Publications by authors named "B R Diness"

Article Synopsis
  • - Marfan syndrome (MFS) is a complex disorder linked to connective tissue that presents in various ways and is diagnosed using the Ghent criteria, which require clinical and genetic evidence.
  • - The condition is mainly caused by mutations in the FBN1 gene that disrupt the fibrillin-1 protein's structure, specifically by affecting cysteine residues that are critical for its function.
  • - A recent study identified a specific FBN1 variant that introduces cysteine but was found in individuals without MFS, prompting a re-evaluation of genetic understandings of the disorder and highlighting the need for improved classification methods through broad data analysis and multidisciplinary approaches.
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The care for patients with serious conditions is increasingly guided by genomic medicine, and genomic medicine may equally transform care for healthy individual if genomic population screening is implemented. This study examines the medical impact of opportunistic genomic screening (OGS) in a cohort of patients undergoing comprehensive genomic germline DNA testing for childhood cancer, including the impact on their relatives. Medical actionability and uptake after cascade testing in the period following disclosure of OGS results was quantified.

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Background: Ellis-van Creveld syndrome (EvC) is a recessive disorder characterised by acromesomelic limb shortening, postaxial polydactyly, nail-teeth dysplasia and congenital cardiac defects, primarily caused by pathogenic variants in or . Weyers acrofacial dysostosis (WAD) is an ultra-rare dominant condition allelic to EvC. The present work aimed to enhance current knowledge on the clinical manifestations of EvC and WAD and broaden their mutational spectrum.

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Genetic conditions are often familial, but not all relatives receive counseling from the same institution. It is therefore necessary to ensure consistency in variant interpretation, counseling practices, and clinical follow up across health care providers. Furthermore, as new possibilities for gene-specific treatments emerge and whole genome sequencing becomes more widely available, efficient data handling and knowledge sharing between clinical laboratory geneticists and medical specialists in clinical genetics are increasingly important.

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