Publications by authors named "K Gunawardena"

Article Synopsis
  • This case report describes the first documented instance of a child having both mitochondrial encephalomyopathy (a condition affecting muscles and the brain) and nemaline myopathy (a muscle disorder), highlighting their coexistence.
  • An 11-year-old Sri Lankan boy, previously healthy, experienced acute neurological symptoms, elevated lactate levels, and imaging results indicative of an acute brain infarction, leading to genetic testing that confirmed both conditions.
  • The child's treatment included supportive care, antiepileptics, and supplements, with ongoing monitoring, underscoring the importance of genetic diagnosis for effective management and family counseling.
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Melanomas reprogram their metabolism to rapidly adapt to therapy-induced stress conditions, allowing them to persist and ultimately develop resistance. We report that a subpopulation of melanoma cells tolerate MAPK pathway inhibitors (MAPKis) through a concerted metabolic reprogramming mediated by peroxisomes and UDP-glucose ceramide glycosyltransferase (UGCG). Compromising peroxisome biogenesis, by repressing PEX3 expression, potentiated the proapoptotic effects of MAPKis via an induction of ceramides, an effect limited by UGCG-mediated ceramide metabolism.

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Background: Next-Generation Sequencing (NGS)-based testing in cancer patients has led to increased detection of variants of uncertain significance (VUS). VUS are genetic variants whose impact on protein function is unknown. VUS pose a challenge to clinicians and patients due to uncertainty regarding their cancer predisposition risk.

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Introduction: Leber hereditary optic neuropathy is a genetic disease of mitochondrial inheritance characterized by bilateral irreversible vision loss, predominantly affecting males. We report the first genetically authenticated Sri Lankan case of Leber hereditary optic neuropathy, illustrating its characteristic features of male predominance and variable penetrance.

Case Presentation: A 15-year-old previously healthy Sri Lankan boy presented with painless progressive vision loss in his right eye, followed by vision loss in his left eye within 3 months.

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, found in the gastrointestinal flora is a causative agent of hospital-acquired infections. Although isolated organ infections are common, reports of multi-system involvement are rare. We report on a susceptible patient presenting with disseminated infection with concurrent multi-organ disease involving the lung, liver, prostate and eye.

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