Publications by authors named "Alejandro Roman"

Purpose: The purpose of this study was to determine the natural history of the photoreceptor disease in a large group of pediatric patients with RHD12-associated Leber congenital amaurosis (RDH12-LCA), to estimate the changes expected over the duration of a clinical trial, and to define the relationship between the photoreceptor loss and visual dysfunction.

Methods: Forty-six patients representing 36 families were included. The great majority of patients were under the age of 18 years.

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Microphytobenthos (MPB) contributes significantly to estuarine primary production, so that quantifying its biomass is crucial for assessing their ecosystem functioning. Conventional sampling methods are labour-intensive, logistically challenging, and cannot provide a comprehensive spatial distribution map of MPB biomass. Satellite imagery has offered a feasible alternative for mapping large areas at various temporal and spatial resolutions.

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The incidence of thyroid cancer is increasing globally, but mortality rates have remained steady. Many patients with thyroid cancer have low-risk, nonmetastatic intrathyroidal tumors smaller than 2 cm. Active surveillance has shown benefits in these patients, but the adoption of this approach remains below standard in Latin America.

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Article Synopsis
  • The study explores gene therapy targeting L-cone opsin expression as a treatment for blue cone monochromacy (BCM), a condition caused by the lack of long- and middle-wavelength-sensitive cone function.
  • Eight patients with BCM underwent various assessments, including optical coherence tomography and chromatic perimetry, revealing outer retinal changes and significant deficiencies in color vision and visual acuity.
  • The research emphasizes the need for specialized outcome measures, such as dark-adapted microperimetry and specific visual acuity tests, to evaluate the efficacy and safety of potential future treatments in clinical trials.
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The purpose of this pilot study was to determine if body orientation, skin treatment, joint angle, and shoulder arch movements affect localized bioimpedance spectroscopy (BIS) measurement. Nowadays, there are various wearable and portable impedance measurement tools in different shapes and sizes. Therefore, the body position and orientation of the subject during measurement may be of great importance for the comparability of the results.

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Background: Leber congenital amaurosis 1 (LCA1), caused by mutations in GUCY2D, is a rare inherited retinal disease that typically causes blindness in early childhood. The aim of this study was to evaluate the safety and preliminary efficacy of ascending doses of ATSN-101, a subretinal AAV5 gene therapy for LCA1.

Methods: 15 patients with genetically confirmed biallelic mutations in GUCY2D were included in this phase 1/2 study.

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The study of the functioning and responses of Antarctica to the current climate change scenario is a priority and a challenge for the scientific community aiming to predict and mitigate impacts at a regional and global scale. Due to the difficulty of obtaining aerial data in such extreme, remote, and difficult-to-reach region of the planet, the development of remote sensing techniques with Unmanned Aerial Vehicles (UAVs) has revolutionized polar research. ShetlandsUAVmetry comprises original datasets collected by UAVs during the Spanish Antarctic Campaign 2021-2022 (January to March 2022), along with the photogrammetric products resulting from their processing.

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Modern advances in disease genetics have uncovered numerous modifier genes that play a role in the severity of disease expression. One such class of genetic conditions is known as inherited retinal degenerations (IRDs), a collection of retinal degenerative disorders caused by mutations in over 300 genes. A single missense mutation (K42E) in the gene encoding the enzyme dehydrodolichyl diphosphate synthase (DHDDS), which is required for protein N-glycosylation in all cells and tissues, causes -IRD (retinitis pigmentosa type 59 (RP59; OMIM #613861)).

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Article Synopsis
  • Genome editing might help treat a serious eye disease called late-onset retinal degeneration (L-ORD).
  • Scientists studied 25 patients with this disease to find the best times and places in the eye to test new treatments.
  • They discovered that changes in the eye's structure start before serious problems occur, meaning treatments could work at different stages of the disease.
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Purpose: An intravitreally injected antisense oligonucleotide, sepofarsen, was designed to modulate splicing within retinas of patients with severe vision loss due to deep intronic c.2991 + 1655A > G variant in the gene. A previous report showed vision improvements following a single injection in one eye with unexpected durability lasting at least 15 months.

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Purpose: Blue cone monochromacy (BCM) is an X-linked retinopathy due to mutations in the OPN1LW/OPN1MW gene cluster. Symptoms include reduced visual acuity and disturbed color vision. We studied BCM color vision to determine outcome measures for future clinical trials.

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Signaling of vision to the brain starts with the retinal phototransduction cascade which converts visible light from the environment into chemical changes. Vision impairment results when mutations inactivate proteins of the phototransduction cascade. A severe monogenically inherited blindness, Leber congenital amaurosis (LCA), is caused by mutations in the gene, leading to a molecular defect in the production of cyclic GMP, the second messenger of phototransduction We studied two patients with -LCA who were undergoing gene augmentation therapy.

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Purpose: To understand consequences of reconstituting cone photoreceptor function in congenital binocular blindness resulting from mutations in the () gene.

Design: Phase 1b/2 open-label, multicenter, multiple-dose, dose-escalation trial.

Participants: A homogeneous subgroup of 5 participants with light perception (LP) vision at the time of enrollment (age range, 15-41 years) selected for detailed analyses.

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Background: Inherited retinal degenerations (IRDs) affect daylight and night vision to different degrees. In the current work, we devise a method to quantify mobility under dark-adapted conditions in patients with severe childhood blindness due to Leber congenital amaurosis (LCA). Mobility thresholds from two different LCA genotypes are compared to dark-adapted vision measurements using the full-field stimulus test (FST), a conventional desktop outcome measure of rod vision.

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CEP290-associated Leber congenital amaurosis type 10 (LCA10) is a retinal disease resulting in childhood blindness. Sepofarsen is an RNA antisense oligonucleotide targeting the c.2991+1655A>G variant in the CEP290 gene to treat LCA10.

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In this study, seawater quality was monitored with high-resolution satellite imagery during the 2021 volcanic eruption (September-December) on La Palma Island (Spain), the longest recorded in the history of the island, and the most destructive in the last century in Europe. The Sentinel-2A/B twin satellites and Landsat-8 satellite were jointly used as an optical constellation, which allowed us to successfully characterize the short- and medium-term evolution of the new lava delta and subsequent impact on the seawater. Robust atmospheric and sunglint correction approaches were applied to thoroughly quantify the environmental changes caused on the adjacent coastal waters.

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Antarctica plays a fundamental role in the Earth's climate, oceanic circulation and global ecosystem. It is a priority and a scientific challenge to understand its functioning and responses under different scenarios of global warming. However, extreme environmental conditions, seasonality and isolation hampers the efforts to achieve a comprehensive understanding of the physical, biological, chemical and geological processes taking place in Antarctica.

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Despite major progress in the discovery of causative genes, many individuals and families with inherited retinal degenerations (IRDs) remain without a molecular diagnosis. We applied whole exome sequencing to identify the genetic cause in a family with an autosomal dominant IRD. Eye examinations were performed and affected patients were studied with electroretinography and kinetic and chromatic static perimetry.

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Purpose: To investigate the validity and reliability of macular rod photoreceptor function measurement with a microperimeter.

Methods: Macular sensitivity in dark-adapted retinitis pigmentosa (RP) patients (22 eyes; 9-67 years of age) and controls (five eyes; 22-55 years of age) was assessed with a modified Humphrey field analyzer (mHFA), as well as a scotopic microperimeter (Nidek MP-1S). Sensitivity loss (SL) was estimated at rod-mediated locations.

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Disease mechanisms have become better understood in previously incurable forms of early-onset severe retinal dystrophy, such as Leber congenital amaurosis (LCA). This has led to novel treatments and clinical trials that have shown some success. Standard methods to measure vision were difficult if not impossible to perform in severely affected patients with low vision and nystagmus.

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Inherited retinal diseases (IRDs) are at the forefront of innovative gene-specific treatments because of the causation by single genes, the availability of microsurgical access for treatment delivery, and the relative ease of quantitative imaging and vision measurement. However, it is not always easy to choose a priori, from scores of potential measures, an appropriate subset to evaluate efficacy outcomes considering the wide range of disease stages with different phenotypic features. This article reviews measurements of visual function and retinal structure that our group has used over the past three decades to understand the natural history of IRDs.

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Article Synopsis
  • A new gene therapy trial for a vision disease called Leber congenital amaurosis is being tested on three adults.
  • Doctors delivered the therapy using a special virus, and monitored the patients for 9 months.
  • The results showed that the treatment was safe and helped improve some patients' vision significantly!
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Leber congenital amaurosis due to CEP290 ciliopathy is being explored by treatment with the antisense oligonucleotide (AON) sepofarsen. One patient who was part of a larger cohort (ClinicalTrials.gov NCT03140969 ) was studied for 15 months after a single intravitreal sepofarsen injection.

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Gene augmentation therapy is being planned for -associated Leber congenital amaurosis (LCA). To increase our understanding of the natural history of -LCA, patients were evaluated twice with an interval of 4 to 7 years between visits using safety and efficacy outcome measures previously determined to be useful for monitoring this disorder. In this group of molecularly-identified LCA patients ( = 10; ages 7-37 years at first visit), optical coherence tomography (OCT) was used to measure foveal cone outer nuclear layer (ONL) thickness and rod ONL at a superior retinal locus.

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