Publications by authors named "Aleff R"

Article Synopsis
  • The CTG trinucleotide repeat expansions in the TCF4 gene are closely linked to Fuchs Endothelial Corneal Dystrophy (FECD).
  • DNA from blood leukocytes typically used to analyze these repeats shows much shorter expansions compared to samples taken directly from the affected corneal tissue.
  • Long-read RNA sequencing and Southern blotting confirm that the CTG repeats in FECD corneal endothelium can exceed 1000 repeats, while leukocyte samples show fewer than 90 repeats.
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Complex insertion-deletion (indel) events in the globin genes manifest in widely variable clinical phenotypes. Many are incompletely characterized because of a historic lack of efficient methods. A more complete assessment enables improved prediction of clinical impact, which guides emerging therapeutic choices.

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  • A study utilized No-Amp sequencing to analyze hexanucleotide expansions in the C9orf72 gene, a leading genetic cause of certain neurodegenerative diseases, by examining cerebellar tissue from 28 patients.
  • The research found a strong correlation between expansion sizes measured by No-Amp sequencing and traditional Southern blotting methods, indicating the effectiveness of this new sequencing technique.
  • Results revealed that smaller C9orf72 expansions were associated with increased survival rates and higher levels of specific transcripts and proteins, with a high GC content observed in the repeat expansions, emphasizing the significance of the expansion size in C9orf72-related disorders.
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Purpose: To investigate the association of body mass index (BMI) with Fuchs endothelial corneal dystrophy (FECD) severity and TCF4 CTG18.1 expansion.

Methods: A total of 343 patients with FECD were enrolled from the Mayo Clinic.

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Purpose: To characterize inheritance, penetrance, and trinucleotide repeat expansion stability in Fuchs endothelial corneal dystrophy (FECD).

Methods: One thousand unrelated and related subjects with and without FECD were prospectively recruited. CTG18.

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Background: Bone allotransplant viability can be maintained long-term by implanting arteriovenous (AV) bundles and creating an autogenous neoangiogenic circulation. Only short-term immunosuppression is required. This study investigates the origin of viable osteocytes observed in areas of active bone remodeling in orthotopically transplanted tibiae in a Yucatan mini-pig model.

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Article Synopsis
  • The study investigates the genetic mechanisms behind Fuchs' endothelial corneal dystrophy (FECD), focusing on CTG trinucleotide repeat (TNR) expansions in the TCF4 gene and their potential effects.
  • Researchers analyzed corneal tissue and blood from patients without FECD symptoms (RE+/FECD-) who had TNR expansions to understand the differences in gene splicing and expression compared to those with FECD.
  • The findings revealed that while some genes showed abnormal splicing in FECD patients, they were normally spliced in those without the disease, highlighting potential protective factors against FECD in at-risk individuals.
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Amplification of a CAG trinucleotide motif (CTG18.1) within the TCF4 gene has been strongly associated with Fuchs Endothelial Corneal Dystrophy (FECD). Nevertheless, a small minority of clinically unaffected elderly patients who have expanded CTG18.

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Purpose: To investigate single nucleotide polymorphisms (SNPs) and trinucleotide repeat (TNR) expansion in the transcription factor 4 (TCF4) gene in a large cohort of German patients with Fuchs endothelial corneal dystrophy (FECD).

Methods: Genomic DNA was obtained from 398 patients with FECD and from 58 non-FECD controls. Thirty-seven previously reported SNPs were evaluated by genotyping.

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Purpose: CTG trinucleotide repeat (TNR) expansion is frequently found in transcription factor 4 (TCF4) in Fuchs' endothelial corneal dystrophy (FECD), though the effect of TNR expansion on FECD pathophysiology remains unclear. The purpose of this study was to evaluate the effect of TNR expansion on TCF4 expression in corneal endothelium of patients with FECD.

Methods: Peripheral blood DNA and Descemet membrane with corneal endothelium were obtained from 203 German patients with FECD.

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Purpose: RNA toxicity from CTG trinucleotide repeat (TNR) expansion within noncoding DNA of the transcription factor 4 (TCF4) and DM1 protein kinase (DMPK) genes has been described in Fuchs' endothelial corneal dystrophy (FECD) and myotonic dystrophy, type 1 (DM1), respectively. We prospectively evaluated DM1 patients and their families for phenotypic FECD and report the analysis of CTG expansion in the TCF4 gene and DMPK expression in corneal endothelium.

Methods: FECD grade was evaluated by slit lamp biomicroscopy in 26 participants from 14 families with DM1.

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Article Synopsis
  • Fuchs Endothelial Corneal Dystrophy (FECD) is a genetic eye disease linked to a CTG repeat expansion in the TCF4 gene, affecting vision, especially in northern Europeans where not all cases show this mutation.
  • A study analyzed gene expression in corneas from FECD patients with (RE+) and without (RE-) the repeat expansion, revealing significant RNA mis-splicing in the RE+ group.
  • While no known mutations were found in RE- samples, rare variants in LAMC1 and TSPOAP1 genes were identified, suggesting alternative genetic factors might contribute to FECD.
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Purpose: We report a female infant identified by newborn screening for severe combined immunodeficiencies (NBS SCID) with T cell lymphopenia (TCL). The patient had persistently elevated alpha-fetoprotein (AFP) with IgA deficiency, and elevated IgM. Gene sequencing for a SCID panel was uninformative.

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Objective: The aim of this study is to identify the molecular defect of three unrelated individuals with late-onset predominant distal myopathy; to describe the spectrum of phenotype resulting from the contributing role of two variants in genes located on two different chromosomes; and to highlight the underappreciated complex forms of genetic myopathies.

Patients And Methods: Clinical and laboratory data of three unrelated probands with predominantly distal weakness manifesting in the sixth-seventh decade of life, and available affected and unaffected family members were reviewed. Next-generation sequencing panel, whole exome sequencing, and targeted analyses of family members were performed to elucidate the genetic etiology of the myopathy.

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Purpose: To identify RNA missplicing events in human corneal endothelial tissue isolated from Fuchs' endothelial corneal dystrophy (FECD).

Methods: Total RNA was isolated and sequenced from corneal endothelial tissue obtained during keratoplasty from 12 patients with FECD and 4 patients undergoing keratoplasty or enucleation for other indications. The length of the trinucleotide repeat (TNR) CTG in the transcription factor 4 (TCF4) gene was determined using leukocyte-derived DNA analyzed by a combination of Southern blotting and Genescan analysis.

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Purpose: The purpose of this study was to evaluate the association between the intronic expansion of a trinucleotide repeat (TNR) in the TCF4 gene and Fuchs' endothelial corneal dystrophy (FECD) in a Japanese population.

Methods: Forty-seven Japanese FECD patients and 96 age-matched controls were recruited. FECD patients and controls were examined by slit-lamp and noncontact specular microscopy.

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Article Synopsis
  • Fuchs endothelial corneal dystrophy (FECD) is a genetic disease affecting the cornea's endothelial cells, leading to vision loss in some cases and is especially common among middle-aged Caucasian individuals in the U.S.
  • The primary genetic cause linked to FECD is a trinucleotide repeat expansion in the TCF4 gene, which affects a significant portion of patients, causing harmful RNA foci that disrupt crucial mRNA splicing.
  • This study highlights new findings of RNA toxicity and improper splicing in FECD, marking it as the most prevalent non-neurological condition associated with this type of genetic mutation, surpassing cases of other similar disorders.
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Purpose: The single nucleotide variant (SNV), rs613872, in the transcription factor 4 (TCF4) gene was previously found to be strongly associated (P = 6 × 10(-26)) with Fuchs' endothelial corneal dystrophy (FECD). Subsequently, an intronic expansion of the repeating trinucleotides, TGC, was found to be even more predictive of disease. We performed comprehensive sequencing of the TCF4 gene region in order to identify the best marker for FECD within TCF4 and to identify other novel variants that may be associated with FECD.

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Fuchs endothelial corneal dystrophy (FECD) is a common, familial disease of the corneal endothelium and is the leading indication for corneal transplantation. Variation in the transcription factor 4 (TCF4) gene has been identified as a major contributor to the disease. We tested for an association between an intronic TGC trinucleotide repeat in TCF4 and FECD by determining repeat length in 66 affected participants with severe FECD and 63 participants with normal corneas in a 3-stage discovery/replication/validation study.

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  • Hereditary hyperferritinemia cataract syndrome (HHCS) is a genetic disorder leading to high ferritin levels and cataracts, caused by mutations in the ferritin light chain gene (FTL).
  • A study examined 45 patients from two unrelated American families, conducting physical evaluations and lab tests to understand the effects of the disorder. Results showed notable cataract patterns and common astigmatism among affected individuals.
  • The study identified specific mutations in the FTL gene and found varied serum ferritin levels among patients, indicating that other genetic or environmental factors might influence the severity of symptoms.
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Mechanisms underlying successful composite tissue transplantation must include an analysis of transplant chimerism, which is little studied, particularly in calcified tissue. We have developed a new method enabling determination of lineage of selected cells in our model of vascularized bone allotransplantation. Vascularized femoral allotransplantation was performed from female Dark Agouti (DA) donor rats to male Piebald Virol Glaxo (PVG) recipients, representing a major histocompatibility mismatch.

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In situ hybridization (ISH) was performed using oral biopsies from patients with paracoccidioidomycosis and guinea pig testes inoculated with a culture of Paracoccidioides brasiliensis isolated from soil, employing both a 14 base-pair specific oligoprobe (ACT CCC CCG TGG TC) and its complementary sequence. When combining ISH with the Gridley stain which detects fungal cell walls, about 2-3% of the fungal cells present in the tissues were labelled. When the complementary probe was used, labelling was higher, reaching the 3% level.

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Nearly 800 nucleotides from the 5' terminus of the 28S ribosomal gene of Paracoccidioides brasiliensis were sequenced, and a 14-base DNA probe specific for this species was identified. Hybridization results showed that the probe identified P. brasiliensis ribosomal DNA in a panel of ribosomal DNAs representing a total of 48 species of fungi.

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The purpose of the present study was to examine the effects of acute (3 days) unilateral diaphragm denervation (DNV) on 1) levels of alpha 1(I) and alpha 1(III) procollagen mRNA; 2) collagen concentration [hydroxyproline (HYP)]; 3) amount of the nonreducible collagen cross-link hydroxylysylpyridinoline (HP); and 4) the passive force-length relationship of the muscle. The levels of alpha 1(I) and alpha 1(III) procollagen mRNA, HYP concentration, and amount of HP were measured in muscle segments from the midcostal region of DNV and intact (INT) hemidiaphragms of adult male Fischer 344 rats (250-300 g). The in vitro passive force-length relationship of DNV and INT hemidiaphragm was determined by lengthening and shortening the diaphragm muscle segments from 85 to 115% of optimal length at a constant velocity (0.

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Plasmid F replication is controlled by a plasmid-specified Rep protein with both autorepressor and initiator functions. The mechanism by which these two functions of a Rep protein are balanced to achieve stable replication is unknown; however, we speculated in prior work that Rep protein modification could be involved. We report here that naturally proteolyzed F RepE protein has been detected and characterized.

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