% (p-value = 0.6603). ART and SC sub-cohorts demonstrated no significant differences in deletion size or perinatal outcomes, including preterm birth, multiples, polyhydramnios, or congenital heart disease. Controlling for these factors, neonates conceived via ART were more likely to be admitted to the ICU (aOR = 6.3). Conclusions: Pregnancies conceived via ART, and later found to have 22q11.2DS, demonstrated no significant differences in prevalence or perinatal outcomes compared with the U.S. general population. Moreover, NAHR is unrelated to ART in this population. Likewise, associated phenotypic features are unrelated. These data will be reassuring to those families where ART was employed to conceive children who were later found to have 22q11.2DS.

背景/目的:大多数染色体22q11.2缺失是由减数分裂非等位基因同源重组(NAHR)引起的新生缺失。虽然22q11.2缺失综合征(22q11.2 ds)相关表型已被很好地表征,但导致NAHR的危险因素尚不清楚,包括与辅助生殖技术(ART)的可能关系。在这里,我们检查了22q11.2DS患者与自然受孕(SC) 22q11.2DS患者的ART概念和医疗合并症的患病率。方法:经IRB批准,对1184例实验室证实的22q11.2染色体从头缺失患者的病历进行回顾性分析。ART概念包括有ICSI和没有ICSI的IVF。检查了缺失大小、产科、家庭和病史。结果:我们确定了30例使用ART的妊娠(2.57%),而美国一般人群的发生率为2.3% (p值= 0.6603)。ART和SC亚队列在缺失大小或围产期结局(包括早产、多胎、羊水过多或先天性心脏病)方面没有显着差异。控制这些因素后,通过ART受孕的新生儿更有可能入住ICU (aOR = 6.3)。结论:与美国普通人群相比,通过抗逆转录病毒技术怀孕的孕妇,后来发现有22q11.2DS,在患病率或围产期结局方面没有显着差异。此外,在这一人群中,NAHR与ART无关。同样,相关的表型特征是不相关的。这些数据将使那些使用抗逆转录病毒治疗的家庭放心,他们的孩子后来被发现患有22q11.2DS。
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引用次数: 0
Methylation Biomarker of Chronic Heavy Alcohol Consumption (HAC), but Not Acute HAC, Predicts All-Cause Mortality in Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial. 慢性重度饮酒(HAC)的甲基化生物标志物,而不是急性HAC,预测前列腺癌、肺癌、结直肠癌和卵巢癌筛查试验的全因死亡率。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-06 DOI: 10.3390/genes17010070
Steven R H Beach, James A Mills, Jeffrey D Long, Robert A Philibert

Background: Due to variability in patterns of consumption as well as well-known difficulties in obtaining valid self-report from heavy drinkers, quantifying the effects of heavy alcohol consumption on mortality is challenging. Using a DNA methylation biomarker of chronic heavy alcohol consumption (HAC) named the alcohol T-score (ATS), we previously showed that chronic HAC was a strong predictor of mortality. However, whether there is a similar effect when measures of shorter-term heavy alcohol use, i.e., recent "binge" drinking, were used to predict mortality was not examined. This is a critical issue because most biomarkers of HAC assess only short-term HAC.

Methods: Therefore, we examined the prediction of all-cause mortality from a DNA methylation biomarker of smoking (cg05575921), the ATS and a short-term biomarker of recent heavy alcohol use (cg07375256) in 708 subjects from the Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial using Cox Proportional Hazards Regression Modeling. Models were compared using Akaike's Information Criterion.

Results: The ATS was the best single predictor among three-variable models that included controls for sex and age. Of the possible four variable models, the model consisting of age, sex, cg05575921 methylation and ATS best predicted mortality. The addition of cg07375256 methylation did not improve model performance. In sensitivity analyses using only participants who provided alcohol SR (n = 639), the importance of the ATS and cg05575921 was replicated. We also found that ATS values were higher among those who declined to provide self-report alcohol use, indicating that missing self-report data about alcohol intake are not missing at random, and sometimes reflects elevated alcohol consumption. Finally, cg05575921 methylation was strongly associated with ATS values but only weakly with alcohol SR and not at all with cg07375256 methylation.

Conclusions: Accordingly, this study indicates a strong effect of chronic HAC, but not short-term HAC, on mortality, further highlights the limitations of self-reported alcohol use in the prediction of all-cause mortality and indicates the value of assessing HAC in addition to smoking.

背景:由于消费模式的可变性,以及众所周知的从酗酒者那里获得有效的自我报告的困难,量化酗酒对死亡率的影响是具有挑战性的。使用一种名为酒精t评分(ATS)的慢性重度饮酒(HAC)的DNA甲基化生物标志物,我们之前发现慢性重度饮酒(HAC)是死亡率的一个强有力的预测因子。然而,当使用短期大量饮酒(即最近的“狂欢”饮酒)的测量方法来预测死亡率时,是否有类似的效果尚未得到检验。这是一个关键问题,因为大多数HAC的生物标志物仅评估短期HAC。方法:因此,我们使用Cox比例风险回归模型对708名前列腺、肺、结直肠和卵巢(PLCO)癌症筛查试验的受试者进行了全因死亡率预测,包括吸烟的DNA甲基化生物标志物(cg05575921)、ATS和近期大量饮酒的短期生物标志物(cg07375256)。采用赤池信息准则对模型进行比较。结果:在包括性别和年龄控制因素的三变量模型中,ATS是最好的单一预测因子。在可能的四个变量模型中,由年龄、性别、cg05575921甲基化和ATS组成的模型最能预测死亡率。添加cg07375256甲基化并未改善模型性能。在仅使用提供酒精SR的参与者(n = 639)的敏感性分析中,ATS和cg05575921的重要性得到了重复验证。我们还发现,在那些拒绝提供自我报告酒精使用的人群中,ATS值更高,这表明关于酒精摄入量的自我报告数据的缺失并非随机缺失,有时反映了酒精消费量的增加。最后,cg05575921甲基化与ATS值密切相关,但与酒精SR仅弱相关,而与cg07375256甲基化完全无关。结论:因此,本研究表明慢性HAC(而非短期HAC)对死亡率有很强的影响,进一步强调了自我报告饮酒在预测全因死亡率方面的局限性,并表明除吸烟外评估HAC的价值。
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引用次数: 0
Clinical Utility of GBA Genotyping Prior to Deep Brain Stimulation: A Narrative Review. 深脑刺激前GBA基因分型的临床应用:叙述性综述。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-06 DOI: 10.3390/genes17010069
Valentino Rački, Slaven Lasić, Filip Ðerke, Andrej Belančić, Matija Sošić

Background: Variants in the GBA gene represent the most common genetic risk factor for Parkinson's disease and are associated with a more aggressive disease course. Deep brain stimulation is an established therapy for advanced Parkinson's disease, yet the influence of GBA status on postoperative outcomes remains incompletely defined. This review aims to summarize the clinical relevance of GBA genotyping prior to DBS and to evaluate its potential contribution to decision-making, risk stratification, and long-term management. Methods: A structured narrative review was conducted. The literature on sequencing methodology, variant interpretation, and postoperative outcomes in GBA-positive and GBA-negative patients was examined. Particular focus was placed on motor, cognitive, and neuropsychiatric outcomes, and on studies comparing trajectories across variant classes. Results: Across all study designs, patients with GBA-associated Parkinson's disease demonstrated robust motor improvement after DBS, with outcomes comparable to those in non-carriers. Cognitive and neuropsychiatric decline occurred more rapidly in GBA carriers. Recent evidence indicates that cognitive and neuropsychiatric decline is influenced more by the genetic profile than the stimulation procedure. Variant severity appears to influence postoperative trajectories. Long-read sequencing improves detection of recombinant alleles and may refine genotype-phenotype associations. Genotyping provides additional value in counseling, expectation management, and postoperative planning. Conclusions: DBS remains an effective motor therapy for patients with GBA-associated Parkinson's disease. Current findings indicate GBA genotyping should inform, and not limit, candidate selection. Integration of clinical, cognitive and genetic data supports more individualized management. Methodological advances in sequencing and the development of prediction models may further enhance personalized DBS planning.

背景:GBA基因变异是帕金森病最常见的遗传危险因素,并与更具侵袭性的疾病病程相关。脑深部电刺激是晚期帕金森病的一种成熟的治疗方法,但GBA状态对术后预后的影响尚未完全确定。本综述旨在总结DBS前GBA基因分型的临床意义,并评估其对决策、风险分层和长期管理的潜在贡献。方法:采用结构化的叙事回顾法。我们查阅了有关测序方法、变异解释和gba阳性和gba阴性患者术后预后的文献。特别关注运动、认知和神经精神方面的结果,以及比较不同类别的轨迹的研究。结果:在所有的研究设计中,gba相关帕金森病患者在DBS后表现出强劲的运动改善,其结果与非携带者相当。认知和神经精神衰退在GBA携带者中发生得更快。最近的证据表明,认知和神经精神衰退更多地受到基因谱的影响,而不是刺激程序。不同的严重程度似乎影响术后轨迹。长读测序提高了重组等位基因的检测,并可能改善基因型-表型关联。基因分型在咨询、期望管理和术后规划方面提供了额外的价值。结论:DBS仍然是gba相关帕金森病患者的有效运动疗法。目前的研究结果表明,GBA基因分型应该为候选人的选择提供信息,而不是限制。临床、认知和遗传数据的整合支持更个性化的管理。测序方法的进步和预测模型的发展可能会进一步加强个性化的星展计划。
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引用次数: 0
Factors Involved in Host Resilience to Enteric Infections in Pigs: Current Knowledge in Genetic, Immune, and Microbiota Determinants of Infection Resistance. 猪对肠道感染的宿主恢复力的相关因素:遗传、免疫和微生物群决定感染抗性的最新知识。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-06 DOI: 10.3390/genes17010067
Alejandro Ucero-Carretón, Héctor Puente, Marie Ithurbide, Jordi Estellé, Ana Carvajal, Héctor Argüello

Enteric infections remain a major health and economic challenge in swine production, with outcomes determined not only by pathogen virulence but also by the complex interplay between host genetics, immune competence, and the intestinal microbiota. This review synthesises current knowledge on host-pathogen genomic interactions in pigs, with a focus on resilience mechanisms against enteric diseases in swine. For this purpose, 103 articles were used as information sources, retrieved through structured keyword searches in PubMed. The review first addresses host genetic factors, highlighting genomic variants and quantitative trait loci associated with resistance or resilience to viral and bacterial pathogens such as porcine epidemic diarrhoea virus (PEDV) or Escherichia coli. Next, the key factors of the immune system to confer protection are also reviewed, emphasising the role of innate and adaptive responses in controlling each pathogen and disclosing the contribution of regulatory networks that balance pathogen clearance. Finally, the last section of the review is devoted to exploring current knowledge in the involvement of the microbiota in resilience against enteric pathogens, mostly, but not exclusively, enteric bacteria. In this sense, competitive exclusion is a concept which has gained attention in recent years. The review pinpoints and discusses the state of the art about how the microbial community provides colonisation resistance, shapes immune development, and influences pathogen fitness within the intestinal niche. As final perspectives, the review explores future drivers in the genetic immune and microbiota resistance. By bridging host genomic data with functional insights into immunity and microbial ecology, this review underscores the potential of multi-omics approaches to enhance resilience against enteric infections in pigs and advance sustainable swine health management.

肠道感染仍然是猪生产中主要的健康和经济挑战,其结果不仅取决于病原体的毒力,还取决于宿主遗传、免疫能力和肠道微生物群之间复杂的相互作用。本文综述了目前关于猪宿主-病原体基因组相互作用的知识,重点介绍了猪对肠道疾病的恢复机制。为此,103篇文章被用作信息源,通过PubMed中的结构化关键字搜索进行检索。该综述首先讨论了宿主遗传因素,强调了与病毒和细菌病原体(如猪流行性腹泻病毒(PEDV)或大肠杆菌)的耐药性或恢复力相关的基因组变异和数量性状位点。接下来,对免疫系统提供保护的关键因素也进行了回顾,强调了先天和适应性反应在控制每种病原体中的作用,并揭示了平衡病原体清除的调节网络的贡献。最后,回顾的最后一部分是专门探讨目前的知识在参与的微生物群抵御肠道病原体,大部分,但不完全是肠道细菌。从这个意义上说,竞争排斥是近年来受到关注的一个概念。这篇综述指出并讨论了微生物群落如何提供定植抵抗、塑造免疫发育和影响肠道生态位内病原体适应性的最新进展。作为最后的观点,综述探讨了遗传免疫和微生物群耐药性的未来驱动因素。通过将宿主基因组数据与免疫和微生物生态学的功能见解联系起来,本综述强调了多组学方法在增强猪对肠道感染的恢复能力和推进可持续猪健康管理方面的潜力。
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引用次数: 0
Genomic Identification and Characterization of the Cotton YABBY Gene Family. 棉花YABBY基因家族的基因组鉴定与特征分析。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-06 DOI: 10.3390/genes17010064
Guoqiang Zhang, Zhen Liu, Mingli Xia, Sainan Zhang, Zhixian Li, Quanwei Lu

Background: YABBY transcription factors play important roles in plant growth and development. Although this gene family has been characterized in many plant species, a comprehensive analysis in cotton remains unavailable. Methods: In this study, we investigated the YABBY gene family in cotton by integrating multiple bioinformatics methods. Results: YABBY genes were identified in the genomes of four cotton species (Gossypium hirsutum, Gossypium barbadense, Gossypium arboretum and Gossypium raimondii) and these identified genes were further classified into six groups. Following this classification, the expansion of the cotton YABBY gene family was examined, and we found that the family exhibits diverse expansion patterns during evolution, with segmental duplication acting as the primary driving force. In contrast, the notably larger repertoire of YABBY genes in G. raimondii is likely attributable to transposon activity. Regarding their evolutionary trajectory, Ka/Ks analysis showed that the YABBY gene family has undergone purifying selection. Beyond evolution, expression and cis-element analyses further demonstrated that YABBY genes possess diverse functions. In addition, we identified YABBY genes involved in different developmental stages of cotton fibers. Conclusions: We clarify the function and evolution of the cotton YABBY gene family in this work, and these results will provide a critical resource for further research on YABBY genes.

背景:YABBY转录因子在植物生长发育过程中发挥着重要作用。虽然这个基因家族在许多植物物种中都有特征,但在棉花中还没有全面的分析。方法:综合多种生物信息学方法,对棉花YABBY基因家族进行研究。结果:在4种棉花(绵棉、棉棉、树棉和雷蒙棉)的基因组中鉴定出YABBY基因,并将鉴定出的基因进一步划分为6个类群。根据这一分类,我们对棉花YABBY基因家族的扩增进行了研究,发现该家族在进化过程中表现出多种扩增模式,片段重复是主要的驱动力。相比之下,雷蒙地鼠中YABBY基因的显著增加可能归因于转座子活性。对于YABBY基因家族的进化轨迹,Ka/Ks分析表明,YABBY基因家族经历了纯化选择。除了进化,表达和顺式元件分析进一步证明YABBY基因具有多种功能。此外,我们还鉴定出YABBY基因参与棉纤维不同发育阶段。结论:本研究明确了棉花YABBY基因家族的功能和进化,为进一步研究YABBY基因提供了重要的资源。
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引用次数: 0
Efficiency of Lentiviral Vectors Pseudotyped with LCMV-G in Gene Transfer to Ldlr-/-ApoB100/100 Mice. LCMV-G伪型慢病毒载体转染Ldlr-/- apob100 /100小鼠的效率
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-05 DOI: 10.3390/genes17010060
Alisa Nousiainen, Anna-Kaisa Ruotsalainen, Krista Hokkanen, Svetlana Laidinen, Ahmed Tawfek, Diana Schenkwein, Seppo Ylä-Herttuala

Background/Objectives: Lentiviral vectors (LVs) are most commonly pseudotyped with the vesicular stomatitis virus glycoprotein (VSV-G), which lends LVs a wide tropism as it uses the low-density lipoprotein receptor (LDLR) as the main receptor for cell entry. In some gene therapy and research applications, however, alternative pseudotypes can be useful. In this work, we characterized LVs pseudotyped with lymphocytic choriomeningitis virus (LCMV) glycoprotein, particularly in gene transfer to an LDLR-deficient mouse strain used to model cardiovascular disease, Ldlr-/-ApoB100/100. Methods: LCMV-LVs were used in vitro to test their transduction efficiency across a variety of cell types. In vivo, the gene transfer efficiency, LV-specific immune responses and biodistribution of VSV-G-LVs and LCMV-LVs were compared after systemic gene transfer. Results: In vitro, LCMV-LVs transduced all tested cell types at high efficiency without the use of transduction enhancers. In vivo, VSV-G-LVs showed a higher gene transfer efficiency at the same LV dose, but increasing the LCMV-LV dose enhanced the measured vector copy numbers. With both pseudotypes, most of the vector accrued in the liver, but with LCMV-LVs, a larger portion of the measured vector copies were found in the lungs. VSV-G-LVs also generated a higher titer of LV-specific IgG antibodies. The gene transfer efficiency of LCMV-LVs was affected by the mouse diet, with a high-fat diet decreasing the transduction. Conclusions: LCMV-LVs can be used as a substitute for VSV-G-LVs if an alternative pseudotype is required; however, they may require the use of a higher LV dose.

背景/目的:慢病毒载体(LVs)最常见的假型是水泡性口炎病毒糖蛋白(VSV-G),这使得LVs具有广泛的趋向性,因为它使用低密度脂蛋白受体(LDLR)作为细胞进入的主要受体。然而,在一些基因治疗和研究应用中,替代的假类型可能是有用的。在这项工作中,我们表征了淋巴细胞性脉络丛脑膜炎病毒(LCMV)糖蛋白假型的LVs,特别是在将基因转移到Ldlr缺陷小鼠品系(Ldlr-/- apob100 /100)中用于模拟心血管疾病。方法:利用lcmv - lv在体外测试其在多种细胞类型中的转导效率。在体内,比较vsv - g - lv和lcmv - lv在系统基因转移后的基因转移效率、lv特异性免疫反应和生物分布。结果:在体外,lcmv - lv在不使用转导增强剂的情况下高效地转导了所有测试的细胞类型。在体内,在相同LV剂量下,vsv - g -LV表现出更高的基因转移效率,但增加LCMV-LV剂量增加了测量的载体拷贝数。对于这两种假型,大多数载体在肝脏积累,但对于lcmv - lv,在肺部发现了更大一部分测量的载体拷贝。vsv - g - lv还产生更高滴度的lv特异性IgG抗体。小鼠饮食会影响lcmv - lv的基因转移效率,高脂肪饮食会降低其转导效率。结论:如果需要另一种假型,lcmv - lv可作为vsv - g - lv的替代品;然而,它们可能需要使用更高的左室剂量。
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引用次数: 0
FLOURY ENDOSPERM 2 Coordinates Starch Biosynthesis to Maintain Endosperm Structural Integrity in Rice. 水稻胚乳2协调淀粉生物合成以维持胚乳结构完整性。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-05 DOI: 10.3390/genes17010063
Hye-Mi Lee, Jin-Young Kim, Hak-Dong Kim, Hak-Soo Kim, Jong-Geun Park, Yu-Jin Jung, Kwon-Kyoo Kang

Background/objectives: FLOURY ENDOSPERM 2 (FLO2) is known to affect rice endosperm development and starch quality, yet its role in determining flour physicochemical behavior and endosperm structural integrity has not been quantitatively defined. This study aimed to elucidate how loss of FLO2 function alters starch organization and functional properties of rice flour.

Methods: Two independent homozygous, T-DNA-free OsFLO2 knockout lines were generated in the japonica cultivar Dongjin using CRISPR/Cas9. Grain appearance was evaluated in mature seeds. Flour physicochemical properties were analyzed by Rapid Visco Analyzer (RVA) and differential scanning calorimetry (DSC). Amylopectin chain-length distribution was determined by isoamylase debranching followed by HPAEC-PAD, and endosperm microstructure was examined by scanning electron microscopy.

Results: OsFLO2 mutants exhibited floury, opaque endosperms, with chalkiness increasing from 4.8% in the WT to 27-29%. RVA analysis showed a marked reduction in peak viscosity (1193 cP to 263-293 cP) and a decrease in pasting temperature (77.2 °C to 68.9-70.5 °C). DSC indicated a tendency toward reduced gelatinization enthalpy in the mutants. These changes were associated with a reduced proportion of short amylopectin chains (DP 6-12), decreased long chains (DP ≥ 37), and a relative increase in intermediate-long chains (DP 25-36), along with disrupted granule packing and a 1.33-1.36-fold increase in endosperm porosity.

Conclusions: These results demonstrate that FLO2 plays an important role in maintaining the structural integrity of rice endosperm by harmonizing the microstructure of amylopectin with the thermal and gelatinization properties of starch.

背景/目的:floy胚乳2 (flour endosper2, FLO2)影响水稻胚乳发育和淀粉质量,但其在决定面粉理化行为和胚乳结构完整性方面的作用尚未定量确定。本研究旨在阐明FLO2功能的丧失如何改变米粉的淀粉组织和功能特性。方法:利用CRISPR/Cas9技术,在粳稻品种东金中产生两个独立的、无t - dna的OsFLO2基因敲除系。对成熟种子的籽粒外观进行了评价。采用快速粘度分析仪(RVA)和差示扫描量热法(DSC)分析了面粉的理化性质。采用异淀粉酶脱支法和HPAEC-PAD法测定支链淀粉链长分布,并用扫描电镜观察胚乳微观结构。结果:OsFLO2突变体表现出面粉状、不透明的胚乳,白垩度从WT的4.8%增加到27-29%。RVA分析显示,峰值粘度显著降低(从1193 cP降至263-293 cP),糊化温度降低(从77.2°C降至68.9-70.5°C)。DSC显示突变体的糊化焓有降低的趋势。这些变化与短链支链比例(DP 6-12)减少,长链比例(DP≥37)减少,中长链比例(DP 25-36)相对增加有关,同时颗粒堆积被破坏,胚乳孔隙率增加1.33-1.36倍。结论:这些结果表明,FLO2通过协调支链淀粉的微观结构与淀粉的热学和糊化特性,在维持水稻胚乳结构完整性方面发挥了重要作用。
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引用次数: 0
The Role of Genetic Testing in Pediatric Expressive Language Delay: Evidence from the National Brain Gene Registry. 基因检测在儿童表达性语言迟缓中的作用:来自国家大脑基因登记处的证据。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-05 DOI: 10.3390/genes17010061
Shivani Waghmare, Alexa M Taylor, Cecilia Bouska, Ana Moreno Chaza, Andrea Gropman

Background/objectives: Speech and language delay (SLD) is one of the most prevalent developmental conditions in childhood, with post-pandemic data indicating a notable increase in identified cases. Within this group, expressive language disorder (ELD) frequently appears alongside neurodevelopmental disorders such as autism spectrum disorder (ASD), epilepsy, and intellectual disability. Although awareness of ELD has grown, the role of genetic testing in its evaluation remains unclear, as such testing is not routinely pursued for isolated expressive language concerns. This gap highlights the need to better define the diagnostic value of genetic analysis and to examine the interval between an ELD diagnosis and the return of genetic testing results.

Methods: This study investigated genetic contributions to ELD using the National Brain Gene Registry (BGR), a multisite database of rare neurodevelopmental disorders. Participants with ICD-10 code F80.1 were identified through electronic health records; demographic data, comorbidities, genetic variants, inheritance patterns, age at diagnosis, and timing of interventions were analyzed.

Results: Of 687 BGR participants, 32 (4.7%) had documented ELD. The cohort, aged 3-19 years, presented with common comorbidities like developmental delays, ASD, epilepsy, and hypotonia. Across 42 genes, 49 unique variants were identified: 26 pathogenic or likely pathogenic, 22 variants of uncertain significance, and one benign variant. Seventeen variants were de novo, and 10 participants carried multiple variants. Most children (80%) received an expressive language diagnosis prior to genetic testing, with reports returned an average of 1.5 years following the diagnosis.

Conclusions: Overall, children with ELD commonly carry genetic variants and neurodevelopmental comorbidities, yet genetic testing is typically pursued well after diagnosis and does not currently alter early management. These findings underscore the need for clearer, evidence-based guidelines to define when genetic testing adds diagnostic or prognostic value in the evaluation of ELD.

背景/目的:言语和语言迟缓(SLD)是儿童时期最普遍的发育状况之一,大流行后的数据表明,已查明的病例显著增加。在这一群体中,表达性语言障碍(ELD)经常与神经发育障碍(如自闭症谱系障碍(ASD)、癫痫和智力残疾)一起出现。尽管人们对ELD的认识有所提高,但基因测试在其评估中的作用仍然不清楚,因为这种测试并没有常规地用于孤立的表达性语言问题。这一差距突出表明,需要更好地定义遗传分析的诊断价值,并检查ELD诊断与基因检测结果返回之间的间隔。方法:本研究使用国家脑基因登记处(BGR)(一个罕见神经发育障碍的多站点数据库)调查遗传因素对ELD的影响。通过电子健康记录识别ICD-10代码为F80.1的参与者;分析了人口统计数据、合并症、基因变异、遗传模式、诊断年龄和干预时间。结果:687名BGR参与者中,32名(4.7%)有ELD记录。该队列年龄为3-19岁,表现出发育迟缓、ASD、癫痫和张力低下等常见合并症。在42个基因中,鉴定出49个独特的变异:26个致病或可能致病,22个不确定意义的变异,1个良性变异。17个变体是从头开始的,10个参与者携带多种变体。大多数儿童(80%)在基因检测之前接受了表达性语言诊断,报告在诊断后平均1.5年返回。结论:总体而言,ELD儿童通常携带遗传变异和神经发育合并症,但基因检测通常在诊断后进行,目前并未改变早期治疗。这些发现强调需要更清晰、基于证据的指南来定义基因检测在ELD评估中何时增加诊断或预后价值。
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引用次数: 0
Expanded Carrier Screening: Current Evidence and Future Directions in the Era of Population Genomics. 扩展载体筛选:种群基因组学时代的当前证据和未来方向。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-05 DOI: 10.3390/genes17010058
Lucrezia Pilenzi, Vincenzo Scorrano, Sara Di Rado, Carlotta Buccolini, Roberta Giansante, Laura Siciliani, Liborio Stuppia, Valentina Gatta, Antonio Capalbo

Expanded carrier screening (ECS) has emerged as a cornerstone of reproductive genetics, enabling the identification of couples at risk of transmitting autosomal recessive and X-linked disorders. Advances in next-generation sequencing and the increasing adoption of exome- and genome-based strategies have greatly expanded its clinical scope. However, despite existing national and international recommendations, substantial heterogeneity remains in gene panel composition, inclusion criteria, and interpretation frameworks. A key novelty of the current genomic era is the availability of large, publicly accessible human genome datasets encompassing broader ancestral diversity. These resources are transforming our understanding of variant frequencies and disease penetrance across populations, supporting the development of evidence-based and ancestry-informed gene panels. In parallel, recent studies investigating the genetic contribution of pathogenic variants to euploid pregnancy losses are opening new perspectives for ECS. Incorporating genes associated with lethal conditions in utero may enhance the predictive power of screening and deepen our understanding of reproductive outcomes, while also demanding careful consideration of clinical validity and counseling implications. This mini-review synthesizes current evidence on ECS, examines ongoing interpretive and implementation challenges, and discusses how population-scale genomic resources and emerging data on reproductive lethality are shaping the next generation of evidence-based carrier screening.

扩大携带者筛查(ECS)已成为生殖遗传学的基石,能够识别有遗传常染色体隐性遗传和x连锁疾病风险的夫妇。新一代测序技术的进步和越来越多的外显子组和基因组为基础的策略的采用大大扩大了其临床范围。然而,尽管现有的国家和国际推荐,在基因面板组成、纳入标准和解释框架方面仍然存在实质性的异质性。当前基因组时代的一个关键新奇之处在于,包含更广泛的祖先多样性的大型、可公开访问的人类基因组数据集的可用性。这些资源正在改变我们对人群中变异频率和疾病外显率的理解,支持基于证据和祖先信息的基因面板的发展。与此同时,最近的研究调查了致病变异对整倍体妊娠损失的遗传贡献,为ECS开辟了新的视角。将与子宫内致命疾病相关的基因纳入可能会提高筛查的预测能力,加深我们对生殖结果的理解,同时也需要仔细考虑临床有效性和咨询意义。这篇小型综述综合了目前关于ECS的证据,研究了正在进行的解释和实施挑战,并讨论了人口规模的基因组资源和有关生殖致命性的新数据如何影响下一代循证携带者筛查。
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引用次数: 0
Predicting Physical Appearance from Low Template: State of the Art and Future Perspectives. 从低模板预测物理外观:现状和未来的观点。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-05 DOI: 10.3390/genes17010059
Francesco Sessa, Emina Dervišević, Massimiliano Esposito, Martina Francaviglia, Mario Chisari, Cristoforo Pomara, Monica Salerno

Background/Objectives: Forensic DNA phenotyping (FDP) enables the prediction of externally visible characteristics (EVCs) such as eye, hair, and skin color, ancestry, and age from biological traces. However, low template DNA (LT-DNA), often derived from degraded or trace samples, poses significant challenges due to allelic dropout, contamination, and incomplete profiles. This review evaluates recent advances in FDP from LT-DNA, focusing on the integration of machine learning (ML) models to improve predictive accuracy and operational readiness, while addressing ethical and population-related considerations. Methods: A comprehensive literature review was conducted on FDP and ML applications in forensic genomics. Key areas examined include SNP-based trait modeling, genotype imputation, epigenetic age estimation, and probabilistic inference. Comparative performance of ML algorithms (Random Forests, Support Vector Machines, Gradient Boosting, and deep learning) was assessed using datasets such as the 1000 Genomes Project, UK Biobank, and forensic casework samples. Ethical frameworks and validation standards were also analyzed. Results: ML approaches significantly enhance phenotype prediction from LT-DNA, achieving AUC > 0.9 for eye color and improving SNP recovery by up to 15% through imputation. Tools like HIrisPlex-S and VISAGE panels remain robust for eye and hair color, with moderate accuracy for skin tone and emerging capabilities for age and facial morphology. Limitations persist in admixed populations and traits with polygenic complexity. Interpretability and bias mitigation remain critical for forensic admissibility. Conclusions: L integration strengthens FDP from LT-DNA, offering valuable investigative leads in challenging scenarios. Future directions include multi-omics integration, portable sequencing platforms, inclusive reference datasets, and explainable AI to ensure accuracy, transparency, and ethical compliance in forensic applications.

背景/目的:法医DNA表型(FDP)能够根据生物痕迹预测外部可见特征(EVCs),如眼睛、头发和皮肤颜色、血统和年龄。然而,低模板DNA (LT-DNA),通常来源于降解或痕量样品,由于等位基因缺失,污染和不完整的谱,带来了重大挑战。本文评估了LT-DNA在FDP方面的最新进展,重点关注机器学习(ML)模型的集成,以提高预测准确性和操作准备程度,同时解决伦理和人口相关问题。方法:对FDP和ML在法医基因组学中的应用进行文献综述。研究的关键领域包括基于snp的性状建模、基因型插入、表观遗传年龄估计和概率推断。机器学习算法(随机森林、支持向量机、梯度增强和深度学习)的比较性能使用1000基因组计划、英国生物银行和法医案例样本等数据集进行评估。分析了伦理框架和验证标准。结果:ML方法显著增强了来自LT-DNA的表型预测,眼睛颜色的AUC达到了>.9,通过代入将SNP回收率提高了15%。像HIrisPlex-S和VISAGE面板这样的工具在眼睛和头发颜色方面仍然很强大,在肤色方面也有中等的准确性,在年龄和面部形态方面也有新的能力。在混合种群和具有多基因复杂性的性状中,局限性仍然存在。可解释性和减少偏见仍然是法医可采信性的关键。结论:L整合增强了LT-DNA的FDP,在具有挑战性的情况下提供了有价值的调查线索。未来的方向包括多组学集成、便携式测序平台、包容性参考数据集和可解释的人工智能,以确保法医应用的准确性、透明度和道德合规。
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引用次数: 0
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