Publications by authors named "Leonardo Bottolo"

Gene expression quantitative trait loci are widely used to infer relationships between genes and central nervous system (CNS) phenotypes; however, the effect of brain disease on these inferences is unclear. Using 2,348,438 single-nuclei profiles from 391 disease-case and control brains, we report 13,939 genes whose expression correlated with genetic variation, of which 16.7-40.

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  • * The study involved analyzing data from over 10,000 individuals with HCM and around 2,500 with DCM, revealing significant penetrance rates: 23% for HCM and 35% for DCM by late adulthood for rare, pathogenic variants.
  • * Results indicate that certain variant subgroups, particularly loss-of-function ones, show higher penetrance, especially in males, and the findings will help guide the management and screening of individuals for genetic risks associated with cardi
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The existing framework of Mendelian randomization (MR) infers the causal effect of one or multiple exposures on one single outcome. It is not designed to jointly model multiple outcomes, as would be necessary to detect causes of more than one outcome and would be relevant to model multimorbidity or other related disease outcomes. Here, we introduce multi-response Mendelian randomization (MR), an MR method specifically designed for multiple outcomes to identify exposures that cause more than one outcome or, conversely, exposures that exert their effect on distinct responses.

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  • Imprinting disorders (ImpDis) are caused by incorrect regulation of genes that are expressed differently based on their parental origin, often marked by abnormal methylation patterns without DNA changes.
  • There has been increasing recognition of multilocus imprinting disturbances (MLIDs), which involve abnormal methylation at multiple genetic locations, often linked to maternal factors affecting oocyte and embryo development.
  • A study of 36 MLID patients showed no distinct disease-specific methylation pattern, and the weak connection between epigenetics and phenotype may be due to the complex distribution of imprinting defects across different tissues.
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DNA methylation is a key epigenetic modification involved in gene regulation whose contribution to disease susceptibility is still not fully understood. As the cost of genome sequencing technologies continues to drop, it will soon become commonplace to perform genome-wide quantification of DNA methylation at a single base-pair resolution. However, the demand for its accurate quantification might vary across studies.

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Our work is motivated by the search for metabolite quantitative trait loci (QTL) in a cohort of more than 5000 people. There are 158 metabolites measured by NMR spectroscopy in the 31-year follow-up of the Northern Finland Birth Cohort 1966 (NFBC66). These metabolites, as with many multivariate phenotypes produced by high-throughput biomarker technology, exhibit strong correlation structures.

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Purpose: Disruptions of genomic imprinting are associated with congenital imprinting disorders (CIDs) and other disease states, including cancer. CIDs are most often associated with altered methylation at imprinted differentially methylated regions (iDMRs). In some cases, multiple iDMRs are affected causing multilocus imprinting disturbances (MLIDs).

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Background The relationship between COVID-19 and ischemic stroke is poorly understood due to potential unmeasured confounding and reverse causation. We aimed to leverage genetic data to triangulate reported associations. Methods and Results Analyses primarily focused on critical COVID-19, defined as hospitalization with COVID-19 requiring respiratory support or resulting in death.

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Background: Little is known about the impact of trans-acting genetic variation on the rates with which proteins are synthesized by ribosomes. Here, we investigate the influence of such distant genetic loci on the efficiency of mRNA translation and define their contribution to the development of complex disease phenotypes within a panel of rat recombinant inbred lines.

Results: We identify several tissue-specific master regulatory hotspots that each control the translation rates of multiple proteins.

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Background: Lipoprotein-related traits have been consistently identified as risk factors for atherosclerotic cardiovascular disease, largely on the basis of studies of coronary artery disease (CAD). The relative contributions of specific lipoproteins to the risk of peripheral artery disease (PAD) have not been well defined. We leveraged large-scale genetic association data to investigate the effects of circulating lipoprotein-related traits on PAD risk.

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We present EPISPOT, a fully joint framework which exploits large panels of epigenetic annotations as variant-level information to enhance molecular quantitative trait locus (QTL) mapping. Thanks to a purpose-built Bayesian inferential algorithm, EPISPOT accommodates functional information for both cis and trans actions, including QTL hotspot effects. It effectively couples simultaneous QTL analysis of thousands of genetic variants and molecular traits with hypothesis-free selection of biologically interpretable annotations which directly contribute to the QTL effects.

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  • The study explores the genetic links between critical Covid-19 (hospitalization or death) and ischemic stroke, along with other cardiovascular traits like body mass index and chronic inflammation.
  • Genetic correlations revealed a connection between critical Covid-19 and ischemic stroke, with a noted increase in stroke risk associated with heightened liability to critical Covid-19.
  • The findings were consistent across various analytical methods, reinforcing the relationship while adjusting for potential confounding factors such as body mass index and smoking.
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  • This study uses Mendelian randomization with a Bayesian model averaging approach to assess the role of genetic variants in coronary artery disease (CAD) and identify potential therapeutic targets through lipoprotein measures.
  • Researchers examined 30 lipoprotein measures and metabolites from nearly 25,000 participants and performed a multivariable genetic analysis involving over 450,000 individuals.
  • The results highlight apolipoprotein B (ApoB) as the most significant risk factor for CAD, indicating its potential as a primary therapeutic target.
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Purpose: Accurate discrimination of benign and pathogenic rare variation remains a priority for clinical genome interpretation. State-of-the-art machine learning variant prioritization tools are imprecise and ignore important parameters defining gene-disease relationships, e.g.

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  • This text discusses a new approach to variable selection in regression analysis, particularly focusing on identifying "hotspot" predictors that are linked to multiple responses, which is important in fields like statistical genetics.
  • It highlights the limitations of existing hierarchical regression methods, which struggle with parameter sensitivity and scalability for large datasets typical in genetic research.
  • The proposed solution is a flexible Bayesian framework that utilizes horseshoe shrinkage to effectively model hotspots, maintaining accuracy while being efficient enough for large-scale genetic data analysis through advanced algorithms.
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Background: Lymphangioleiomyomatosis (LAM) is a rare multisystem disease almost exclusively affecting women which causes loss of lung function, lymphatic abnormalities and angiomyolipomas. LAM occurs sporadically and in people with tuberous sclerosis complex (TSC). Loss of gene function leads to dysregulated mechanistic target of rapamycin (mTOR) signalling.

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Context: While severe obesity due to congenital leptin deficiency is rare, studies in patients before and after treatment with leptin can provide unique insights into the role that leptin plays in metabolic and endocrine function.

Objective: The aim of this study was to characterize changes in peripheral metabolism in people with congenital leptin deficiency undergoing leptin replacement therapy, and to investigate the extent to which these changes are explained by reduced caloric intake.

Design: Ultrahigh performance liquid chromatography-tandem mass spectroscopy (UPLC-MS/MS) was used to measure 661 metabolites in 6 severely obese people with congenital leptin deficiency before, and within 1 month after, treatment with recombinant leptin.

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Mitochondrial disorders affect 1/5,000 and have no cure. Inducing mitochondrial biogenesis with bezafibrate improves mitochondrial function in animal models, but there are no comparable human studies. We performed an open-label observational experimental medicine study of six patients with mitochondrial myopathy caused by the m.

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Cardiac fibrosis is a final common pathology in inherited and acquired heart diseases that causes cardiac electrical and pump failure. Here, we use systems genetics to identify a pro-fibrotic gene network in the diseased heart and show that this network is regulated by the E3 ubiquitin ligase WWP2, specifically by the WWP2-N terminal isoform. Importantly, the WWP2-regulated pro-fibrotic gene network is conserved across different cardiac diseases characterized by fibrosis: human and murine dilated cardiomyopathy and repaired tetralogy of Fallot.

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  • - Bisulfite amplicon sequencing is widely used for measuring single-base methylation, but it suffers from 'PCR bias' which skews methylation level estimates due to preferential amplification based on the methylation state.
  • - MethylCal is a newly developed Bayesian calibration tool that analyzes all CpGs within a region together, providing more accurate methylation level predictions compared to traditional one-at-a-time methods.
  • - In tests involving patients with Beckwith-Wiedemann syndrome and celiac disease, MethylCal improved the identification of methylation changes, potentially influencing treatment decisions for those in borderline cases.
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Objective: Variant ataxia-telangiectasia is caused by mutations that allow some retained ataxia telangiectasia-mutated (ATM) kinase activity. Here, we describe the clinical features of the largest established cohort of individuals with variant ataxia-telangiectasia and explore genotype-phenotype correlations.

Methods: Cross-sectional data were collected retrospectively.

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Background: The adult mammalian heart has little regenerative capacity after myocardial infarction (MI), whereas neonatal mouse heart regenerates without scarring or dysfunction. However, the underlying pathways are poorly defined. We sought to derive insights into the pathways regulating neonatal development of the mouse heart and cardiac regeneration post-MI.

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Aims/hypothesis: The genetic risk of type 1 diabetes has been extensively studied. However, the genetic determinants of age at diagnosis (AAD) of type 1 diabetes remain relatively unexplained. Identification of AAD genes and pathways could provide insight into the earliest events in the disease process.

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Particle Markov Chain Monte Carlo (pMCMC) is a stochastic algorithm designed to generate samples from a probability distribution, when the density of the distribution does not admit a closed form expression. pMCMC is most commonly used to sample from the Bayesian posterior distribution in State-Space Models (SSMs), a class of probabilistic models used in numerous scientific applications. Nevertheless, this task is prohibitive when dealing with complex SSMs with massive data, due to the high computational cost of pMCMC and its poor performance when the posterior exhibits multi-modality.

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