Publications by authors named "Passos-Bueno M"

Unlabelled: The past decade has seen remarkable progress in identifying genes that, when impacted by deleterious coding variation, confer high risk for autism spectrum disorder (ASD), intellectual disability, and other developmental disorders. However, most underlying gene discovery efforts have focused on individuals of European ancestry, limiting insights into genetic risks across diverse populations. To help address this, the Genomics of Autism in Latin American Ancestries Consortium (GALA) was formed, presenting here the largest sequencing study of ASD in Latin American individuals (n>15,000).

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  • * A genetic diagnosis of TSC aids in confirming the clinical diagnosis and helps in managing care and monitoring patients.
  • * In a study of 116 individuals, 91% had pathogenic DNA alterations in TSC-related genes, with detailed functional assessments revealing novel variants impacting TSC protein activity.
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Cortical organoids derived from human induced pluripotent stem cells (hiPSCs) represent a powerful in vitro experimental system to investigate human brain development and disease, often inaccessible to direct experimentation. However, despite steady progress in organoid technology, several limitations remain, including high cost and variability, use of hiPSCs derived from tissues harvested invasively, unexplored three-dimensional (3D) structural features and neuronal connectivity. Here, using a cost-effective and reproducible protocol as well as conventional two-dimensional (2D) immunostaining, we show that cortical organoids generated from hiPSCs obtained by reprogramming stem cells from human exfoliated deciduous teeth (SHED) recapitulate key aspects of human corticogenesis, such as polarized organization of neural progenitor zones with the presence of outer radial glial stem cells, and differentiation of superficial- and deep-layer cortical neurons and glial cells.

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Infants growing up in low- and middle-income countries are at increased risk of suffering adverse childhood experiences, including exposure to environmental pollution and lack of cognitive stimulation. In this study, we aimed to examine the levels of metals in the human milk of women living in São Paulo City, Brazil, and determine the effects on infants' neurodevelopment. For such, a total of 185 human milk samples were analyzed for arsenic (As), lead (Pb), mercury (Hg), and cadmium (Cd) using inductively coupled plasma mass spectrometry (ICP-MS).

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  • - Excessive weight, linked to genetic and environmental factors, is associated with health issues like cardiovascular diseases and type-2 diabetes, and the study focuses on NOTCH1's role in metabolism and adipogenesis.
  • - The research analyzed participants' genetic data from a cohort in São Paulo, identifying specific NOTCH1 SNPs with the minor allelic frequency and making associations between these SNPs and excessive weight.
  • - Notably, SNP rs9411207 was linked to a higher risk of obesity, with certain genotypes being more prevalent in overweight individuals, suggesting these genetic variations could influence fat metabolism and warrant further investigation in larger populations for potential management strategies.
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  • Low-pass whole genome sequencing (LP-WGS) offers a cheaper method for detecting copy number variants (CNVs) compared to chromosomal microarray analysis (CMA), providing similar resolution for CNV detection.
  • In a study with 1,363 patients experiencing neurodevelopmental challenges, LP-WGS yielded a positive result in 22% of cases, with 16% being diagnostic for pathogenic CNVs, comparable to CMA's diagnostic rates.
  • The study highlights LP-WGS as a practical solution for countries like Brazil where CMA costs are high, making it easier to implement in clinical settings with the help of commercial software.
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Pathogenic DNA alterations in GJB2 are present in nearly half of non-syndromic hearing loss cases with autosomal recessive inheritance. The most frequent variant in GJB2 causing non-syndromic hearing loss is the frameshifting c.35del.

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The forces of evolution-mutation, selection, migration, and genetic drift-shape the genetic architecture of human traits, including the genetic architecture of complex neuropsychiatric illnesses. Studying these illnesses in populations that are diverse in genetic ancestry, historical demography, and cultural history can reveal how evolutionary forces have guided adaptation over time and place. A fundamental truth of shared human biology is that an allele responsible for a disease in anyone, anywhere, reveals a gene critical to the normal biology underlying that condition in everyone, everywhere.

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  • Human genomics has rapidly progressed, enabling genome-wide association studies (GWASs) that struggle with highly polymorphic HLA genes linked to disease risk.
  • The study assessed how well the 1000 Genomes data performs as a reference for inferring HLA genotypes in individuals of mixed African and European ancestry, revealing that a comprehensive dataset improves accuracy compared to smaller models.
  • Custom genetic models for specific populations showed better performance than multiethnic models, highlighting the need for more diverse reference datasets to enhance HLA imputation across different genetic groups.
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  • - Phelan-McDermid syndrome (PMS) is a genetic disorder caused by SHANK3 haploinsufficiency, leading to various neurodevelopmental and systemic issues.
  • - Updated clinical management guidelines for PMS were created by an expert taskforce to incorporate recent findings and provide comprehensive support for clinicians and the community.
  • - The new guidelines improve the assessment and management of PMS, while also noting the need for ongoing research to refine treatment recommendations as more information becomes available.
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TBCK-related encephalopathy is a rare pediatric neurodegenerative disorder caused by biallelic loss-of-function variants in the TBCK gene. After receiving anecdotal reports of neurologic phenotypes in both human and mouse TBCK heterozygotes, we quantified if TBCK haploinsufficiency causes a phenotype in mice and humans. Using the tbck mouse model, we performed a battery of behavioral assays and mTOR pathway analysis to investigate potential alterations in neurophysiology.

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De novo variants (DNVs) analysis has proven to be a powerful approach to gene discovery in Autism Spectrum Disorder (ASD), which has not yet been shown in a Brazilian ASD cohort. The relevance of inherited rare variants has also been suggested, particularly in oligogenic models. We hypothesized that three-generation analyses of DNVs could provide new insights into the relevance of de novo and inherited variants across generations.

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Gene-environment interactions are believed to play a role in multifactorial phenotypes, although poorly described mechanistically. Cleft lip/palate (CLP), the most common craniofacial malformation, has been associated with both genetic and environmental factors, with little gene-environment interaction experimentally demonstrated. Here, we study CLP families harbouring CDH1/E-Cadherin variants with incomplete penetrance and we explore the association of pro-inflammatory conditions to CLP.

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  • Rothmund-Thomson syndrome (RTS) is a rare genetic skin disorder characterized by poikiloderma and divided into two types based on genetic variations and symptoms.
  • A study of Brazilian individuals and European siblings with RTS revealed severe short stature, widespread poikiloderma, and congenital eye problems, linked to specific gene mutations affecting DNA repair.
  • The findings suggest a shared genetic background due to a founder effect and propose that the mutations may lead to distinct clinical characteristics, broadening the understanding of RTS symptoms.
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  • Microcephaly has a complex genetic background often linked to various neurodevelopmental disorders, with copy number variants (CNVs) identified as a key causal factor.
  • The study analyzed chromosomal microarray data from 185 Brazilian patients and found rare clinically relevant CNVs in 21% of cases, revealing several known and novel genes associated with microcephaly.
  • A comprehensive review of microcephaly-related genes and CNV syndromes was conducted, highlighting the importance of chromosomal microarray analysis in diagnosis and identifying new candidate loci for further investigation in neurodevelopmental research.
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Background: Although aging correlates with a worse prognosis for Covid-19, super elderly still unvaccinated individuals presenting mild or no symptoms have been reported worldwide. Most of the reported genetic variants responsible for increased disease susceptibility are associated with immune response, involving type I IFN immunity and modulation; cluster genes; inflammasome activation; genes of interleukins; and chemokines receptors. On the other hand, little is known about the resistance mechanisms against SARS-CoV-2 infection.

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Background: Although older adults are at a high risk of severe or critical Covid-19, there are many cases of unvaccinated centenarians who had a silent infection or recovered from mild or moderate Covid-19. We studied three Brazilian supercentenarians, older than 110 years, who survived Covid-19 in 2020 before being vaccinated.

Results: Despite their advanced age, humoral immune response analysis showed that these individuals displayed robust levels of IgG and neutralizing antibodies (NAbs) against SARS-CoV-2.

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Non-syndromic cleft lip with or without cleft palate (NSCLP), the most common human craniofacial malformation, is a complex disorder given its genetic heterogeneity and multifactorial component revealed by genetic, epidemiological, and epigenetic findings. Epigenetic variations associated with NSCLP have been identified; however, functional investigation has been limited. Here, we combined a reanalysis of NSCLP methylome data with genetic analysis and used both and approaches to dissect the functional effects of epigenetic changes.

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  • - A study examined genetic mutations in individuals with autism spectrum disorder (ASD) by analyzing data from 63,237 people, identifying 72 genes linked to ASD at a very low false discovery rate.
  • - The research found that genetic mutations contributing to ASD included de novo protein-truncating variants (PTVs), damaging missense variants, and copy number variants (CNVs), with CNVs posing the highest risk.
  • - When including data from a larger group with developmental delay, 373 genes were connected to both ASD and developmental delay, revealing different mutation frequencies in the two groups and suggesting shared genetic pathways between ASD and other neuropsychiatric disorders like schizophrenia.
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Oligogenic inheritance of autism spectrum disorder (ASD) has been supported by several studies. However, little is known about how the risk variants interact and converge on causative neurobiological pathways. We identified in an ASD proband deleterious compound heterozygous missense variants in the Reelin (RELN) gene, and a de novo splicing variant in the Cav3.

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Autism Spectrum Disorder (ASD) is characterized by impaired social communication, restricted interests, and repetitive and stereotyped behaviors. The TRPC6 (transient receptor potential channel 6) represents an ASD candidate gene under an oligogenic/multifactorial model based on the initial description and cellular characterization of an individual with ASD bearing a de novo heterozygous mutation disrupting TRPC6, together with the enrichment of disruptive TRPC6 variants in ASD cases as compared to controls. Here, we perform a clinical re-evaluation of the initial non-verbal patient, and also present eight newly reported individuals ascertained for ASD and bearing predicted loss-of-function mutations in TRPC6.

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Prenatal exposure to maternal immune activation (MIA) has been suggested to increase the probability of autism spectrum disorder (ASD). Recent evidence from animal studies indicates a key role for interleukin-17a (IL-17a) in promoting MIA-induced behavioral and brain abnormalities reminiscent of ASD. However, it is still unclear how IL-17a acts on the human developing brain and the cell types directly affected by IL-17a signaling.

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Neural crest cells (NCCs) are a multipotent and transient cell population that gives rise to many important tissues during human embryogenesis. Disturbances that occur during NCCs development may lead to numerous types of diseases and syndromes, which are called neurocristopathies. NCCs in vitro modeling enables the access to cellular, genetic, and biochemical information about the neural crest development and its derivatives.

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