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The Health of Pregnant Women and Their Unborn Children– Neglected in Vaccine Development 孕妇及其未出生婴儿的健康——在疫苗开发中被忽视
IF 1.6 4区 医学 Q4 DEVELOPMENTAL BIOLOGY Pub Date : 2025-05-19 DOI: 10.1002/bdr2.2483
Peter Selley, David Healy

Background

Randomized Controlled Trials of vaccines given in pregnancy aimed at benefitting the unborn child began in 2015. Their use for licensing purposes now appears established. These trials generate data on possible benefits and harms to infants but also on maternal health impacts. The International Council on Regulations for Pharmaceutical Use in Humans has realized that current safety regulations are not adequate for clinical trials in the second half of pregnancy. They are now drawing up improved guidelines for the conduct of these trials.

Aims

To focus attention on maternal and fetal health that his new willingness to run trials in pregnancy brings into the frame.

Materials and Methods

We reviewed all recent maternal vaccine trials and their outcomes, along with potential concerns.

Results

Analysis of data from recent trials of vaccines given in pregnancy suggests that they may be associated with adverse events during the pregnancy that affect both the mother and the fetus.

Discussion

The aim of vaccine trials in pregnancy currently centres on measuring the efficacy of prevention of infectious disease, and perinatal outcome. Study of the impact of maternal vaccines on pregnancy physiology has been neglected. New, rapidly developing areas, such as epigenomics, need to be considered. It is a good time for the wider field to have an input on what might be included in the guidelines, and whether other measures are needed.

Conclusion

Insufficient attention has been given to monitoring the health of pregnant women and of their fetus during vaccine trials. The need for new guidelines offers an opportunity to require more stringent safety monitoring during pregnancy which will benefit women and their unborn children.

背景:旨在使未出生婴儿受益的妊娠期疫苗随机对照试验始于2015年。它们用于许可目的现在似乎已经确立。这些试验产生了对婴儿可能的益处和危害以及对孕产妇健康影响的数据。国际人体药物使用法规理事会已经意识到,目前的安全法规不适用于妊娠后半期的临床试验。他们现在正在为进行这些试验起草改进的指导方针。目的将人们的注意力集中在母体和胎儿健康上,这是他在怀孕期间进行试验的新意愿带来的。材料和方法我们回顾了最近所有的孕产妇疫苗试验及其结果,以及潜在的问题。结果:对近期妊娠期接种疫苗试验数据的分析表明,疫苗接种可能与妊娠期间影响母亲和胎儿的不良事件有关。妊娠期疫苗试验的目的目前集中在衡量预防传染病的效力和围产期结局。母体疫苗对妊娠生理影响的研究一直被忽视。需要考虑新的、快速发展的领域,如表观基因组学。对于更广泛的领域来说,现在是一个很好的时机,可以对指南中可能包括的内容以及是否需要采取其他措施提出意见。结论在疫苗试验过程中对孕妇及其胎儿的健康监测重视不够。需要制定新的指导方针提供了一个机会,要求在怀孕期间进行更严格的安全监测,这将有利于妇女及其未出生的孩子。
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引用次数: 0
Measurement of Androgen-Sensitive Preweaning Developmental Landmarks in Rodents: Best Practices and Toxicological Significance 测量雄性激素敏感的啮齿动物断奶前发育标志:最佳实践和毒理学意义
IF 1.6 4区 医学 Q4 DEVELOPMENTAL BIOLOGY Pub Date : 2025-05-09 DOI: 10.1002/bdr2.2482
Ross Gillette, Justin D. Vidal, Pragati S. Coder

Background

Anogenital distance and nipple/areola(e) retention are biomarkers for monitoring normal age-appropriate masculinization of male offspring required by U.S. EPA and OECD guidelines for chemicals. OECD Guidance Document 150 considers both landmarks as sensitive, apical endpoints. For the last century, it has been known that nipple regression in male rodents is complete by late gestation and there are no external or microscopic traces of a nipple at the time of birth. Adverse effects of antiandrogen exposures in humans are well documented, and AGD/NR serve as surrogates for effects on physical and sexual development, although the human relevance of these individual endpoints and endocrine disruption in rodents continues to be debated. The European Chemicals Agency (ECHA) published its reports on the EOGRTS Review Project and ranked 37% AGD and 83% NR datasets across 72 studies as limited or of unacceptable quality.

Methods

We retrospectively analyzed AGD/NR data from 142 rodent studies based on sound scientific principles and per the agency's scoring criteria.

Results and Conclusion

For AGD, our data met standards for precision, variability, and separation of sexes. For NR, our data demonstrated that spontaneous nipple/areolae retention is far less common than asserted by the agency. We propose that the 5-point rating scale used by ECHA to rate NR data has considerable limitations as it is based on data from a single publication that evaluated a limited number of litters/studies. Based on our review of the literature, ECHA recommendations, and the data presented herein, we put forth best practice recommendations for data collection, analysis, and reporting in an effort to improve future data quality, interpretation, and coherence for regulatory review.

背景肛门生殖器距离和乳头/乳晕(e)保留是监测符合美国EPA和OECD化学品指南要求的正常适龄雄性后代男性化的生物标志物。经合组织指导文件150认为这两个标志都是敏感的顶点。在上个世纪,人们已经知道雄性啮齿动物的乳头退化在妊娠后期完成,并且在出生时没有外部或显微镜下的乳头痕迹。抗雄激素暴露对人类的不良影响已被充分记录,AGD/NR可作为对身体和性发育影响的替代指标,尽管这些个体终点与啮齿动物内分泌干扰的人类相关性仍在争论中。欧洲化学品管理局(ECHA)发布了关于EOGRTS审查项目的报告,并将72项研究中37%的AGD和83%的NR数据集列为有限或不可接受的质量。方法回顾性分析142项啮齿类动物研究的AGD/NR数据,依据可靠的科学原理和机构评分标准。结果与结论对于AGD,我们的数据在精度、可变性和性别分离方面满足标准。对于NR,我们的数据表明,自发乳头/乳晕保留远不像该机构所断言的那样常见。我们认为ECHA用于评价NR数据的5点评定量表有相当大的局限性,因为它是基于评估有限数量的凋落物/研究的单一出版物的数据。基于我们对文献、ECHA建议和本文提供的数据的回顾,我们提出了数据收集、分析和报告的最佳实践建议,以努力提高未来监管审查的数据质量、解释和一致性。
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引用次数: 0
Blastocyst Cavity Expansion Promotes Cell Polarization During Early Development of Mouse Embryos 小鼠胚胎早期发育过程中囊胚腔扩张促进细胞极化
IF 1.6 4区 医学 Q4 DEVELOPMENTAL BIOLOGY Pub Date : 2025-05-09 DOI: 10.1002/bdr2.2484
Zheng Guo, Xinxin Lv, Jianwen Li, Shiping Yue, Jing Du

Background

Cell polarization is an important morphological process that is crucial for the formation and function of tissues and organs. The blastocyst cavity expansion is an apparent event during the second cell fate specification in mouse embryos, yet its impact on cell polarization remains unclear. In this study, we investigate the effects of blastocyst cavity expansion on cell polarization.

Methods

The methods of this study involve hyperosmotic treatment or disruption of TE cortical tension by laser ablation, combined with immunofluorescence.

Results

We found that inhibition of the blastocyst cavity expansion through hypertonic treatment or disruption of TE cortical tension by laser ablation suppresses the levels of the ζ isotype of protein kinase C (PKC ζ) which is a member of the atypical PKC subfamily involved in cell polarization. We further found that during the embryonic stages E3.5 to E4.0, the expression of extracellular signal-regulated kinase 1 (ERK1), a key upstream regulator of PKC ζ, is altered in a similar tendency to that of PKC ζ, indicating a potential regulatory function of ERK1 in cell polarization during early development of mouse embryos.

Conclusions

This study reveals the function of the mechanical behavior of embryos in cell polarization of early mammalian embryos. The relationship between cell polarization and blastocyst cavity expansion in early embryonic development provides a new understanding, thereby offering fresh insights for the screening and detection of indicators for normal blastocyst development.

细胞极化是一个重要的形态学过程,对组织器官的形成和功能起着至关重要的作用。囊胚腔扩张是小鼠胚胎第二次细胞命运规范过程中的一个明显事件,但其对细胞极化的影响尚不清楚。在本研究中,我们研究了囊胚腔扩张对细胞极化的影响。方法采用高渗治疗或激光消融联合免疫荧光破坏TE皮质张力。结果我们发现,通过高渗治疗抑制囊胚腔扩张或通过激光消融破坏TE皮质张力抑制蛋白激酶C (PKC ζ)的ζ同型水平,PKC ζ是参与细胞极化的非典型PKC亚家族的成员。我们进一步发现,在胚胎阶段E3.5至E4.0,细胞外信号调节激酶1 (ERK1)的表达,PKC ζ的关键上游调节因子,以与PKC ζ相似的趋势改变,表明ERK1在小鼠胚胎早期发育过程中对细胞极化具有潜在的调节功能。结论本研究揭示了胚胎力学行为在哺乳动物早期胚胎细胞极化中的作用。细胞极化与胚泡腔扩张在早期胚胎发育中的关系提供了新的认识,从而为正常胚泡发育指标的筛选和检测提供了新的见解。
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引用次数: 0
Embryo-Fetal Developmental Toxicity and Toxicokinetics Studies of YWS1903, a Novel Potassium-Competitive Acid Blocker, in Pregnant Rats 新型钾竞争酸阻滞剂YWS1903对妊娠大鼠的胚胎-胎儿发育毒性和毒性动力学研究
IF 1.6 4区 医学 Q4 DEVELOPMENTAL BIOLOGY Pub Date : 2025-05-07 DOI: 10.1002/bdr2.2481
Chaoying Lu, Hongqun Qiao

Background

In this study, we investigated the developmental and reproductive toxicity of YWS1903, a novel potassium-competitive acid blocker, in pregnant Sprague–Dawley rats.

Methods

YWS1903 was administered orally at doses of 0 (control), 20, 60, and 200 mg kg−1 from gestation days 6 to 17 (n = 24 per group). Concurrent toxicokinetic analysis was conducted to characterize the toxicokinetic profile and placental transfer of YWS1903.

Results

Aside from hair loss at the highest dose, no significant maternal toxicity was observed up to 200 mg kg−1. Fetal assessments revealed reductions in body weight and crown-rump length at 200 mg kg−1, alongside increased skeletal malformations, but no visceral abnormalities were detected. Toxicokinetic linearity studies revealed that within the 20–200 mg kg−1 dose range, both Cmax and AUC0-t of YWS1903 exhibited disproportionate increases following initial and final administrations. In the high-dose group, the escalation in AUC0-t substantially exceeded the corresponding dose changes, suggesting potential saturation of metabolic pathways at higher exposure levels. YWS1903 was shown to cross the placenta, although fetal plasma concentrations were consistently lower than maternal levels, suggesting reduced direct fetal exposure.

Conclusion

The no observed adverse effect level was established at 60 mg kg−1, supporting the compound's safety at moderate doses. These findings provide valuable insights into YWS1903's developmental and reproductive safety profile and offer reference for its clinical application as a therapeutic agent for gastroesophageal reflux disease.

在本研究中,我们研究了一种新型钾竞争酸阻滞剂YWS1903对妊娠大鼠的发育和生殖毒性。方法妊娠第6 ~ 17天,分别以0(对照)、20、60、200 mg kg - 1剂量口服YWS1903(每组24例)。同时进行毒性动力学分析,以表征YWS1903的毒性动力学特征和胎盘转移。结果在最高剂量下除脱发外,在200 mg kg−1剂量下未观察到明显的母体毒性。胎儿评估显示200 mg kg - 1时体重和冠臀长度减少,骨骼畸形增加,但未发现内脏异常。毒物动力学线性研究表明,在20-200 mg kg - 1剂量范围内,YWS1903的Cmax和AUC0-t在初始和最终给药后均呈现不成比例的增加。在高剂量组中,AUC0-t的升高大大超过了相应的剂量变化,表明在较高的暴露水平下代谢途径可能饱和。尽管胎儿血浆浓度始终低于母体水平,但YWS1903显示可穿过胎盘,这表明胎儿直接暴露较少。结论在60 mg kg−1剂量下未观察到不良反应水平,支持该化合物在中等剂量下的安全性。本研究结果为了解YWS1903的发育和生殖安全性提供了有价值的见解,并为其作为胃食管反流病治疗剂的临床应用提供了参考。
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引用次数: 0
Perspectives on Implementing Virtual Control Groups in Developmental and Reproductive Toxicity Studies 在发育和生殖毒性研究中实施虚拟控制组的观点
IF 1.6 4区 医学 Q4 DEVELOPMENTAL BIOLOGY Pub Date : 2025-05-05 DOI: 10.1002/bdr2.2479
L. David Wise, Alan M. Hoberman, Christopher J. Bowman, Elise M. Lewis

The use of virtual control groups (VCGs) in nonclinical toxicology studies was first proposed in 2020 with the main purpose of reducing animal use while integrating historical control data (HCD) to enhance study interpretation. The use of VCGs has gained increasing attention as evidenced by an increasing number of publications that highlight implementation challenges. Laboratories that conduct harmonized studies with standardized procedures, consistent environmental conditions, and validated electronic databases are well-suited to implement VCGs in future nonclinical safety studies. We suggest that individual laboratories conducting rodent and rabbit developmental and reproductive toxicity studies should begin planning for VCG implementation. If possible, a harmonized approach to VCG implementation by multiple laboratories will lend credence to regulatory approval. We apply the six-step VCG implementation framework from Palazzi et al. to the routine GLP studies covered by international guidelines, which emphasize validation through retrospective and prospective trials. We discuss the risks and challenges to VCG implementation that have been previously presented. To address some of these concerns, a hybrid approach is proposed that combines a small concurrent control group (CCG) with multiple virtual control (VC) animals from the same test facility. The inclusion of a CCG addresses the need to monitor for disease and environmental changes and prevent depletion of HCD. Two approaches to the selection of VC animals are discussed. Given that developmental and reproductive toxicity studies use the most animals in nonclinical safety studies, we support the timely implementation of VCGs to significantly reduce these animal numbers.

在非临床毒理学研究中使用虚拟对照组(vcg)于2020年首次提出,主要目的是减少动物使用,同时整合历史对照数据(HCD)以加强研究解释。越来越多强调实施挑战的出版物证明,vcg的使用越来越受到关注。采用标准化程序、一致的环境条件和经过验证的电子数据库进行协调研究的实验室非常适合在未来的非临床安全性研究中实施vcg。我们建议进行啮齿动物和兔子发育和生殖毒性研究的个别实验室应该开始规划VCG的实施。如果可能的话,多个实验室实施VCG的统一方法将为监管部门的批准提供信任。我们将Palazzi等人的六步VCG实施框架应用于国际指南所涵盖的常规GLP研究,这些研究强调通过回顾性和前瞻性试验进行验证。我们讨论了之前提出的VCG实施的风险和挑战。为了解决这些问题,提出了一种混合方法,将来自同一测试设施的小型并发对照组(CCG)与多个虚拟对照组(VC)动物相结合。纳入CCG解决了监测疾病和环境变化以及防止HCD耗竭的需要。讨论了两种选择VC动物的方法。鉴于发育和生殖毒性研究在非临床安全性研究中使用了最多的动物,我们支持及时实施vcg以显着减少这些动物的数量。
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引用次数: 0
Racial and Ethnic Disparities in California's Use of Agricultural Pesticides 加州农业农药使用中的种族和民族差异
IF 1.6 4区 医学 Q4 DEVELOPMENTAL BIOLOGY Pub Date : 2025-05-05 DOI: 10.1002/bdr2.2480
Caroline Cox, Jonathan K London

Background

The objective of this study is to determine whether the current use of agricultural pesticides in California is unequally distributed with respect to race and ethnicity.

Methods

We conducted the analysis using publicly available data from the California Department of Pesticide Regulation and the US Census Bureau. We used two relatively simple statistical techniques to conduct the analysis: concentration curves and linear regression.

Results

We showed that agricultural pesticide use in California is not distributed equally with respect to racial and ethnic composition. Similar patterns held whether we looked at current data, data from past years, or individual pesticides of public health concern. Importantly for public health, the use of a group of pesticides that, according to California regulations, causes reproductive harm also was concentrated in areas with a lower percentage of non-Hispanic Whites. The percentage of the population that is Hispanic/Latinx is a strong statistical driver of these inequalities. The data also show similar patterns of inequity in pesticide use with respect to three socioeconomic factors: income, education level, and prevalence of agricultural employment.

Conclusions

Policy and regulatory actions are needed to reduce these disparities and maintain California's leadership in environmental justice.

本研究的目的是确定目前加州农业农药的使用是否在种族和民族方面分布不均。方法我们使用来自加州农药监管局和美国人口普查局的公开数据进行分析。我们使用两种相对简单的统计技术进行分析:浓度曲线和线性回归。结果:我们发现,加州农业农药的使用在种族和民族组成方面分布不均。无论我们看当前数据、过去几年的数据,还是关注公共卫生的个别农药,都存在类似的模式。对公共健康来说,重要的是,根据加州的规定,一组杀虫剂的使用会造成生殖伤害,这些杀虫剂也集中在非西班牙裔白人比例较低的地区。西班牙裔/拉丁裔人口占总人口的比例是造成这些不平等的一个重要统计因素。数据还显示,在三个社会经济因素方面,农药使用方面的不平等模式相似:收入、教育水平和农业就业的普遍程度。需要采取政策和监管行动来减少这些差距,并保持加州在环境正义方面的领导地位。
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引用次数: 0
How Does Maternal Lipopolysaccharide Exposure Impact Prenatal Testicular Development in Rats, and Could α-Tocopherol Provide a Protective Effect? A Histological, Immunohistochemical and Biochemical Study 母体脂多糖暴露如何影响大鼠产前睾丸发育,α-生育酚是否有保护作用?A组织、免疫组织化学和生化研究
IF 1.6 4区 医学 Q4 DEVELOPMENTAL BIOLOGY Pub Date : 2025-05-02 DOI: 10.1002/bdr2.2469
Shimaa Antar Fareed, Heba El-Sayed Mostafa, Yousif Mohamed Saleh, Yasmin Islam Magdi, Islam Mohamed Magdi Ammar

Background

Lipopolysaccharides or endotoxins trigger proinflammatory cytokines and nitric oxide release, whereas α-tocopherol protects cells from oxidative damage. This study investigated the effects of maternal lipopolysaccharide exposure on prenatal testicular development in male rat offspring and assessed α-tocopherol's protective role.

Methods

Forty pregnant female rats were divided into four groups. Group I (control) included a negative control receiving normal saline and a positive control receiving 30 mg/kg of α-tocopherol intraperitoneally from the 3rd to 18th gestational day. Group II received 50 mg/kg of lipopolysaccharides intraperitoneally from the 13th to 17th gestational day, whereas Group III received both α-tocopherol and lipopolysaccharides at the same dosages. On the seventh day postpartum, fetuses were weighed, sexed, and dissected; sera from male fetuses were collected for biochemical analysis, and fetal testes were used for histology, immunohistochemistry, and morphometry.

Results

Rats treated with lipopolysaccharide showed reduced body weight, testosterone, and luteinizing hormone levels, with histopathological changes, including thickened testicular capsules and abnormalities in the number, size, shape, and cellular components of seminiferous tubules. These adverse effects were improved by α-tocopherol supplementation.

Conclusion

We concluded that lipopolysaccharide exposure during pregnancy impairs testicular development and steroidogenesis, which are ameliorated by α-tocopherol coadministration.

脂多糖或内毒素可触发促炎细胞因子和一氧化氮的释放,而α-生育酚可保护细胞免受氧化损伤。本研究探讨了母体脂多糖暴露对雄性大鼠子代产前睾丸发育的影响,并评估了α-生育酚的保护作用。方法40只妊娠雌性大鼠分为4组。ⅰ组(对照组)为阴性对照组,从妊娠第3 ~ 18天开始腹腔注射生理盐水,阳性对照组注射30 mg/kg α-生育酚。II组在妊娠第13 ~ 17天腹腔注射50 mg/kg脂多糖,III组同时注射相同剂量的α-生育酚和脂多糖。产后第7天,对胎儿进行称重、性别鉴定和解剖;采集男性胎儿血清进行生化分析,对胎儿睾丸进行组织学、免疫组织化学和形态计量学分析。结果脂多糖组大鼠体重减轻,睾酮和黄体生成素水平降低,组织病理改变,包括睾丸囊增厚,精小管数量、大小、形状和细胞成分异常。补充α-生育酚可改善这些不良反应。结论妊娠期脂多糖暴露会影响睾丸发育和类固醇生成,而α-生育酚可改善这一影响。
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引用次数: 0
Correction to “Cognitive, Behavioral and Educational Outcomes in Children Aged 5–11 Years With Spina Bifida in Northern Ireland” 纠正“北爱尔兰5-11岁脊柱裂儿童的认知、行为和教育结果”
IF 1.6 4区 医学 Q4 DEVELOPMENTAL BIOLOGY Pub Date : 2025-05-02 DOI: 10.1002/bdr2.2478

Parajuli, Y. G. and Sinclair, M. 2025. “Cognitive, Behavioral and Educational Outcomes in Children Aged 5–11 Years With Spina Bifida in Northern Ireland.” Birth Defects Research 117: e2434. https://doi.org/10.1002/bdr2.2434.

In the originally published article, the Acknowledgments section omitted some names. The correct Acknowledgments section is shown below.

Parajuli, Y. G.和Sinclair, M. 2025。北爱尔兰5-11岁脊柱裂儿童的认知、行为和教育结果出生缺陷研究117:e2434。https://doi.org/10.1002/bdr2.2434.In在最初发表的文章中,致谢部分省略了一些名字。正确的致谢部分如下所示。
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引用次数: 0
Exome Sequencing to Identify Novel Susceptibility Genes for Nonsyndromic Split-Hand/Ft Malformation: A Report From the National Birth Defects Prevention Study 外显子组测序鉴定非综合征性裂手畸形的新易感基因:一份来自国家出生缺陷预防研究的报告
IF 1.6 4区 医学 Q4 DEVELOPMENTAL BIOLOGY Pub Date : 2025-04-30 DOI: 10.1002/bdr2.2472
Tonia C. Carter, Denise M. Kay, Faith Pangilinan, Lynn M. Almli, Mary M. Jenkins, Elizabeth E. Blue, Pagna Sok, Janson J. White, Christopher M. Cunniff, A. J. Agopian, Michael J. Bamshad, Lorenzo D. Botto, Lawrence C. Brody, Muge Gucsavas-Calikoglu, Jessica X. Chong, Horacio Gomez-Acevedo, Philip J. Lupo, Cynthia A. Moore, Wendy N. Nembhard, Richard S. Olney, Andrew F. Olshan, Mohammed S. Orloff, Jennita Reefhuis, Paul A. Romitti, Gary M. Shaw, Martha M. Werler, Mahsa M. Yazdy, Marilyn L. Browne, Meredith M. Howley, University of Washington Center for Mendelian Genomics, NISC Comparative Sequencing Program, the National Birth Defects Prevention Study

Background

Split-hand/foot malformation (SHFM) is a rare, genetically heterogeneous, congenital limb defect. Some but not all associated genes are known; therefore, the aim was to identify genes underlying SHFM.

Methods

Buccal cell-derived DNA from 26 children with SHFM and their parents who participated in the National Birth Defects Prevention Study was exome sequenced. Family-based trio analyzes prioritized rare coding variants by inheritance patterns, predicted pathogenicity, and location within putative limb development genes. Copy-number variants in SHFM candidate genomic regions were also examined. Case–control analyzes compared coding variants between case children and 1191 controls (parents of children with non-limb birth defects). Variant validation was by Sanger sequencing or droplet digital polymerase chain reaction.

Results

In family-based analyzes, the prioritized and validated variants (each in a single family) included likely damaging variants that were heterozygous and de novo in speckle type BTB/POZ protein (SPOP) and ubiquitin-like modifier activating enzyme 2 (UBA2), X-linked recessive in fibroblast growth factor 13 (FGF13) and RNA binding motif protein 10 (RBM10), and compound heterozygous in interleukin enhancer binding factor 3 (ILF3). Validation assays did not confirm predicted de novo copy-number gains at chromosomes 10q24 and 19p13.11. Case–control analyzes did not identify statistically significant associations.

Conclusion

Exome analysis nominated new susceptibility genes (FGF13, ILF3, RBM10, SPOP) and detected a variant in a known candidate gene (UBA2). Follow-up investigation is needed to ascertain damaging variants in these genes in additional cases with SHFM and evaluate the impact of the variants on gene expression, protein function, and limb development.

手足裂畸形(SHFM)是一种罕见的、遗传异质性的先天性肢体缺陷。一些相关基因是已知的,但不是全部;因此,目的是鉴定SHFM的基因。方法对参加国家出生缺陷预防研究的26例SHFM患儿及其父母的口腔细胞来源DNA进行外显子组测序。基于家庭的三重奏通过遗传模式、预测的致病性和假定的肢体发育基因的位置来分析优先的罕见编码变异。还研究了SHFM候选基因组区域的拷贝数变异。病例对照分析比较了病例儿童和1191例对照(无肢体出生缺陷儿童的父母)之间的编码变异。变异验证采用Sanger测序或液滴数字聚合酶链反应。结果在基于家族的分析中,优先和验证的变异(每个都在一个家族中)包括斑点型BTB/POZ蛋白(SPOP)和泛素样修饰物激活酶2 (UBA2)的杂合和新生的可能的破坏性变异,成纤维细胞生长因子13 (FGF13)和RNA结合基元蛋白10 (RBM10)的x连锁隐性变异,以及白细胞介素增强子结合因子3 (ILF3)的复合杂合变异。验证试验没有证实预测的10q24和19p13.11染色体的从头拷贝数增加。病例-对照分析未发现有统计学意义的关联。结论外显子组分析发现新的易感基因(FGF13、ILF3、RBM10、SPOP),并在已知候选基因(UBA2)中检测到一个变异。在其他SHFM病例中,需要进行后续调查以确定这些基因的破坏性变异,并评估变异对基因表达、蛋白质功能和肢体发育的影响。
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引用次数: 0
Abstract Supplement 抽象的补充
IF 1.6 4区 医学 Q4 DEVELOPMENTAL BIOLOGY Pub Date : 2025-04-25 DOI: 10.1002/bdr2.2475
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引用次数: 0
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Birth Defects Research
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