Publications by authors named "Al-Shamsi A"

Background: Tetrahydrobiopterin (BH4) deficiencies comprise a group of five neurometabolic disorders caused by five genetic defects responsible for BH4 biosynthesis and regeneration. Their global prevalence remains unknown, and variance exists among different countries.

Aims: To describe clinical, biochemical, molecular genetic data and follow-up of patients with BH4 deficiency seen in Tawam Hospital.

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Single-gene mutations are important causes of congenital heart defects in children. Mutations in the gene have been recently described in the literature as a cause of septal defects and cardiomyopathy. However, the spectrum of cardiac disease associated with gene mutations is variable, ranging from asymptomatic septal defects to cardiomyopathy and sudden death.

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  • CPS1 deficiency affects ammonia detoxification in the urea cycle, leading to potentially fatal hyperammonemia, particularly in newborns.
  • A study at Tawam Hospital reviewed five patients with CPS1 deficiency from 2010 to 2023, revealing variations in outcomes and treatment responses.
  • Most patients survived with treatments like Carglumic acid, though some experienced severe neurological issues, highlighting the disease's complexity and the need for ongoing management.
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Introduction: This study addresses the rising cardiovascular disease (CVD) rates in the United Arab Emirates (UAE) by investigating the occurrence and impact of genetic variants in CVD-related genes.

Methods: We collected all genes linked to heritable CVD from public and diagnostic databases and mapped them to their corresponding biological processes and molecular pathways. We then evaluated the types and burden of genetic variants within these genes in 343 individuals from the Emirati Mendelian Study Cohort and 3,007 national electronic health records.

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  • This study examined the prevalence of gastrointestinal (GI) symptoms in patients with lupus and identified factors linked to increased mortality.
  • Out of 1160 systemic lupus erythematosus (SLE) patients, 91 displayed GI manifestations, with prevalence rates of 8.53% in kids and 7.75% in adults, showing no significant difference between the groups.
  • Key findings highlighted that conditions like ischemic colitis were correlated with longer disease duration and specific autoantibodies, and patients with GI involvement had a higher mortality rate due to complications like sepsis and organ damage.
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Background: NOTCH3 encodes a transmembrane receptor critical for vascular smooth muscle cell function. NOTCH3 variants are the leading cause of hereditary cerebral small vessel disease (SVD). While monoallelic cysteine-involving missense variants in NOTCH3 are well-studied in cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL), patients with biallelic variants in NOTCH3 are extremely rare and not well characterised.

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Objectives: This research aims to investigate the prevalence, epidemiological characteristics, mortality rates, survival rates and the rate of malignancy in patients diagnosed with inflammatory myopathies (IIM) in Oman.

Methods: This is a longitudinal study, that covered a span of 16 years at eight rheumatology centres in Oman. The study included all adults and paediatric patients diagnosed with different types of idiopathic inflammatory myopathies (IIM) and who fulfil either the Bohan classification criteria or the 2017 EULAR/ACR classification criteria.

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Transaldolase deficiency is a rare autosomal recessive inborn error of carbohydrate metabolism caused by pathogenic/likely pathogenic biallelic mutations in the gene. This disorder is characterized by multisystem involvement with variable phenotypes, including intrauterine growth restriction; dysmorphic features; abnormal skin; hepatosplenomegaly; cytopenia; and cardiac, renal, and endocrine abnormalities. Herein, we present two Emirati patients with hypergonadotropic hypogonadism due to transaldolase deficiency and variable phenotypes of systemic involvement.

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  • The study focuses on severe central nervous system (CNS) manifestations, such as seizures and encephalopathy, in six children with infantile-onset Pompe disease (IOPD), which typically is treated with enzyme replacement therapy (ERT) that does not affect the brain.
  • All six patients, treated with ERT for 12-15 years, showed significant white matter hyperintensities (WMHI) on MRI scans, which occurred before the onset of neurological symptoms, with seizure onset at a median age of 11.9 years.
  • The findings indicate a need for further research into CNS-related issues in IOPD, as cognitive evaluations suggest developmental plateaus and there may be a link between CNS symptoms and WMHI
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MED27 is a subunit of the Mediator multiprotein complex, which is involved in transcriptional regulation. Biallelic MED27 variants have recently been suggested to be responsible for an autosomal recessive neurodevelopmental disorder with spasticity, cataracts and cerebellar hypoplasia. We further delineate the clinical phenotype of MED27-related disease by characterizing the clinical and radiological features of 57 affected individuals from 30 unrelated families with biallelic MED27 variants.

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Porphyrias, particularly acute intermittent porphyria (AIP), are rare, inherited disorders of heme synthesis. On the other hand, systemic lupus erythematosus (SLE) is an uncommon autoimmune disease that affects women predominantly. The coexistence of AIP and SLE is rare.

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  • Advances in molecular diagnostics have shown that certain genetic variants linked to neurodegenerative diseases can also cause severe neurodevelopmental disorders when inherited in a biallelic manner.* -
  • The study focuses on TOR1A-associated arthrogryposis multiplex congenita 5 (AMC5), revealing a range of clinical symptoms across a cohort of 57 individuals, including severe flexion contractures, developmental delays, and various motor issues.* -
  • The research identified a phenotypic spectrum from mild symptoms to severe disabilities, with a notable survival rate of 71% and a median mortality age of 1.2 months, mainly due to complications like respiratory failure.*
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Background: Hearing loss (HL) is a heterogeneous condition that causes partial or complete hearing impairment. Hundreds of variants in >60 genes have been reported to be associated with Hereditary HL (HHL), variants of the GJB2 gene are the most common cause of congenital SNHL, with >100 variants reported. The HHL prevalence is thought to be high in the Arab population; however, the genetic epidemiology of HHL among Emirati populations is understudied.

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Summary: The most frequent causes of pancreatitis classically have been known to be gallstones or alcohol. However, genetics can also play a key role in predisposing patients to both chronic and acute pancreatitis. The serine protease inhibitor Kazal type 1 (SPINK 1) gene is known to be strongly associated with pancreatitis.

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  • The study examines differences in Parkinson's Disease (PD) between Emiratis and expatriates in the UAE, focusing on motor and non-motor symptoms, diagnosis times, care provisions, and quality of life.
  • A total of 171 patients participated, with Emiratis being younger and having a shorter disease duration. The Emiratis had a greater delay in treatment initiation and exhibited more akinesia and tremor-dominant symptoms compared to expatriates.
  • Both groups faced non-motor symptom burdens, with Emiratis showing poorer quality of life linked to their symptoms and social factors, while expatriates' quality of life was impacted by a lack of social support.
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Purpose: The mediator (MED) multisubunit-complex modulates the activity of the transcriptional machinery, and genetic defects in different MED subunits (17, 20, 27) have been implicated in neurologic diseases. In this study, we identified a recurrent homozygous variant in MED11 (c.325C>T; p.

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Pontocerebellar hypoplasia type 9 (PCH-9) is a very rare autosomal recessive neurodegenerative disorder. Affected infants present early with severe developmental delay, spasticity, with the unique magnetic resonance imaging picture of thin corpus callosum, atrophied pons, and cerebellum. It is caused by loss of function mutations in the gene, encoding for the adenosine monophosphate deaminase enzyme-paralog 2.

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Owing to their sessile nature, plants have developed a tapestry of molecular and physiological mechanisms to overcome diverse environmental challenges, including abiotic stresses. Adaptive radiation in certain lineages, such as Aizoaceae, enable their success in colonizing arid regions and is driven by evolutionary selection. Sesuvium verrucosum (commonly known as Western sea-purslane) is a highly salt-tolerant succulent halophyte belonging to the Aizoaceae family; thus, it provides us with the model-platform for studying plant adaptation to salt stress.

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Background: The discovery of coding variants in genes that confer risk of intellectual disability (ID) is an important step toward understanding the pathophysiology of this common developmental disability.

Methods: Homozygosity mapping, whole-exome sequencing, and cosegregation analyses were used to identify gene variants responsible for syndromic ID with autistic features in two independent consanguineous families from the Arabian Peninsula. For in vivo functional studies of the implicated gene's function in cognition, Drosophila melanogaster and mice with targeted interference of the orthologous gene were used.

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Here, we delineate the phenotype of two siblings with a bi-allelic frameshift variant in MMP15 gene with congenital cardiac defects, cholestasis, and dysmorphism. Genome sequencing analysis revealed a recently reported homozygous frameshift variant (c.1058delC, p.

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During the coronavirus pandemic, educational institutions were forced to shift to virtual learning. Drawing on the Community of Inquiry framework and bioecological perspective, this research explores the virtual learning experiences of female college students at one higher education institution in the United Arab Emirates using an interpretive phenomenological paradigm. A convergent parallel mixed method design was implemented with participants ( = 350) who completed a questionnaire about the challenges of virtual learning followed by semi-structured interviews ( = 10).

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The variants of electron transfer flavoprotein (, ) and ETF dehydrogenase () are the leading cause of glutaric aciduria type II (GA-II). In this study, we identified 13 patients harboring six variants of two genes associated with GA-II. Out of the six variants, four were missense, and two were frameshift mutations.

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Acute myocardial infarction is a relatively rare phenomenon in the young population. The incidence has nevertheless increased from years past, likely due to the presence of multiple risk factors from an increasingly younger age. Regardless of whether they have atherosclerotic coronary artery disease or normal coronary angiogram, young patients with risk factors for coronary artery disease (CAD), chest pain, and positive troponin, are initially treated in a similar fashion.

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Clinical and molecular characterization of neuro-genetic disorders among UAE national patients seen in the Genetic Clinic at Tawam hospital over a period of 3 years. A retrospective chart review of all Emirati patients assessed by clinical geneticists due to neuro-genetic disorders including global developmental delay, ASD, ID, ADHD, and epilepsy in combination with abnormalities of other organ systems. Each patient had proper assessment including detailed history, three-generation family history, developmental history and detailed physical examination looking for other system involvement.

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In January 2020, the coronavirus disease was declared, by the World Health Organization as a global public health emergency. Recommendations from the WHO COVID Emergency Committee continue to support strengthening COVID surveillance systems, including timely access to effective diagnostics. Questions were raised about the validity of considering the RT-PCR as the gold standard in COVID-19 diagnosis.

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