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19370764 | [
"Mucolipidosis",
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"synthesis",
"inhibitor",
"anisomycin.",
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"fragment",
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"8",
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16575011 | [
"PURPOSE:",
"The",
"purpose",
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"was",
"to",
"analyze",
"the",
"value",
"of",
"germline",
"and",
"tumor",
"thymidylate",
"synthase",
"(TS)",
"genotyping",
"as",
"a",
"prognostic",
"marker",
"in",
"a",
"series",
"of",
"colorectal",
"cancer",
"patients",
"receiving",
"adjuvant",
"fluorouracil",
"(FU)",
"-based",
"treatment.",
"PATIENTS",
"AND",
"METHODS:",
"One",
"hundred",
"twenty-nine",
"colorectal",
"cancer",
"patients",
"homogeneously",
"treated",
"with",
"FU",
"plus",
"levamisole",
"or",
"leucovorin",
"in",
"the",
"adjuvant",
"setting",
"were",
"included.",
"TS",
"enhancer",
"region,",
"3R",
"G",
">",
"C",
" ",
"single",
"nucleotide",
"polymorphism",
"(SNP),",
"and",
"TS",
"1494del6",
" ",
"polymorphisms",
"were",
"assessed",
"in",
"both",
"fresh-frozen",
"normal",
"mucosa",
"and",
"tumor.",
"Mutational",
"analyses",
"of",
"TS",
"and",
"allelic",
"imbalances",
"were",
"studied",
"in",
"all",
"primary",
"tumors",
"and",
"in",
"18",
"additional",
"metachronic",
"metastases.",
"TS",
"protein",
"immunostaining",
"was",
"assessed",
"in",
"an",
"expanded",
"series",
"of",
"214",
"tumors.",
"Multivariate",
"Cox",
"models",
"were",
"adjusted",
"for",
"stage,",
"differentiation,",
"and",
"location.",
"RESULTS:",
"Tumor",
"genotyping",
"(frequency",
"of",
"allelic",
"loss,",
"26%)",
"showed",
"that",
"the",
"3R/3R",
"genotype",
"was",
"associated",
"with",
"a",
"better",
"outcome",
"(hazard",
"ratio",
"[HR]",
"=",
"0.38;",
"95%",
"CI,",
"0.16",
"to",
"0.93;",
"P",
"=",
".020",
"for",
"the",
"recessive",
"model).",
"3R",
"G",
">",
"C",
" ",
"SNP",
"genotyping",
"did",
"not",
"add",
"prognostic",
"information.",
"Tumor",
"TS",
"1494del6",
" ",
"allele",
"(frequency",
"of",
"allelic",
"loss,",
"36%)",
"was",
"protective",
"(for",
"each",
"allele",
"with",
"the",
"deletion,",
"based",
"on",
"an",
"additive",
"model,",
"HR",
"=",
"0.42;",
"95%",
"CI,",
"0.22",
"to",
"0.82;",
"P",
"=",
".0034).",
"Both",
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"were",
"in",
"strong",
"linkage",
"disequilibrium",
"(D'",
"=",
"0.71,",
"P",
"<",
".001),",
"and",
"the",
"3R/-6",
"base",
"pair",
"(bp)",
"haplotype",
"showed",
"a",
"significant",
"overall",
"survival",
"benefit",
"compared",
"with",
"the",
"most",
"prevalent",
"haplotype",
"2R/+6bp",
"(HR",
"=",
"0.42;",
"95%",
"CI,",
"0.20",
"to",
"0.85;",
"P",
"=",
".017).",
"No",
"TS",
"point",
"mutation",
"was",
"detected",
"in",
"primary",
"tumors",
"or",
"metastases.",
"TS",
"protein",
"immunostaining",
"was",
"not",
"associated",
"with",
"survival",
"or",
"any",
"of",
"the",
"genotypes",
"analyzed.",
"CONCLUSION:",
"Tumor",
"TS",
"1494del6",
" ",
"genotype",
"may",
"be",
"a",
"prognostic",
"factor",
"in",
"FU-based",
"adjuvant",
"treatment",
"of",
"colorectal",
"cancer",
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] | PURPOSE: The purpose of this study was to analyze the value of germline and tumor thymidylate synthase (TS) genotyping as a prognostic marker in a series of colorectal cancer patients receiving adjuvant fluorouracil (FU) -based treatment. PATIENTS AND METHODS: One hundred twenty-nine colorectal cancer patients homogeneously treated with FU plus levamisole or leucovorin in the adjuvant setting were included. TS enhancer region, 3R G > C single nucleotide polymorphism (SNP), and TS 1494del6 polymorphisms were assessed in both fresh-frozen normal mucosa and tumor. Mutational analyses of TS and allelic imbalances were studied in all primary tumors and in 18 additional metachronic metastases. TS protein immunostaining was assessed in an expanded series of 214 tumors. Multivariate Cox models were adjusted for stage, differentiation, and location. RESULTS: Tumor genotyping (frequency of allelic loss, 26%) showed that the 3R/3R genotype was associated with a better outcome (hazard ratio [HR] = 0.38; 95% CI, 0.16 to 0.93; P = .020 for the recessive model). 3R G > C SNP genotyping did not add prognostic information. Tumor TS 1494del6 allele (frequency of allelic loss, 36%) was protective (for each allele with the deletion, based on an additive model, HR = 0.42; 95% CI, 0.22 to 0.82; P = .0034). Both polymorphisms were in strong linkage disequilibrium (D' = 0.71, P < .001), and the 3R/-6 base pair (bp) haplotype showed a significant overall survival benefit compared with the most prevalent haplotype 2R/+6bp (HR = 0.42; 95% CI, 0.20 to 0.85; P = .017). No TS point mutation was detected in primary tumors or metastases. TS protein immunostaining was not associated with survival or any of the genotypes analyzed. CONCLUSION: Tumor TS 1494del6 genotype may be a prognostic factor in FU-based adjuvant treatment of colorectal cancer patients. | [
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20352162 | [
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20529581 | [
"BACKGROUND:",
"Leukocyte",
"adhesion",
"deficiency",
"type",
"1",
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"is",
"a",
"rare,",
"autosomal",
"recessive",
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"poor",
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"The",
"purpose",
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"the",
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"findings",
"of",
"the",
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"to",
"identify",
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"genetic",
"entity.",
"METHODS:",
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"expression",
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"the",
"peripheral",
"blood",
"leukocytes",
"from",
"the",
"patient,",
"his",
"parents",
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"was",
"measured",
"with",
"flow",
"cytometry.",
"The",
"entire",
"coding",
"regions",
"of",
"the",
"CD18",
"gene",
"were",
"screened",
"with",
"direct",
"sequencing",
"genomic",
"DNA.",
"RESULTS:",
"CD18",
"expression",
"level",
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"this",
"patient's",
"leukocyte",
"surface",
"was",
"significantly",
"decreased,",
"with",
"normal",
"level",
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"control",
"group,",
"his",
"father",
"and",
"mother.",
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"analysis",
"revealed",
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"patient",
"had",
"a",
"homozygous",
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">",
"T",
" ",
"missense",
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"the",
"300",
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"300",
"Val",
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"correct",
"and",
"early",
"diagnosis",
"in",
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17392687 | [
"PURPOSE:",
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"the",
"most",
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"proteins",
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"although",
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"While",
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"lens",
"opacities,",
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"have",
"not",
"been",
"previously",
"investigated",
"in",
"these",
"mutants.",
"Since",
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"found",
"mice",
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"the",
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"bred",
"poorly,",
"here",
"we",
"assess",
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"and",
"determine",
"the",
"expression",
"pattern",
"of",
"betaB2-crystallin",
"in",
"the",
"testis.",
"METHODS:",
"The",
"expression",
"pattern",
"of",
"betaB2-crystallin",
"in",
"the",
"testis",
"was",
"analyzed",
"by",
"rt-PCR,",
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"and",
"immunohistochemistry.",
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"fecundity",
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"was",
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"quantitative",
"fertility",
"testing.",
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"morphology",
"of",
"testes",
"and",
"ovaries",
"was",
"assessed",
"by",
"hematoxylin",
"and",
"eosin",
"staining.",
"RESULTS:",
"In",
"the",
"mouse",
"testis,",
"betaB2-crystallin",
"mRNA",
"is",
"found",
"at",
"low",
"levels",
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"birth,",
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"its",
"expression",
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"in",
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"mice,",
"cattle,",
"and",
"humans",
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"this",
"protein",
"in",
"developing",
"sperm",
"from",
"the",
"spermatocyte",
"stage",
"onward.",
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"and",
"female",
"mice",
"homozygous",
"for",
"a",
"12",
"nucleotide",
"inframe",
"deletion",
"mutation",
"in",
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"are",
"subfertile",
"when",
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"on",
"a",
"Swiss",
"Webster",
"derived",
"background",
"due",
"to",
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"background",
"did",
"not",
"exhibit",
"any",
"defects",
"in",
"reproductive",
"function.",
"CONCLUSIONS:",
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"is",
"expressed",
"in",
"developing",
"and",
"mature",
"sperm",
"and",
"mice",
"of",
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"a",
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"Webster",
"genetic",
"background.",
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"these",
"data",
"are",
"suggestive",
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"a",
"role",
"for",
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"fertility,",
"definitive",
"determination",
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"this",
"will",
"await",
"the",
"creation",
"of",
"a",
"betaB2-crystallin",
"null",
"mouse."
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] | PURPOSE: betaB2-crystallin is one of the most abundant proteins of the adult ocular lens of mammals although it is expressed at lower levels in several extralenticular locations. While mutations in betaB2-crystallin are known to result in lens opacities, alterations in tissues besides the lens have not been previously investigated in these mutants. Since we found mice harboring the Crybb2Phil mutation bred poorly, here we assess the contribution of betaB2-crystallin to mouse fertility and determine the expression pattern of betaB2-crystallin in the testis. METHODS: The expression pattern of betaB2-crystallin in the testis was analyzed by rt-PCR, western blotting, and immunohistochemistry. The fecundity of wildtype and Crybb2Phil mice was analyzed by quantitative fertility testing. The morphology of testes and ovaries was assessed by hematoxylin and eosin staining. RESULTS: In the mouse testis, betaB2-crystallin mRNA is found at low levels at birth, but its expression upregulates in this tissue as the testis is primed to initiate spermatogenesis. Western blotting detected betaB2-crystallin protein in sperm obtained from mice, cattle, and humans while immunolocalization detected this protein in developing sperm from the spermatocyte stage onward. Male and female mice homozygous for a 12 nucleotide inframe deletion mutation in betaB2-crystallin are subfertile when analyzed on a Swiss Webster derived background due to defects in egg and sperm production. However, mice harboring the same mutation on the C57Bl/6 genetic background did not exhibit any defects in reproductive function. CONCLUSIONS: betaB2-crystallin is expressed in developing and mature sperm and mice of both sexes harboring the Philly mutation in the betaB2-crystallin gene are subfertile when analyzed on a Swiss Webster genetic background. While these data are suggestive of a role for betaB2-crystallin in fertility, definitive determination of this will await the creation of a betaB2-crystallin null mouse. | [
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20693575 | [
"BACKGROUND:",
"HCN",
"channels",
"activate",
"the",
"pacemaker",
"current",
"I(f),",
"which",
"is",
"thought",
"to",
"contribute",
"significantly",
"to",
"generation",
"and",
"regulation",
"of",
"heart",
"rhythm.",
"HCN4",
"represents",
"the",
"dominant",
"isotype",
"in",
"the",
"sinoatrial",
"node",
"and",
"binding",
"of",
"cAMP",
"was",
"suggested",
"to",
"be",
"necessary",
"for",
"autonomic",
"heart",
"rate",
"regulation.",
"METHODS",
"AND",
"RESULTS:",
"In",
"a",
"candidate",
"gene",
"approach,",
"a",
"heterozygous",
"insertion",
"of",
"13",
"nucleotides",
"in",
"exon",
"6",
"of",
"the",
"HCN4",
"gene",
"leading",
"to",
"a",
"truncated",
"cyclic",
"nucleotide-binding",
"domain",
"was",
"identified",
"in",
"a",
"45-year-old",
"woman",
"with",
"sinus",
"bradycardia.",
"Biophysical",
"properties",
"determined",
"by",
"whole-cell",
"patch-clamp",
"recording",
"of",
"HEK293",
"cells",
"demonstrated",
"that",
"mutant",
"subunits",
"(HCN4-695X)",
"were",
"insensitive",
"to",
"cAMP.",
"Heteromeric",
"channels",
"composed",
"of",
"wild-type",
"and",
"mutant",
"subunits",
"failed",
"to",
"respond",
"to",
"cAMP-like",
"homomeric",
"mutant",
"channels,",
"indicating",
"a",
"dominant-negative",
"suppression",
"of",
"cAMP-induced",
"channel",
"activation",
"by",
"mutant",
"subunits.",
"Pedigree",
"analysis",
"identified",
"7",
"additional",
"living",
"carriers",
"showing",
"similar",
"clinical",
"phenotypes,",
"that",
"is,",
"sinus",
"node",
"dysfunction",
"with",
"mean",
"resting",
"heart",
"rate",
"of",
"45.9",
" ",
"4.6",
"bpm",
"(n=8)",
"compared",
"with",
"66.5",
" ",
"9.1",
"bpm",
"of",
"unaffected",
"relatives",
"(n=6;",
"P<0.01).",
"Clinical",
"evaluation",
"revealed",
"no",
"ischemic",
"or",
"structural",
"heart",
"disease",
"in",
"any",
"family",
"member.",
"Importantly,",
"mutant",
"carriers",
"exhibited",
"normal",
"heart",
"rate",
"variance",
"and",
"full",
"ability",
"to",
"accelerate",
"heart",
"rate",
"under",
"physical",
"activity",
"or",
"pharmacological",
"stimulation.",
"Moreover,",
"mutant",
"carriers",
"displayed",
"distinctive",
"sinus",
"arrhythmias",
"and",
"premature",
"beats",
"linked",
"to",
"adrenergic",
"stress.",
"CONCLUSIONS:",
"In",
"humans,",
"cAMP",
"responsiveness",
"of",
"I(f)",
"determines",
"basal",
"heart",
"rate",
"but",
"is",
"not",
"critical",
"for",
"maximum",
"heart",
"rate,",
"heart",
"rate",
"variability,",
"or",
"chronotropic",
"competence.",
"Furthermore,",
"cAMP-activated",
"I(f)",
"may",
"stabilize",
"heart",
"rhythm",
"during",
"chronotropic",
"response."
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] | BACKGROUND: HCN channels activate the pacemaker current I(f), which is thought to contribute significantly to generation and regulation of heart rhythm. HCN4 represents the dominant isotype in the sinoatrial node and binding of cAMP was suggested to be necessary for autonomic heart rate regulation. METHODS AND RESULTS: In a candidate gene approach, a heterozygous insertion of 13 nucleotides in exon 6 of the HCN4 gene leading to a truncated cyclic nucleotide-binding domain was identified in a 45-year-old woman with sinus bradycardia. Biophysical properties determined by whole-cell patch-clamp recording of HEK293 cells demonstrated that mutant subunits (HCN4-695X) were insensitive to cAMP. Heteromeric channels composed of wild-type and mutant subunits failed to respond to cAMP-like homomeric mutant channels, indicating a dominant-negative suppression of cAMP-induced channel activation by mutant subunits. Pedigree analysis identified 7 additional living carriers showing similar clinical phenotypes, that is, sinus node dysfunction with mean resting heart rate of 45.9 4.6 bpm (n=8) compared with 66.5 9.1 bpm of unaffected relatives (n=6; P<0.01). Clinical evaluation revealed no ischemic or structural heart disease in any family member. Importantly, mutant carriers exhibited normal heart rate variance and full ability to accelerate heart rate under physical activity or pharmacological stimulation. Moreover, mutant carriers displayed distinctive sinus arrhythmias and premature beats linked to adrenergic stress. CONCLUSIONS: In humans, cAMP responsiveness of I(f) determines basal heart rate but is not critical for maximum heart rate, heart rate variability, or chronotropic competence. Furthermore, cAMP-activated I(f) may stabilize heart rhythm during chronotropic response. | [
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17175380 | [
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21790735 | [
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22125978 | [
"OBJECTIVE:",
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"identify",
"the",
"disease",
"causing",
"gene",
"in",
"a",
"four",
"generation",
"consanguineous",
"family",
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"which",
"eleven",
"family",
"members",
"were",
"suffering",
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"phenotype.",
"METHODS:",
"Linkage",
"analysis",
"was",
"carried",
"out",
"to",
"identify",
"the",
"disease-causing",
"gene",
"in",
"this",
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"Genomic",
"DNA",
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"hair/hypotrichosis",
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"was",
"performed",
"to",
"identify",
"the",
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"mutation.",
"RESULTS:",
"By",
"using",
"homozygosity",
"linkage",
"analysis",
"we",
"have",
"mapped",
"the",
"family",
"on",
"chromosome",
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"with",
"a",
"two",
"point",
"LOD",
"score",
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"4.04,",
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"of",
"the",
"LIPH",
"gene",
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"c.659_660delTA",
" ",
"deletion",
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"segregating",
"with",
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"CONCLUSION:",
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"results",
"indicate",
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"the",
"c.659_660delTA",
" ",
"mutation",
"in",
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19365571 | [
"PURPOSE:",
"To",
"identify",
"mutations",
"in",
"the",
"carbohydrate",
"sulfotransferase",
"gene",
"(CHST6)",
"for",
"a",
"Chinese",
"family",
"with",
"macular",
"corneal",
"dystrophy",
"(MCD)",
"and",
"to",
"investigate",
"the",
"histopathological",
"changes",
"in",
"the",
"affected",
"cornea.",
"METHODS:",
"A",
"corneal",
"button",
"of",
"the",
"proband",
"was",
"obtained",
"by",
"penetrating",
"keratoplasty.",
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"half",
"button",
"and",
"ultrathin",
"sections",
"from",
"the",
"other",
"half",
"button",
"were",
"examined",
"with",
"special",
"stains",
"under",
"a",
"light",
"microscope",
"(LM)",
"and",
"an",
"electron",
"microscope",
"(EM)",
"separately.",
"Genomic",
"DNA",
"was",
"extracted",
"from",
"peripheral",
"blood",
"of",
"11",
"family",
"members,",
"and",
"the",
"coding",
"region",
"of",
"CHST6",
"was",
"amplified",
"by",
"the",
"polymerase",
"chain",
"reaction",
"(PCR)",
"method.",
"The",
"PCR",
"products",
"were",
"analyzed",
"by",
"direct",
"sequencing",
"and",
"restriction",
"enzyme",
"digestion.",
"RESULTS:",
"The",
"positive",
"reaction",
"to",
"colloidal",
"iron",
"stain",
"(extracellular",
"blue",
"accumulations",
"in",
"the",
"stroma)",
"was",
"detected",
"under",
"light",
"microscopy.",
"Transmission",
"electron",
"microscopy",
"revealed",
"the",
"enlargement",
"of",
"smooth",
"endoplasmic",
"reticulum",
"and",
"the",
"presence",
"of",
"intracytoplasmic",
"vacuoles.",
"The",
"compound",
"heterozygous",
"mutations,",
"c.892C>T",
" ",
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"c.1072T>C",
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"were",
"identified",
"in",
"exon",
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"three",
"patients.",
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"two",
"transversions",
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"in",
"the",
"substitution",
"of",
"a",
"stop",
"codon",
"for",
"glutamine",
"at",
"codon",
"298",
"(",
"p.Q298X",
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"and",
"a",
"missense",
"mutation",
"at",
"codon",
"358,",
"tyrosine",
"to",
"histidine",
"(",
"p.Y358H",
").",
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"six",
"unaffected",
"family",
"individuals",
"carried",
"alternative",
"heterozygous",
"mutations.",
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"two",
"mutations",
"were",
"not",
"detected",
"in",
"any",
"of",
"the",
"100",
"control",
"subjects.",
"CONCLUSIONS:",
"Those",
"novel",
"compound",
"heterozygous",
"mutations",
"were",
"thought",
"to",
"contribute",
"to",
"the",
"loss",
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"the",
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"stroma.",
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"the",
"observation",
"of",
"a",
"positive",
"stain",
"reaction",
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"the",
"enlarged",
"collagen",
"fibers",
"as",
"well",
"as",
"hyperplastic",
"fibroblasts",
"under",
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] | PURPOSE: To identify mutations in the carbohydrate sulfotransferase gene (CHST6) for a Chinese family with macular corneal dystrophy (MCD) and to investigate the histopathological changes in the affected cornea. METHODS: A corneal button of the proband was obtained by penetrating keratoplasty. The half button and ultrathin sections from the other half button were examined with special stains under a light microscope (LM) and an electron microscope (EM) separately. Genomic DNA was extracted from peripheral blood of 11 family members, and the coding region of CHST6 was amplified by the polymerase chain reaction (PCR) method. The PCR products were analyzed by direct sequencing and restriction enzyme digestion. RESULTS: The positive reaction to colloidal iron stain (extracellular blue accumulations in the stroma) was detected under light microscopy. Transmission electron microscopy revealed the enlargement of smooth endoplasmic reticulum and the presence of intracytoplasmic vacuoles. The compound heterozygous mutations, c.892C>T and c.1072T>C , were identified in exon 3 of CHST6 in three patients. The two transversions resulted in the substitution of a stop codon for glutamine at codon 298 ( p.Q298X ) and a missense mutation at codon 358, tyrosine to histidine ( p.Y358H ). The six unaffected family individuals carried alternative heterozygous mutations. These two mutations were not detected in any of the 100 control subjects. CONCLUSIONS: Those novel compound heterozygous mutations were thought to contribute to the loss of CHST6 function, which induced the abnormal metabolism of keratan sulfate (KS) that deposited in the corneal stroma. It could be proved by the observation of a positive stain reaction and the enlarged collagen fibers as well as hyperplastic fibroblasts under microscopes. | [
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17962394 | [
"AIMS:",
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"study",
"aimed",
"to",
"identify",
"the",
"underlying",
"genetic",
"defect",
"of",
"a",
"large",
"Turkish",
"X",
"linked",
"nystagmus",
"(NYS)",
"family.",
"METHODS:",
"Both",
"Xp11",
"and",
"Xq26",
"loci",
"were",
"tested",
"by",
"linkage",
"analysis.",
"The",
"12",
"exons",
"and",
"intron-exon",
"junctions",
"of",
"the",
"FRMD7",
"gene",
"were",
"screened",
"by",
"direct",
"sequencing.",
"X",
"chromosome",
"inactivation",
"analysis",
"was",
"performed",
"by",
"enzymatic",
"predigestion",
"of",
"DNA",
"with",
"a",
"methylation-sensitive",
"enzyme,",
"followed",
"by",
"PCR",
"of",
"the",
"polymorphic",
"CAG",
"repeat",
"of",
"the",
"androgen",
"receptor",
"gene.",
"RESULTS:",
"The",
"family",
"contained",
"162",
"individuals,",
"among",
"whom",
"28",
"had",
"NYS.",
"Linkage",
"analysis",
"confirmed",
"the",
"Xq26",
"locus.",
"A",
"novel",
"missense",
"c.686C>G",
" ",
"mutation,",
"which",
"causes",
"the",
"substitution",
"of",
"a",
"conserved",
"arginine",
"at",
"amino",
"acid",
"position",
"229",
"by",
"glycine",
"(",
"p.R229G",
")",
"in",
"exon",
"8",
"of",
"the",
"FRMD7",
"gene,",
"was",
"observed.",
"This",
"change",
"was",
"not",
"documented",
"in",
"120",
"control",
"individuals.",
"The",
"clinical",
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"in",
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"for",
"the",
"mutation",
"were",
"not",
"different",
"from",
"those",
"of",
"affected",
"heterozygous",
"females.",
"Skewed",
"X",
"inactivation",
"was",
"remarkable",
"in",
"the",
"affected",
"females",
"of",
"the",
"family.",
"CONCLUSIONS:",
"A",
"novel",
"p.R229G",
" ",
"mutation",
"in",
"the",
"FRMD7",
"gene",
"causes",
"the",
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"influences",
"the",
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] | AIMS: This study aimed to identify the underlying genetic defect of a large Turkish X linked nystagmus (NYS) family. METHODS: Both Xp11 and Xq26 loci were tested by linkage analysis. The 12 exons and intron-exon junctions of the FRMD7 gene were screened by direct sequencing. X chromosome inactivation analysis was performed by enzymatic predigestion of DNA with a methylation-sensitive enzyme, followed by PCR of the polymorphic CAG repeat of the androgen receptor gene. RESULTS: The family contained 162 individuals, among whom 28 had NYS. Linkage analysis confirmed the Xq26 locus. A novel missense c.686C>G mutation, which causes the substitution of a conserved arginine at amino acid position 229 by glycine ( p.R229G ) in exon 8 of the FRMD7 gene, was observed. This change was not documented in 120 control individuals. The clinical findings in a female who was homozygous for the mutation were not different from those of affected heterozygous females. Skewed X inactivation was remarkable in the affected females of the family. CONCLUSIONS: A novel p.R229G mutation in the FRMD7 gene causes the NYS phenotype, and skewed X inactivation influences the manifestation of the disease in X linked NYS females. | [
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" ",
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" ",
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"India,",
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] | Congenital generalized lipodystrophy (CGL) is a rare autosomal recessive disease that is characterized by a near-complete absence of adipose tissue from birth or early infancy. Mutations in the BSCL2 gene are known to result in CGL2, a more severe phenotype than CGL1, with earlier onset, more extensive fat loss and biochemical changes, more severe intellectual impairment, and more severe cardiomyopathy. We report a 3-month-old Taiwanese boy with initial presentation of a lack of subcutaneous fat, prominent musculature, generalized eruptive xanthomas, and extreme hypertriglyceridemia. Absence of mechanical adipose tissue in the orbits and scalp was revealed by head magnetic resonance imaging. Hepatomegaly was noticed, and histological examination of a liver biopsy specimen suggested severe hepatic steatosis and periportal necrosis. However, echocardiography indicated no sign of cardiomyopathy and he showed no distinct intellectual impairment that interfered with daily life. About 1 year later, abdominal computed tomography revealed enlargement of kidneys. He had a homozygous insertion of a nucleotide, 783insG ( Ile262fs mutation), in exon 7 of the BSCL2 gene. We reviewed the genotype of CGL cases from Japan, India, China and Taiwan, and found that BSCL2 is a major causative gene for CGL in Asian. | [
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17962469 | [
"PURPOSE:",
"To",
"report",
"a",
"large,",
"consanguineous",
"Algerian",
"family",
"affected",
"with",
"Leber",
"congenital",
"amaurosis",
"(LCA)",
"or",
"early-onset",
"retinal",
"degeneration",
"(EORD).",
"METHODS:",
"All",
"accessible",
"family",
"members",
"underwent",
"a",
"complete",
"ophthalmic",
"examination,",
"and",
"blood",
"was",
"obtained",
"for",
"DNA",
"extraction.",
"Homozygosity",
"mapping",
"was",
"performed",
"with",
"markers",
"flanking",
"12",
"loci",
"associated",
"with",
"LCA.",
"The",
"15",
"exons",
"of",
"TULP1",
"were",
"sequenced.",
"RESULTS:",
"Seven",
"of",
"30",
"examined",
"family",
"members",
"were",
"affected,",
"including",
"five",
"with",
"EORD",
"and",
"two",
"with",
"LCA.",
"All",
"patients",
"had",
"nystagmus,",
"hemeralopia,",
"mild",
"myopia,",
"and",
"low",
"visual",
"acuity",
"without",
"photophobia.",
"Fundus",
"features",
"were",
"variable",
"among",
"EORD",
"patients:",
"typical",
"spicular",
"retinitis",
"pigmentosa",
"or",
"clumped",
"pigmented",
"retinopathy",
"with",
"age-dependent",
"macular",
"involvement.",
"A",
"salt-and-pepper",
"retinopathy",
"with",
"midperipheral",
"retinal",
"pigment",
"epithelium",
"(RPE)",
"atrophy",
"was",
"present",
"in",
"the",
"older",
"patients",
"with",
"LCA,",
"whereas",
"the",
"retina",
"appeared",
"virtually",
"normal",
"in",
"the",
"younger",
"ones.",
"Both",
"scotopic",
"and",
"photopic",
"electroretinograms",
"were",
"nondetectable.",
"Fundus",
"imaging",
"revealed",
"a",
"perifoveal",
"ring",
"of",
"increased",
"fundus",
"autofluorescence",
"(FAF)",
"in",
"the",
"proband,",
"and",
"optical",
"coherence",
"tomography",
"disclosed",
"a",
"thinned",
"retina,",
"mainly",
"due",
"to",
"photoreceptor",
"loss.",
"Linkage",
"analysis",
"identified",
"a",
"region",
"of",
"homozygosity",
"on",
"chromosome",
"6,",
"region",
"p21.3,",
"and",
"mutation",
"screening",
"revealed",
"a",
"novel",
"6-base",
"in-frame",
"duplication,",
"in",
"the",
"TULP1",
"gene.",
"CONCLUSIONS:",
"Mutation",
"in",
"the",
"TULP1",
"gene",
"is",
"a",
"rare",
"cause",
"of",
"LCA/EORD,",
"with",
"only",
"14",
"mutations",
"reported",
"so",
"far.",
"The",
"observed",
"intrafamilial",
"phenotypic",
"variability",
"could",
"be",
"attributed",
"to",
"disease",
"progression",
"or",
"possibly",
"modifier",
"alleles.",
"This",
"study",
"provides",
"the",
"first",
"description",
"of",
"FAF",
"and",
"quantitative",
"reflectivity",
"profiles",
"in",
"TULP1-related",
"retinopathy."
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] | PURPOSE: To report a large, consanguineous Algerian family affected with Leber congenital amaurosis (LCA) or early-onset retinal degeneration (EORD). METHODS: All accessible family members underwent a complete ophthalmic examination, and blood was obtained for DNA extraction. Homozygosity mapping was performed with markers flanking 12 loci associated with LCA. The 15 exons of TULP1 were sequenced. RESULTS: Seven of 30 examined family members were affected, including five with EORD and two with LCA. All patients had nystagmus, hemeralopia, mild myopia, and low visual acuity without photophobia. Fundus features were variable among EORD patients: typical spicular retinitis pigmentosa or clumped pigmented retinopathy with age-dependent macular involvement. A salt-and-pepper retinopathy with midperipheral retinal pigment epithelium (RPE) atrophy was present in the older patients with LCA, whereas the retina appeared virtually normal in the younger ones. Both scotopic and photopic electroretinograms were nondetectable. Fundus imaging revealed a perifoveal ring of increased fundus autofluorescence (FAF) in the proband, and optical coherence tomography disclosed a thinned retina, mainly due to photoreceptor loss. Linkage analysis identified a region of homozygosity on chromosome 6, region p21.3, and mutation screening revealed a novel 6-base in-frame duplication, in the TULP1 gene. CONCLUSIONS: Mutation in the TULP1 gene is a rare cause of LCA/EORD, with only 14 mutations reported so far. The observed intrafamilial phenotypic variability could be attributed to disease progression or possibly modifier alleles. This study provides the first description of FAF and quantitative reflectivity profiles in TULP1-related retinopathy. | [
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14510914 | [
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