Pub Date : 2022-05-30DOI: 10.1186/s41065-022-00239-8
Gustavo Jiménez-Mejía, Rubén Montalvo-Méndez, Carolina Hernández-Bautista, Claudia Altamirano-Torres, M. Vázquez, M. Zurita, D. Reséndez-Pérez
{"title":"Trimeric complexes of Antp-TBP with TFIIEβ or Exd modulate transcriptional activity","authors":"Gustavo Jiménez-Mejía, Rubén Montalvo-Méndez, Carolina Hernández-Bautista, Claudia Altamirano-Torres, M. Vázquez, M. Zurita, D. Reséndez-Pérez","doi":"10.1186/s41065-022-00239-8","DOIUrl":"https://doi.org/10.1186/s41065-022-00239-8","url":null,"abstract":"","PeriodicalId":55057,"journal":{"name":"Hereditas","volume":"159 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65774821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-20DOI: 10.1186/s41065-022-00238-9
Wei Cui, Shengjie Nie, Yating Fang, Man Chen, Ming Zhao, Qiong Lan, Chunmei Shen, Bofeng Zhu
Background: Ancestry informative markers are regarded as useful tools for inferring the ancestral information of an individual, which have been widely used in the criminal investigations and population genetic studies. Previously, a multiplex amplification panel containing 39 AIM-InDel loci was constructed. This study aims to investigate the genetic polymorphisms of these 39 AIM-InDel loci in Yunnan Hani and Miao ethnic groups, and to uncover their genetic affinities with reference populations based on the AIM-InDel markers.
Materials and methods: In this research, 39 AIM-InDel profiles of 203 unrelated Miao individuals and 203 unrelated Hani individuals in Yunnan province of China were acquired. Additionally, we evaluated the genetic polymorphisms of 39 InDel loci in Yunnan Miao and Hani groups. Moreover, the genetic relationships among Yunnan Miao, Hani and reference populations were also clarified based on Nei's genetic distances, pairwise fixation indexes, principal component analyses, phylogenetic analyses, and STRUCTURE analyses.
Results: Genetic diversity analyses demonstrated that these InDel loci showed varying degrees of genetic polymorphisms, and could be utilized in forensic identifications in Yunnan Miao and Hani groups. The results of principal component analyses, phylogenetic analyses and Structure analyses revealed that Yunnan Miao and Hani groups had closer genetic relationships with East Asian populations, especially with the populations from Southern China. This research enriched the genetic data of Chinese ethnic minority, and provided ancestral information of Yunnan Miao and Hani groups from the perspective of population genetics.
{"title":"Insights into AIM-InDel diversities in Yunnan Miao and Hani ethnic groups of China for forensic and population genetic purposes.","authors":"Wei Cui, Shengjie Nie, Yating Fang, Man Chen, Ming Zhao, Qiong Lan, Chunmei Shen, Bofeng Zhu","doi":"10.1186/s41065-022-00238-9","DOIUrl":"10.1186/s41065-022-00238-9","url":null,"abstract":"<p><strong>Background: </strong>Ancestry informative markers are regarded as useful tools for inferring the ancestral information of an individual, which have been widely used in the criminal investigations and population genetic studies. Previously, a multiplex amplification panel containing 39 AIM-InDel loci was constructed. This study aims to investigate the genetic polymorphisms of these 39 AIM-InDel loci in Yunnan Hani and Miao ethnic groups, and to uncover their genetic affinities with reference populations based on the AIM-InDel markers.</p><p><strong>Materials and methods: </strong>In this research, 39 AIM-InDel profiles of 203 unrelated Miao individuals and 203 unrelated Hani individuals in Yunnan province of China were acquired. Additionally, we evaluated the genetic polymorphisms of 39 InDel loci in Yunnan Miao and Hani groups. Moreover, the genetic relationships among Yunnan Miao, Hani and reference populations were also clarified based on Nei's genetic distances, pairwise fixation indexes, principal component analyses, phylogenetic analyses, and STRUCTURE analyses.</p><p><strong>Results: </strong>Genetic diversity analyses demonstrated that these InDel loci showed varying degrees of genetic polymorphisms, and could be utilized in forensic identifications in Yunnan Miao and Hani groups. The results of principal component analyses, phylogenetic analyses and Structure analyses revealed that Yunnan Miao and Hani groups had closer genetic relationships with East Asian populations, especially with the populations from Southern China. This research enriched the genetic data of Chinese ethnic minority, and provided ancestral information of Yunnan Miao and Hani groups from the perspective of population genetics.</p>","PeriodicalId":55057,"journal":{"name":"Hereditas","volume":"159 1","pages":"22"},"PeriodicalIF":2.1,"publicationDate":"2022-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9121611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65774775","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}
Pub Date : 2022-05-11DOI: 10.1186/s41065-022-00234-z
Chenyang Wang, Shasha Liu, Xinhong Zhang, Yan Wang, P. Guan, Fanyou Bu, Hao Wang, Dawen Wang, Yisheng Fan, Sichuan Hou, Zhilei Qiu
{"title":"SKA3 is a prognostic biomarker and associated with immune infiltration in bladder cancer","authors":"Chenyang Wang, Shasha Liu, Xinhong Zhang, Yan Wang, P. Guan, Fanyou Bu, Hao Wang, Dawen Wang, Yisheng Fan, Sichuan Hou, Zhilei Qiu","doi":"10.1186/s41065-022-00234-z","DOIUrl":"https://doi.org/10.1186/s41065-022-00234-z","url":null,"abstract":"","PeriodicalId":55057,"journal":{"name":"Hereditas","volume":"159 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65774718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-11DOI: 10.23750/abm.v93i2.11978
Vincenzo De Sanctis, Ashraf T Soliman, Mohamed A Yassin
Introduction: Iron deficiency anemia (IDA) is the most common cause of anemia in both developed and developing countries. Leukopenia is an infrequent side effect of iron therapy reported in the literature as sporadic cases.
Objective: To assess the prevalence of leukopenia, neutropenia and/or lymphocytopenia and its possible clinical impact if any, after intravenous iron therapy in adult patients with IDA.
Patients and methods: This is a retrospective study conducted in Hamad Medical Corporation, Doha (Qatar). The clinical and biochemical data of 1.567 females (mean age: 29.5 years) with IDA who attended the Hematology Clinic and were treated with intravenous (i.v.) iron therapy were collected and analysed. Complete and differential blood counts and iron profile were studied before and after i.v. iron therapy. In addition, cases who developed infections during the time of leukopenia were noted and checked for possible complications.
Results: 30 cases (1.91%) developed leukopenia,15 cases (0.95%) developed neutropenia and 12 cases (0.76%) developed lymphocytopenia. All had normal white blood cell counts before treatment. Two patients (6.66%) had infection. One had upper respiratory tract infection and the other had urinary tract infection, the latter was treated with antibiotics. There was no reported other infection during or after i.v. iron therapy.
Conclusions: Leukopenia in form of neutropenia or lymphocytopenia may occur as a side effect of i.v. iron therapy, however, its clinical significance appears to be limited.
导言:缺铁性贫血(IDA)是发达国家和发展中国家最常见的贫血原因。白细胞减少症是铁剂治疗的一种不常见的副作用,文献中仅有零星病例报道:评估IDA成人患者静脉注射铁剂治疗后白细胞减少症、中性粒细胞减少症和/或淋巴细胞减少症的发病率及其可能的临床影响:这是一项在多哈(卡塔尔)哈马德医疗公司进行的回顾性研究。研究收集并分析了 1.567 名女性 IDA 患者(平均年龄:29.5 岁)的临床和生化数据,这些患者曾在血液病诊所就诊并接受静脉注射铁剂治疗。对静脉注射铁剂治疗前后的全血细胞计数、微分血细胞计数和铁概况进行了研究。此外,还记录了在白细胞减少期间出现感染的病例,并检查了可能出现的并发症:30例(1.91%)出现白细胞减少症,15例(0.95%)出现中性粒细胞减少症,12例(0.76%)出现淋巴细胞减少症。所有患者在治疗前白细胞计数均正常。两名患者(6.66%)出现感染。其中一人患有上呼吸道感染,另一人患有泌尿道感染,后者接受了抗生素治疗。在静脉注射铁剂治疗期间或之后,没有其他感染的报道:结论:中性粒细胞减少或淋巴细胞减少的白细胞减少症可能是静脉注射铁剂治疗的副作用,但其临床意义似乎有限。
{"title":"The Prevalence and Significance of Leukopenia Induced by Intravenous Iron Therapy in a Large Cohort of Females with Iron Deficiency Anemia (IDA).","authors":"Vincenzo De Sanctis, Ashraf T Soliman, Mohamed A Yassin","doi":"10.23750/abm.v93i2.11978","DOIUrl":"10.23750/abm.v93i2.11978","url":null,"abstract":"<p><strong>Introduction: </strong>Iron deficiency anemia (IDA) is the most common cause of anemia in both developed and developing countries. Leukopenia is an infrequent side effect of iron therapy reported in the literature as sporadic cases.</p><p><strong>Objective: </strong>To assess the prevalence of leukopenia, neutropenia and/or lymphocytopenia and its possible clinical impact if any, after intravenous iron therapy in adult patients with IDA.</p><p><strong>Patients and methods: </strong>This is a retrospective study conducted in Hamad Medical Corporation, Doha (Qatar). The clinical and biochemical data of 1.567 females (mean age: 29.5 years) with IDA who attended the Hematology Clinic and were treated with intravenous (i.v.) iron therapy were collected and analysed. Complete and differential blood counts and iron profile were studied before and after i.v. iron therapy. In addition, cases who developed infections during the time of leukopenia were noted and checked for possible complications.</p><p><strong>Results: </strong>30 cases (1.91%) developed leukopenia,15 cases (0.95%) developed neutropenia and 12 cases (0.76%) developed lymphocytopenia. All had normal white blood cell counts before treatment. Two patients (6.66%) had infection. One had upper respiratory tract infection and the other had urinary tract infection, the latter was treated with antibiotics. There was no reported other infection during or after i.v. iron therapy.</p><p><strong>Conclusions: </strong>Leukopenia in form of neutropenia or lymphocytopenia may occur as a side effect of i.v. iron therapy, however, its clinical significance appears to be limited.</p>","PeriodicalId":55057,"journal":{"name":"Hereditas","volume":"129 1","pages":"e2022183"},"PeriodicalIF":0.0,"publicationDate":"2022-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9171860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85508548","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}
Pub Date : 2022-03-18DOI: 10.1186/s41065-022-00222-3
Xin Nie, Jichun Tan
{"title":"N6-methyladenosine-related lncRNAs is a potential marker for predicting prognosis and immunotherapy in ovarian cancer","authors":"Xin Nie, Jichun Tan","doi":"10.1186/s41065-022-00222-3","DOIUrl":"https://doi.org/10.1186/s41065-022-00222-3","url":null,"abstract":"","PeriodicalId":55057,"journal":{"name":"Hereditas","volume":"159 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65774573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-04DOI: 10.1186/s41065-022-00229-w
K. Sun, Riyu Chen, Jing-zhang Li, Zhanxiong Luo
{"title":"LPAR2 correlated with different prognosis and immune cell infiltration in head and neck squamous cell carcinoma and kidney renal clear cell carcinoma","authors":"K. Sun, Riyu Chen, Jing-zhang Li, Zhanxiong Luo","doi":"10.1186/s41065-022-00229-w","DOIUrl":"https://doi.org/10.1186/s41065-022-00229-w","url":null,"abstract":"","PeriodicalId":55057,"journal":{"name":"Hereditas","volume":"159 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2022-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65774629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-04DOI: 10.1007/s12028-022-01456-9
Eelco F M Wijdicks
{"title":"Bringing the Second Event to Light (on a Light Box): Cerebral Vasospasm After Aneurysmal Rupture.","authors":"Eelco F M Wijdicks","doi":"10.1007/s12028-022-01456-9","DOIUrl":"10.1007/s12028-022-01456-9","url":null,"abstract":"","PeriodicalId":55057,"journal":{"name":"Hereditas","volume":"100 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2022-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85472563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-18eCollection Date: 2022-01-01DOI: 10.1155/2022/9714669
Karin M Kirschner, Simon Kelterborn, Herrmann Stehr, Johanna L T Penzlin, Charlotte L J Jacobi, Stefanie Endesfelder, Miriam Sieg, Jochen Kruppa, Christof Dame, Lina K Sciesielski
During gestation, the most drastic change in oxygen supply occurs with the onset of ventilation after birth. As the too early exposure of premature infants to high arterial oxygen pressure leads to characteristic diseases, we studied the adaptation of the oxygen sensing system and its targets, the hypoxia-inducible factor- (HIF-) regulated genes (HRGs) in the developing lung. We draw a detailed picture of the oxygen sensing system by integrating information from qPCR, immunoblotting, in situ hybridization, and single-cell RNA sequencing data in ex vivo and in vivo models. HIF1α protein was completely destabilized with the onset of pulmonary ventilation, but did not coincide with expression changes in bona fide HRGs. We observed a modified composition of the HIF-PHD system from intrauterine to neonatal phases: Phd3 was significantly decreased, while Hif2a showed a strong increase and the Hif3a isoform Ipas exclusively peaked at P0. Colocalization studies point to the Hif1a-Phd1 axis as the main regulator of the HIF-PHD system in mouse lung development, complemented by the Hif3a-Phd3 axis during gestation. Hif3a isoform expression showed a stepwise adaptation during the periods of saccular and alveolar differentiation. With a strong hypoxic stimulus, lung ex vivo organ cultures displayed a functioning HIF system at every developmental stage. Approaches with systemic hypoxia or roxadustat treatment revealed only a limited in vivo response of HRGs. Understanding the interplay of the oxygen sensing system components during the transition from saccular to alveolar phases of lung development might help to counteract prematurity-associated diseases like bronchopulmonary dysplasia.
{"title":"Adaptation of the Oxygen Sensing System during Lung Development.","authors":"Karin M Kirschner, Simon Kelterborn, Herrmann Stehr, Johanna L T Penzlin, Charlotte L J Jacobi, Stefanie Endesfelder, Miriam Sieg, Jochen Kruppa, Christof Dame, Lina K Sciesielski","doi":"10.1155/2022/9714669","DOIUrl":"10.1155/2022/9714669","url":null,"abstract":"<p><p>During gestation, the most drastic change in oxygen supply occurs with the onset of ventilation after birth. As the too early exposure of premature infants to high arterial oxygen pressure leads to characteristic diseases, we studied the adaptation of the oxygen sensing system and its targets, the hypoxia-inducible factor- (HIF-) regulated genes (HRGs) in the developing lung. We draw a detailed picture of the oxygen sensing system by integrating information from qPCR, immunoblotting, <i>in situ</i> hybridization, and single-cell RNA sequencing data in <i>ex vivo</i> and <i>in vivo</i> models. HIF1<i>α</i> protein was completely destabilized with the onset of pulmonary ventilation, but did not coincide with expression changes in <i>bona fide</i> HRGs. We observed a modified composition of the HIF-PHD system from intrauterine to neonatal phases: <i>Phd3</i> was significantly decreased, while <i>Hif2a</i> showed a strong increase and the <i>Hif3a</i> isoform <i>Ipas</i> exclusively peaked at P0. Colocalization studies point to the <i>Hif1a-Phd1</i> axis as the main regulator of the HIF-PHD system in mouse lung development, complemented by the <i>Hif3a-Phd3</i> axis during gestation. <i>Hif3a</i> isoform expression showed a stepwise adaptation during the periods of saccular and alveolar differentiation. With a strong hypoxic stimulus, lung <i>ex vivo</i> organ cultures displayed a functioning HIF system at every developmental stage. Approaches with systemic hypoxia or roxadustat treatment revealed only a limited <i>in vivo</i> response of HRGs. Understanding the interplay of the oxygen sensing system components during the transition from saccular to alveolar phases of lung development might help to counteract prematurity-associated diseases like bronchopulmonary dysplasia.</p>","PeriodicalId":55057,"journal":{"name":"Hereditas","volume":"105 1","pages":"9714669"},"PeriodicalIF":0.0,"publicationDate":"2022-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8886745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85482317","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}
Pub Date : 2020-01-01DOI: 10.1097/AOG.0000000000003614
Dominique Heinke, Eirini Nestoridi, Sonia Hernandez-Diaz, Paige L Williams, Janet W Rich-Edwards, Angela E Lin, Carla M Van Bennekom, Allen A Mitchell, Wendy N Nembhard, Ruth C Fretts, Drucilla J Roberts, C Wes Duke, Suzan L Carmichael, Mahsa M Yazdy
Objective: To estimate the risk of stillbirth (fetal death at 20 weeks of gestation or more) associated with specific birth defects.
Methods: We identified a population-based retrospective cohort of neonates and fetuses with selected major birth defects and without known or strongly suspected chromosomal or single-gene disorders from active birth defects surveillance programs in nine states. Abstracted medical records were reviewed by clinical geneticists to confirm and classify all birth defects and birth defect patterns. We estimated risks of stillbirth specific to birth defects among pregnancies overall and among those with isolated birth defects; potential bias owing to elective termination was quantified.
Results: Of 19,170 eligible neonates and fetuses with birth defects, 17,224 were liveborn, 852 stillborn, and 672 electively terminated. Overall, stillbirth risks ranged from 11 per 1,000 fetuses with bladder exstrophy (95% CI 0-57) to 490 per 1,000 fetuses with limb-body-wall complex (95% CI 368-623). Among those with isolated birth defects not affecting major vital organs, elevated risks (per 1,000 fetuses) were observed for cleft lip with cleft palate (10; 95% CI 7-15), transverse limb deficiencies (26; 95% CI 16-39), longitudinal limb deficiencies (11; 95% CI 3-28), and limb defects due to amniotic bands (110; 95% CI 68-171). Quantified bias analysis suggests that failure to account for terminations may lead to up to fourfold underestimation of the observed risks of stillbirth for sacral agenesis (13/1,000; 95% CI 2-47), isolated spina bifida (24/1,000; 95% CI 17-34), and holoprosencephaly (30/1,000; 95% CI 10-68).
Conclusion: Birth defect-specific stillbirth risk was high compared with the U.S. stillbirth risk (6/1,000 fetuses), even for isolated cases of oral clefts and limb defects; elective termination may appreciably bias some estimates. These data can inform clinical care and counseling after prenatal diagnosis.
目的估算与特定出生缺陷相关的死胎(妊娠 20 周或更长时间的胎儿死亡)风险:方法:我们从美国九个州的出生缺陷监测项目中筛选出患有特定主要出生缺陷的新生儿和胎儿,这些新生儿和胎儿没有已知或强烈怀疑的染色体或单基因疾病。临床遗传学家对抽取的医疗记录进行了审查,以确认所有出生缺陷和出生缺陷模式并对其进行分类。我们估算了整体妊娠和孤立出生缺陷妊娠中因出生缺陷导致死胎的风险,并对选择性终止妊娠可能造成的偏差进行了量化:在 19170 名符合条件的新生儿和出生缺陷胎儿中,活产 17224 例,死产 852 例,选择性终止妊娠 672 例。总体而言,死胎风险从膀胱外翻的千分之十一(95% CI 0-57)到肢体-体壁复合体的千分之四百九十(95% CI 368-623)不等。在不影响主要重要器官的孤立出生缺陷中,观察到唇裂伴腭裂(10;95% CI 7-15)、横向肢体缺损(26;95% CI 16-39)、纵向肢体缺损(11;95% CI 3-28)和羊膜带导致的肢体缺损(110;95% CI 68-171)的风险升高(每千名胎儿)。量化偏差分析表明,如果不考虑终止妊娠,可能会导致骶骨发育不全(13/1,000;95% CI 2-47)、孤立性脊柱裂(24/1,000;95% CI 17-34)和全瘫(30/1,000;95% CI 10-68)的死胎风险被低估四倍:结论:与美国的死胎风险(6/1000)相比,出生缺陷特异性死胎风险很高,即使是孤立的口腔裂隙和肢体缺陷病例;选择性终止妊娠可能会明显偏离某些估计值。这些数据可为产前诊断后的临床护理和咨询提供参考。
{"title":"Risk of Stillbirth for Fetuses With Specific Birth Defects.","authors":"Dominique Heinke, Eirini Nestoridi, Sonia Hernandez-Diaz, Paige L Williams, Janet W Rich-Edwards, Angela E Lin, Carla M Van Bennekom, Allen A Mitchell, Wendy N Nembhard, Ruth C Fretts, Drucilla J Roberts, C Wes Duke, Suzan L Carmichael, Mahsa M Yazdy","doi":"10.1097/AOG.0000000000003614","DOIUrl":"10.1097/AOG.0000000000003614","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the risk of stillbirth (fetal death at 20 weeks of gestation or more) associated with specific birth defects.</p><p><strong>Methods: </strong>We identified a population-based retrospective cohort of neonates and fetuses with selected major birth defects and without known or strongly suspected chromosomal or single-gene disorders from active birth defects surveillance programs in nine states. Abstracted medical records were reviewed by clinical geneticists to confirm and classify all birth defects and birth defect patterns. We estimated risks of stillbirth specific to birth defects among pregnancies overall and among those with isolated birth defects; potential bias owing to elective termination was quantified.</p><p><strong>Results: </strong>Of 19,170 eligible neonates and fetuses with birth defects, 17,224 were liveborn, 852 stillborn, and 672 electively terminated. Overall, stillbirth risks ranged from 11 per 1,000 fetuses with bladder exstrophy (95% CI 0-57) to 490 per 1,000 fetuses with limb-body-wall complex (95% CI 368-623). Among those with isolated birth defects not affecting major vital organs, elevated risks (per 1,000 fetuses) were observed for cleft lip with cleft palate (10; 95% CI 7-15), transverse limb deficiencies (26; 95% CI 16-39), longitudinal limb deficiencies (11; 95% CI 3-28), and limb defects due to amniotic bands (110; 95% CI 68-171). Quantified bias analysis suggests that failure to account for terminations may lead to up to fourfold underestimation of the observed risks of stillbirth for sacral agenesis (13/1,000; 95% CI 2-47), isolated spina bifida (24/1,000; 95% CI 17-34), and holoprosencephaly (30/1,000; 95% CI 10-68).</p><p><strong>Conclusion: </strong>Birth defect-specific stillbirth risk was high compared with the U.S. stillbirth risk (6/1,000 fetuses), even for isolated cases of oral clefts and limb defects; elective termination may appreciably bias some estimates. These data can inform clinical care and counseling after prenatal diagnosis.</p>","PeriodicalId":55057,"journal":{"name":"Hereditas","volume":"27 1","pages":"133-140"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7033649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85400067","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}
Pub Date : 2019-11-05DOI: 10.1186/s41065-019-0112-x
Xinzhou Wang, Shuibo Gao, Liping Dai, Zhentao Wang, Hong Wu
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