Publications by authors named "Fielding Hejtmancik"

Hereditary optic neuropathies (HON) are a group of diseases due to genetic defects either in mitochondria or in nuclear genomes. The increasing availability of genetic testing has expanded a broader genetic and phenotypic spectrum of HON than previously recognized. To provide systematic insight into the genetic and phenotypic landscape of HON attributed to 50 nuclear genes, we conducted genetic analysis on part of 4776 index patients with clinical diagnosis of HON following our previous study on 1516 probands with Leber hereditary optic neuropathy (LHON) and mitochondrial DNA variants.

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  • - The study investigated the relationship between genetic factors and the phenotype of retinal hemangioblastomas (RH) in a Chinese group of 51 individuals, using advanced genetic testing methods to identify mutations in the Von Hippel-Lindau (VHL) gene.
  • - Out of the participants, 36 were diagnosed with VHL syndrome, showing a younger median age of onset, while 15 were excluded from this diagnosis; four novel genetic variants were found, alongside established mutation hotspots.
  • - The classification of RH types showed a predominance of extrapapillary lesions in the peripheral retina, and high frequencies of both major genomic deletions and CNS hemangioblastomas in affected families suggest that RH may be an early warning sign for
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Genome analysis of individuals affected by retinitis pigmentosa (RP) identified two rare nucleotide substitutions at the same genomic location on chromosome 11 (g.61392563 [GRCh38]), 69 base pairs upstream of the start codon of the ciliopathy gene TMEM216 (c.-69G>A, c.

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Melanoma is a primary malignant tumor with high lethality, which occurs in the skin and eye tissues, while the molecular mechanisms of melanomagenesis remain largely unknown. Here, we show that death-associated protein-like 1 (DAPL1) expression is lower in melanoma tissues than in paracancerous tissues or nevus tissues, and Uveal melanoma patients with lower DAPL1 expression have a poorer survival rate than those with higher expression of DAPL1. Overexpression of DAPL1 inhibits proliferation of cultured melanoma cells, whereas knockdown of DAPL1 increases cell proliferation.

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  • The study investigates lipid metabolism abnormalities in Bietti's crystalline dystrophy (BCD) through a case-control analysis of genetically confirmed patients and controls, focusing on lipid profiles in the blood.
  • Results indicated that BCD patients had higher levels of triglycerides and low-density lipoprotein cholesterol, along with significantly lower levels of important fatty acids like DHA, EPA, and ARA, compared to controls.
  • The findings suggest that these lower levels of fatty acids and their metabolites could play a role in the disease's progression and may serve as potential biomarkers and targets for future therapies.
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  • Unilateral high myopia (uHM) in patients, often linked with amblyopia and poor outcomes, was studied in 75 Chinese children to explore its clinical and genetic characteristics.
  • The majority of participants showed myopic fundus changes, with many exhibiting significant peripheral retinal issues, including avascular zones and neovascularization.
  • Exome sequencing revealed genetic variants in about 27% of the cohort, primarily related to Stickler syndrome and FEVR, suggesting specific genetic ties to observed retinal changes.
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  • Aromatic residues in tyrosine corners are essential for the stability and transparency of βγ-crystallins, crucial for lens function.
  • A genetic mutation in γS-crystallin alters its structure, leading to decreased stability and increased self-aggregation under stress conditions.
  • This change is implicated in the development of juvenile autosomal dominant cortical lamellar cataracts, highlighting the critical role of protein integrity in eye health.
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  • γ-crystallins are crucial lens proteins that maintain lens transparency, with specific structural features that are stabilized by aromatic residues.
  • The Y46D mutation in γC-crystallin affects the protein's stability and aggregation, particularly under heat and chemical stress, highlighting alterations in the protein's microenvironment.
  • While the mutation does not change the overall structure in benign conditions, it exposes hydrophobic residues, leading to increased susceptibility to aggregation and potential cataract formation.
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Understanding the interactions between SARS-CoV-2 and host cell machinery may reveal new targets to treat COVID-19. We focused on an interaction between the SARS-CoV-2 ORF3A accessory protein and the CLIC-like chloride channel-1 (CLCC1). We found that ORF3A partially co-localized with CLCC1 and that ORF3A and CLCC1 could be co-immunoprecipitated.

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Purpose: In previous studies, biallelic LOXL3 variants have been shown to cause autosomal recessive Stickler syndrome in one Saudi Arabian family or autosomal recessive early-onset high myopia (eoHM, MYP28) in two Chinese families. The current study aims to elucidate the clinical and genetic features of LOXL3-associated MYP28 in seven new families and two previously published families.

Methods: LOXL3 variants were detected based on the exome sequencing data of 8389 unrelated probands with various ocular conditions.

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Purpose: To determine whether SIRT1 regulates high glucose (HG)-induced inflammation and cataract formation through modulating TXNIP/NLRP3 inflammasome activation in human lens epithelial cells (HLECs) and rat lenses.

Methods: HG stress from 25 to 150 mM was imposed on HLECs, with treatments using small interfering RNAs (siRNAs) targeting NLRP3, TXNIP, and SIRT1, as well as a lentiviral vector (LV) for SIRT1. Rat lenses were cultivated with HG media, with or without the addition of NLRP3 inhibitor MCC950 or SIRT1 agonist SRT1720.

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Recent evidence points to autophagy as an essential cellular requirement for achieving the mature structure, homeostasis, and transparency of the lens. Collective evidence from multiple laboratories using chick, mouse, primate, and human model systems provides evidence that classic autophagy structures, ranging from double-membrane autophagosomes to single-membrane autolysosomes, are found throughout the lens in both undifferentiated lens epithelial cells and maturing lens fiber cells. Recently, key autophagy signaling pathways have been identified to initiate critical steps in the lens differentiation program, including the elimination of organelles to form the core lens organelle-free zone.

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Purpose: To characterize the clinical features of macular neovascularization (MNV) secondary to Bietti crystalline dystrophy.

Methods: The imaging data of 157 eyes in 79 patients with Bietti crystalline dystrophy were retrospectively reviewed. 12 individuals (19 eyes) were found to have MNVs.

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  • A study identified pathogenic variants linked to autosomal dominant congenital cataracts in five Ukrainian families, indicating a genetic basis for the condition.
  • Whole-exome sequencing revealed novel mutations in genes such as HSF4, CRYGA, CRYGC, and PAX6, with one known mutation in GJA3.
  • The research highlights the importance of transcription factors and lens crystallins in lens development and the genetic factors influencing cataracts.
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Bietti crystalline corneo-retinal dystrophy (BCD) is an autosomal recessive inherited retinal dystrophy characterized by multiple shimmering yellow-white deposits in the posterior pole of the retina in association with atrophy of the retinal pigment epithelium (RPE), pigment clumps, and choroidal atrophy and sclerosis. Blindness and severe visual damage are common in late-stage BCD patients. We generated a knockout mouse model to investigate the pathogenesis of BCD.

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To delineate the genetic bases of primary congenital glaucoma (PCG), we ascertained a large cohort consisting of 48 consanguineous families. Of these, we previously reported 26 families with mutations in CYP1B1 and six families with LTBP2, whereas the genetic bases responsible for PCG in 16 families remained elusive. We employed next-generation whole exome sequencing to delineate the genetic basis of PCG in four of these 16 familial cases.

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Mutations in myelin regulatory factor (MYRF), a gene mapped to 11q12-q13.3, are responsible for autosomal dominant high hyperopia and seem to be associated with angle closure glaucoma, which is one of the leading causes of irreversible blindness worldwide. Whether there is a causal link from the MYRF mutations to the pathogenesis of primary angle-closure glaucoma (PACG) remains unclear at this time.

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Here we report a consanguineous Pakistani family with multiple affected individuals with autosomal recessive congenital cataract (arCC). Exclusion analysis established linkage to chromosome 22q, and Sanger sequencing coupled with PCR-based chromosome walking identified a large homozygous genomic deletion. Our data suggest that this deletion leads to CRYBB2-CRYBB2P1 fusion, consisting of exons 1-5 of CRYBB2 and exon 6 of CRYBB2P1, the latter of which harbors the c.

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We previously identified a homozygous G178R mutation in human () through whole-exome analysis responsible for early onset retinal degeneration (RD) in patients with cone-rod dystrophy. The mutant G178R ASRGL1 expressed in Cos-7 cells showed altered localization, while the mutant ASRGL1 in lacked the autocatalytic activity needed to generate the active protein. To evaluate the effect of impaired ASRGL1 function on the retina in vivo, we generated a mouse model with c.

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Though the concentration of chloride has been measured in the cytoplasm and in secretory granules of live cells, it cannot be measured within the endoplasmic reticulum (ER) due to poor fluorescence of existing biosensors. We developed a fluorescent biosensor composed of a chloride-sensitive superfolder GFP and long Stokes-shifted mKate2 for simultaneous chloride and pH measurements that retained fluorescence in the ER lumen. Using this sensor, we showed that the chloride concentration in the ER is significantly lower than that in the cytosol.

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Purpose: Transition from lens epithelial cells to lens fiber cell is accompanied by numerous changes in gene expression critical for lens transparency. We identify expression patterns of highly prevalent genes including ubiquitous and enzyme crystallins in the embryonic day 13 chicken lens.

Methods: Embryonic day 13 chicken lenses were dissected into central epithelial cell (EC), equatorial epithelial cell (EQ), cortical fiber cell (FP), and nuclear fiber cell (FC) compartments.

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FYCO1 (FYVE and coiled-coil domain containing 1) is an adaptor protein, expressed ubiquitously and required for microtubule-dependent, plus-end-directed transport of macroautophagic/autophagic vesicles. We have previously shown that loss-of-function mutations in cause cataracts with no other ocular and/or extra-ocular phenotype. Here, we show homozygous knockout () mice recapitulate the cataract phenotype consistent with a critical role of FYCO1 and autophagy in lens morphogenesis.

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Background: Methylation at cytosines (mCG) is a well-known regulator of gene expression, but its requirements for cellular differentiation have yet to be fully elucidated. A well-studied cellular differentiation model system is the eye lens, consisting of a single anterior layer of epithelial cells that migrate laterally and differentiate into a core of fiber cells. Here, we explore the genome-wide relationships between mCG methylation, chromatin accessibility and gene expression during differentiation of eye lens epithelial cells into fiber cells.

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