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Duchenne muscular dystrophy: diagnosis and perspective of treatment 杜兴氏肌肉萎缩症:诊断与治疗展望
Pub Date : 2024-07-16 DOI: 10.20517/jtgg.2024.29
Corrado Angelini
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引用次数: 0
Challenges in determining the malignant potential of atypical neurofibromas (aNF) using histopathologic features and the potential need for CDKN2A/2B testing: a case report 利用组织病理学特征确定非典型神经纤维瘤(aNF)恶性可能性的挑战以及对 CDKN2A/2B 检测的潜在需求:一份病例报告
Pub Date : 2024-04-22 DOI: 10.20517/jtgg.2024.02
A. Gross, Sana Z. Mahmood, E. Dombi, Markku M. Miettinen, Mark Raffeld, Anne Dufek, Sneh Patel, Prashant Chittiboina, Brigitte C. Widemann
Atypical neurofibromas (aNF) are peripheral nerve sheath tumors (PNSTs) histologically defined by cytologic atypia, hypercellularity, loss of neurofibroma architecture, and/or increased mitotic activity. aNF often have a heterozygous loss of CDKN2A/B in addition to homozygous NF1 loss. On MRI, aNF frequently appear as distinct nodular lesions, grow faster than plexiform neurofibromas, and have increased avidity on fluorodeoxyglucose positron emission tomography. At least some aNF are considered to be at greater risk for transformation to highly aggressive malignant PNSTs. We have observed that some PNSTs demonstrate a discrepancy between histological, clinical, and genomic criteria, where a PNST without histologically concerning findings may have clinical and imaging features concerning aNF and CDKN2A/B loss. This case series highlights this discrepancy and suggests the inclusion of CDKN2A/B loss to define aNF, along with clinical and imaging findings, to determine the potential for malignant transformation, and to select appropriate clinical management.
非典型神经纤维瘤(aNF)是一种周围神经鞘瘤(PNST),组织学定义为细胞学非典型性、高细胞性、神经纤维瘤结构缺失和/或有丝分裂活性增强。在核磁共振成像中,aNF 常表现为明显的结节性病变,生长速度快于丛状神经纤维瘤,在氟脱氧葡萄糖正电子发射断层扫描中的嗜性增加。至少有一些 aNF 被认为有更大的风险转变为侵袭性极强的恶性 PNST。我们观察到,一些 PNST 显示出组织学、临床和基因组标准之间的差异,即没有组织学相关发现的 PNST 可能具有与 aNF 和 CDKN2A/B 缺失相关的临床和影像学特征。本病例系列强调了这种差异,并建议将 CDKN2A/B 缺失与临床和影像学检查结果一起纳入 aNF 的定义,以确定恶性转化的可能性,并选择适当的临床治疗方法。
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引用次数: 0
Genetics in the diagnosis and treatment of cardiovascular diseases 遗传学在心血管疾病诊断和治疗中的应用
Pub Date : 2024-04-15 DOI: 10.20517/jtgg.2023.59
K. Bliden, Sahib Singh, Roni Shanoada, Isha Kalia, U. Tantry, Alyssa Zimmerman, A. D. Babu, Lekshminarayan Raghavakurup, Taylor Stude, Damian Sidorski, Paul A Gurbel
Cardiovascular diseases (CVDs) remain one of the leading causes of morbidity and mortality worldwide, with genetics being a major risk factor. Genetic cardiovascular disease can occur either because of single variant (Mendelian) or polygenic influences and has been linked to inherited cardiovascular conditions (ICC) such as arrhythmias, cardiomyopathies, dyslipidemias, and aortopathies which are significant factors leading to sudden cardiac death in young adults. Timely screening, diagnosis, and management of ICC can not only provide life-saving treatment to a patient, but also identify at-risk family members. The field of pharmacogenomics (PGx) helped to understand the variable action of medications such as clopidogrel, aspirin, warfarin, and statin according to genotype. Newer technologies such as multi-omics can combine data from multiple sources such as genomics, epigenomics, transcriptomics, proteomics, metabolomics, and microbiome. These advancements can contribute to the development of polygenic prediction scores and precision medicine tailored to individual genotypes. Substantial strides have been made in genetic-based therapeutics, gene editing technologies, and drug delivery systems, which have significantly expanded treatment options for patients with acquired or inherited CVDs. Although variable, the country- and society-specific guidelines on genetic testing for ICC and PGx and treatment are being continuously updated to keep up with ongoing research in the field. Along with appropriate knowledge, other factors including cost and availability of genetic testing play a vital role in the usage by both physicians and patients. With the advent of newer genetic testing for CVDs, a key factor is the availability of genetic counselors (GCs) who are specifically trained in cardiovascular genomics. The current review provides a concise summary of the major influences of genetics in the diagnosis and treatment of CVDs.
心血管疾病(CVDs)仍然是全球发病率和死亡率的主要原因之一,而遗传是一个主要的风险因素。遗传性心血管疾病可因单一变异(孟德尔)或多基因影响而发生,并与遗传性心血管疾病(ICC)有关,如心律失常、心肌病、血脂异常和大动脉病变,这些都是导致青壮年心脏性猝死的重要因素。及时筛查、诊断和管理 ICC 不仅能为患者提供挽救生命的治疗,还能识别高危家庭成员。药物基因组学(PGx)领域有助于了解氯吡格雷、阿司匹林、华法林和他汀等药物因基因型不同而产生的不同作用。多组学等新技术可以将基因组学、表观基因组学、转录组学、蛋白质组学、代谢组学和微生物组学等多种来源的数据结合起来。这些进展有助于开发多基因预测评分和针对个体基因型的精准医疗。基于基因的治疗方法、基因编辑技术和给药系统取得了长足进步,大大扩展了获得性或遗传性心血管疾病患者的治疗选择。尽管各国和各社会对 ICC 和 PGx 基因检测和治疗的指导方针不尽相同,但仍在不断更新,以跟上该领域的持续研究。除适当的知识外,其他因素包括基因检测的成本和可用性也对医生和患者使用基因检测起着至关重要的作用。随着心血管疾病新型基因检测的出现,一个关键因素是是否有受过心血管基因组学专门培训的基因顾问(GCs)。本综述简要概述了遗传学在心血管疾病诊断和治疗中的主要影响。
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引用次数: 0
Silent players, loud impact: unveiling the therapeutic potentials of LncRNAs 无声的参与者,巨大的影响:揭示 LncRNA 的治疗潜力
Pub Date : 2024-04-07 DOI: 10.20517/jtgg.2023.55
Ahmed Kamal, M. Swellam, N. Shalaby, Marwa K. Darwish, E. El-Nahrery
Long non-coding RNAs (lncRNAs) are a class of RNA transcripts that are long (i.e., more than 200 nucleotides) and not translated into proteins. They have recently emerged as potential treatment targets for numerous disorders due to their involvement in multiple cellular functions such as gene regulation, epigenetic modulation, and chromatin organization. This review highlights the current state of lncRNA-based therapeutics, the potential of lncRNAs as drug targets for treating human diseases, the various strategies and types of RNA-based therapeutics, and the complications of developing lncRNA-based drugs. We conclude that lncRNA-based therapeutics represent a promising class of drugs that can potentially treat various human diseases and that further research is needed to fully realize their therapeutic potential.
长非编码 RNA(lncRNA)是一类长(即超过 200 个核苷酸)且不翻译成蛋白质的 RNA 转录本。由于它们参与基因调控、表观遗传调控和染色质组织等多种细胞功能,最近已成为许多疾病的潜在治疗靶点。本综述重点介绍了基于 lncRNA 的疗法的现状、lncRNA 作为药物靶点治疗人类疾病的潜力、基于 RNA 的疗法的各种策略和类型以及开发基于 lncRNA 的药物的复杂性。我们的结论是,基于 lncRNA 的疗法是一类很有前景的药物,有可能治疗各种人类疾病,但要充分发挥其治疗潜力,还需要进一步的研究。
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引用次数: 0
Reduced protein kinase C delta in a high molecular weight complex in mitochondria and elevated creatine uptake into Barth syndrome B lymphoblasts. 线粒体中高分子复合体的蛋白激酶 C delta 减少,巴氏综合征 B 淋巴细胞的肌酸摄取量增加。
Pub Date : 2024-01-01 Epub Date: 2024-05-29 DOI: 10.20517/jtgg.2024.11
Edgard M Mejia, Genevieve C Sparagna, Donald W Miller, Grant M Hatch

Aim: Barth syndrome (BTHS) is a rare X-linked genetic disease in which mitochondrial oxidative phosphorylation is impaired due to a mutation in the TAFAZZIN gene. The protein kinase C delta (PKCδ) signalosome exists as a high molecular weight complex in mitochondria and controls mitochondrial oxidative phosphorylation.

Method: Here, we examined PKCδ levels in mitochondria of aged-matched control and BTHS patient B lymphoblasts and its association with a higher molecular weight complex in mitochondria.

Result: Immunoblot analysis of blue-native polyacrylamide gel electrophoresis mitochondrial fractions revealed an increase in total PKCδ protein expression in BTHS lymphoblasts compared to controls. In contrast, PKCδ associated with a higher molecular weight complex was markedly reduced in BTHS patient B lymphoblasts compared to controls. Given the decrease in PKCδ associated with a higher molecular weight complex in mitochondria, we examined the uptake of creatine, a compound whose utilization is enhanced upon high energy demand. Creatine uptake was markedly elevated in BTHS lymphoblasts compared to controls.

Conclusion: We hypothesize that reduced PKCδ within this higher molecular weight complex in mitochondria may contribute to the bioenergetic defects observed in BTHS lymphoblasts and that enhanced creatine uptake may serve as one of several compensatory mechanisms for the defective mitochondrial oxidative phosphorylation observed in these cells.

目的:巴特综合征(BTHS)是一种罕见的X连锁遗传病,由于TAFAZZIN基因突变导致线粒体氧化磷酸化功能受损。蛋白激酶 C δ(PKCδ)信号体在线粒体中以高分子量复合物的形式存在,控制线粒体氧化磷酸化:在此,我们研究了与年龄匹配的对照组和BTHS患者B淋巴细胞线粒体中的PKCδ水平及其与线粒体中高分子量复合物的关联:结果:对蓝色原性聚丙烯酰胺凝胶电泳线粒体部分进行的免疫印迹分析表明,与对照组相比,BTHS淋巴细胞中总PKCδ蛋白表达量有所增加。相反,与对照组相比,BTHS 患者 B 淋巴细胞中与较高分子量复合物相关的 PKCδ 蛋白明显减少。鉴于线粒体中与较高分子量复合物相关的 PKCδ 减少,我们对肌酸的摄取进行了研究,肌酸是一种在高能量需求时利用率较高的化合物。与对照组相比,BTHS淋巴母细胞对肌酸的摄取明显增加:我们推测,线粒体中这一较高分子量复合物中的 PKCδ 减少可能是导致 BTHS 淋巴母细胞生物能缺陷的原因之一,而肌酸摄取的增强可能是这些细胞中线粒体氧化磷酸化缺陷的几种补偿机制之一。
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引用次数: 0
Inborn errors of immunity present with neuropsychiatric symptoms overlapping with autistic behavioral symptoms 先天性免疫错误的神经精神症状与自闭症行为症状重叠
Pub Date : 2023-12-22 DOI: 10.20517/jtgg.2023.32
Harumi Jyonouchi
Autism spectrum disorder (ASD) is a behaviorally defined syndrome affected by multiple genetic and environmental factors. A wide variety of risk factors for ASD have been identified and many of these affect immune functions. This may not be surprising, since the immune system and the nervous system share common signaling mechanisms and affect each other as a part of the neuroimmune network. The ever-expanding scope of inborn errors of immunity (IEIs) has revealed multiple pathogenic gene variants that manifest overlapping clinical features of common neuropsychiatric diseases, including ASD. These IEIs often cause dysregulated immune activation and resultant chronic inflammation affecting multiple organs. Some IEIs also cause changes in morphogenesis and plasticity of the central nervous system. Such patients often present with a puzzling array of clinical features and some of them may be diagnosed with ASD or other neuropsychiatric conditions. The progress of our understanding of disease mechanisms for IEIs at the molecular levels has led to gene-specific treatment measures in some diseases. In addition, some ASD patients are found to have laboratory findings of neuroinflammation that resemble those seen in IEI patients. This may pave the way for applying specific treatment measures used for IEI patients in such ASD patients. This review focuses on describing IEIs that have overlapping features of ASD. Emphasis is also on IEIs that can be treated by targeting identified disease mechanisms. Such information may be helpful for clinicians who are considering genetic/metabolic workup in ASD patients.
自闭症谱系障碍(ASD)是一种受多种遗传和环境因素影响的行为定义综合症。自闭症的风险因素种类繁多,其中许多因素都会影响免疫功能。这并不奇怪,因为免疫系统和神经系统有着共同的信号传递机制,并且作为神经免疫网络的一部分相互影响。先天性免疫错误(IEIs)范围的不断扩大揭示了多种致病基因变异,这些基因变异表现出包括 ASD 在内的常见神经精神疾病的重叠临床特征。这些先天性免疫错误通常会导致免疫激活失调,从而引发影响多个器官的慢性炎症。有些 IEI 还会导致中枢神经系统的形态发生和可塑性发生变化。这类患者往往表现出一系列令人费解的临床特征,其中一些可能被诊断为 ASD 或其他神经精神疾病。我们在分子水平上对 IEIs 疾病机理的认识取得了进展,从而对某些疾病采取了基因特异性治疗措施。此外,一些 ASD 患者的神经炎症实验室检查结果与 IEI 患者相似。这可能为将用于 IEI 患者的特定治疗措施应用于此类 ASD 患者铺平了道路。本综述重点描述与 ASD 有重叠特征的 IEI。重点还放在可通过针对已确定的疾病机制进行治疗的 IEI 上。这些信息可能对考虑对 ASD 患者进行遗传/代谢检查的临床医生有所帮助。
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引用次数: 0
Towards an understanding of the aetiology, genomic landscape and management of Moebius syndrome 了解莫比乌斯综合征的病因、基因组结构和治疗方法
Pub Date : 2023-12-14 DOI: 10.20517/jtgg.2023.33
Ekaterina Lyulcheva-Bennett, Wendy Blumenow, Adelene O’Connor, Maria Kelly, Daimark Bennett, Adel Fattah
Moebius Syndrome (MBS) is a rare neurodevelopmental disorder characterised by facial paralysis and ocular motility defects. Its origins trace back to the 19th century, with its clinical delineation attributed to German neurologist Paul Möbius. The syndrome presents with a spectrum of variable systemic clinical features, necessitating a multidisciplinary approach to diagnosis and management. The prevalence of MBS has been estimated to range between 1 in 50,000 to 1 in 500,000 individuals, with a universal distribution across ethnicities and genders. The aetiology of MBS is poorly understood but is likely multifactorial, with developmental, genetic, and environmental factors playing roles. Recent research has identified potential genetic contributors, REV3L and PLXND1, but further work is needed to elucidate the genetic landscape of this rare neurodevelopmental disorder. Here we describe the current understanding of the clinical features, aetiology, genetic landscape, and management of MBS, emphasising the importance of early diagnosis and a holistic approach to patient care. We also propose a set of criteria aimed at standardising MBS reporting to enhance information sharing and bolster MBS research initiatives. Collaborative research efforts in the future hold the potential to offer transformative insights and improved outcomes for affected individuals and their families.
莫比乌斯综合症(Moebius Syndrome,MBS)是一种罕见的神经发育障碍性疾病,以面瘫和眼球运动缺陷为特征。它的起源可追溯到 19 世纪,其临床定义归功于德国神经学家保罗-莫比乌斯。该综合征表现出一系列可变的系统性临床特征,需要采用多学科方法进行诊断和管理。据估计,莫比乌斯综合征的发病率在五万分之一到五十万分之一之间,在不同种族和性别中均有分布。多发性骨髓增生异常综合症的病因尚不清楚,但很可能是多因素引起的,发育、遗传和环境因素都在其中起作用。最近的研究发现了潜在的遗传因素--REV3L 和 PLXND1,但要阐明这种罕见神经发育障碍的遗传情况还需要进一步的工作。在此,我们描述了目前对 MBS 的临床特征、病因、遗传情况和管理的理解,强调了早期诊断和整体护理的重要性。我们还提出了一套旨在规范 MBS 报告的标准,以加强信息共享和支持 MBS 研究计划。未来的合作研究工作有可能为受影响的个人及其家庭提供变革性的见解和更好的治疗效果。
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引用次数: 0
Drug-based approaches to modulate mitochondrial condition in the case of atherosclerosis: focus on correction of mitochondria dysfunction 在动脉粥样硬化病例中调节线粒体状况的药物方法:关注线粒体功能障碍的矫正
Pub Date : 2023-12-07 DOI: 10.20517/jtgg.2023.38
Darina Gavrilova, Evgeny Bezsonov, Tatyana Degtyarevskaya
Mutations in mitochondrial DNA can cause mitochondrial diseases. This review focuses on the main functions of mitochondria and the effect of mutations in mtDNA on the processes of mitophagy, mitodynamics and mitochondrial biogenesis. The main mitochondrial diseases associated with specific mutations in mtDNA are reviewed, with an emphasis on atherosclerosis. It is assumed that mtDNA mutations can provoke pathological changes in the intima of the human aorta and activate a specific immune response, ultimately leading to the development of atherosclerosis. Special attention is paid to the methods of targeted therapy of mitochondrial diseases with the use of antioxidants, mitodynamics modifiers, and phototheranostics.
线粒体DNA的突变会导致线粒体疾病。本文就线粒体的主要功能以及线粒体dna突变对线粒体自噬、线粒体动力学和线粒体生物发生过程的影响作一综述。本文综述了与线粒体dna特异性突变相关的主要线粒体疾病,重点是动脉粥样硬化。假设mtDNA突变可引起人主动脉内膜的病理改变,激活特异性免疫反应,最终导致动脉粥样硬化的发生。特别关注的是使用抗氧化剂、线粒体动力学调节剂和光疗法靶向治疗线粒体疾病的方法。
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引用次数: 0
Targeting KIR as a novel approach to improve CAR-NK cell function 将 KIR 作为改善 CAR-NK 细胞功能的新方法
Pub Date : 2023-12-05 DOI: 10.20517/jtgg.2023.25
Lara V. Graham, J. G. Fisher, S. Khakoo, Matthew D. Blunt
Chimeric antigen receptor (CAR) NK cells are demonstrating promising activity in clinical trials and possess a favorable safety profile compared to CAR-T cells. The Killer cell Immunoglobulin-like Receptors (KIR) have a critical role in the control of NK cell function, and recently, this family of activating and inhibitory receptors have been targeted to improve CAR-NK function. These strategies include the utilisation of inhibitory KIR to reduce trogocytosis-associated NK cell fratricide, the downregulation of inhibitory KIR on CAR-NK cells to alleviate HLA mediated suppression, the selection of CAR-NK cell donors enriched for activating KIR, and the use of activating KIR intracellular domains within novel CAR constructs. These pre-clinical studies demonstrate the potential utility of targeting the KIR to improve CAR-NK cell efficacy and patient outcomes.
嵌合抗原受体(CAR) NK细胞在临床试验中显示出有希望的活性,与CAR- t细胞相比,具有良好的安全性。杀伤细胞免疫球蛋白样受体(Killer cell Immunoglobulin-like Receptors, KIR)在控制NK细胞功能中起着至关重要的作用,最近,这一激活和抑制受体家族已经成为改善CAR-NK功能的目标。这些策略包括利用抑制性KIR来减少与巨噬细胞病相关的NK细胞自相残杀,下调CAR-NK细胞上的抑制性KIR以减轻HLA介导的抑制,选择富集激活KIR的CAR-NK细胞供体,以及在新型CAR构建中使用激活KIR的细胞内结构域。这些临床前研究证明了靶向KIR改善CAR-NK细胞疗效和患者预后的潜在效用。
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引用次数: 0
lncRNA involvement in immune-related diseases - from SNP association to implication in pathogenesis and therapeutic potential lncRNA 在免疫相关疾病中的参与--从 SNP 关联到发病机制和治疗潜力的影响
Pub Date : 2023-11-27 DOI: 10.20517/jtgg.2023.14
Leire Bergara-Muguruza, A. Castellanos-Rubio, I. Santin, A. Olazagoitia-Garmendia
Development of new high throughput array-based techniques and, more recently, next-generation sequencing (NGS) technologies have revolutionized our capability to accurately characterize single nucleotide polymorphisms (SNPs) throughout the genome. These advances have facilitated large-scale genome-wide association studies (GWAS), which have served as fundamental elements in establishing links between SNPs and the susceptibility to several complex diseases, including those related to the immune system. Nevertheless, the molecular mechanisms underlying the development of most of these disorders are still poorly defined. Decoding the functionality of SNPs becomes increasingly challenging due to the predominant presence of these risk variants in non-coding regions of the genome. Among them, long non-coding RNAs (lncRNAs) are enriched in disease-associated SNPs. lncRNAs are involved in governing the control of gene expression both during transcription and at the post-transcriptional level. The existence of SNPs within the sequences of lncRNAs has the potential to alter their expression, structure, or function. This, in turn, can influence their regulatory roles and consequently contribute to the onset or progression of various diseases. In this review, we describe the implication of SNPs located in lncRNAs in the development of different immune-related diseases and highlight the potential of these molecules in the development of emerging RNA-based therapies.
新的高通量阵列技术以及最近的新一代测序(NGS)技术的发展,彻底改变了我们准确描述整个基因组中单核苷酸多态性(SNPs)的能力。这些进步促进了大规模的全基因组关联研究(GWAS),这些研究是建立 SNP 与多种复杂疾病(包括与免疫系统相关的疾病)易感性之间联系的基本要素。尽管如此,这些疾病中大多数的发病分子机制仍不十分明确。由于这些风险变异主要存在于基因组的非编码区,解码 SNP 的功能变得越来越具有挑战性。其中,长非编码 RNA(lncRNA)富含与疾病相关的 SNPs。lncRNA 在转录过程中和转录后水平上参与控制基因表达。lncRNA 序列中存在的 SNPs 有可能改变其表达、结构或功能。这反过来又会影响它们的调控作用,从而导致各种疾病的发生或发展。在这篇综述中,我们描述了位于 lncRNA 中的 SNPs 在不同免疫相关疾病的发展中的影响,并强调了这些分子在开发基于 RNA 的新兴疗法中的潜力。
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引用次数: 0
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Journal of translational genetics and genomics
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