Publications by authors named "Robert Morell"

Article Synopsis
  • * In experiments on mice and human subjects, Dex-CI showed a significant reduction in electrical impedance and inflammatory response compared to standard implants.
  • * Locally delivered dexamethasone (Dex-local) was found to be ineffective for long-term improvement, indicating that Dex-CI is a better option than current clinical practices for reducing inflammation and improving implant performance.
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Deafness in vertebrates is associated with variants of hundreds of genes. Yet, many mutant genes causing rare forms of deafness remain to be discovered. A consanguineous Pakistani family segregating nonsyndromic deafness in two sibships were studied using microarrays and exome sequencing.

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Summary: The stria vascularis (SV), part of the blood-labyrinth barrier, is an essential component of the inner ear that regulates the ionic environment required for hearing. SV degeneration disrupts cochlear homeostasis, leading to irreversible hearing loss, yet a comprehensive understanding of the SV, and consequently therapeutic availability for SV degeneration, is lacking. We developed a whole-tissue explant model from neonatal and adult mice to create a robust platform for SV research.

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A female proband and her affected niece are homozygous for a novel frameshift variant of CLPP. The proband was diagnosed with severe Perrault syndrome encompassing hearing loss, primary ovarian insufficiency, abnormal brain white matter and developmental delay.

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  • Sjögren's Disease (SjD) is an autoimmune disorder affecting salivary glands, but the cause and effective treatments are still unclear.
  • Researchers used advanced techniques like single-cell and spatial transcriptomics to analyze both healthy and diseased salivary glands, revealing key differences in cellular composition.
  • The study found that specific immune cells, particularly +CD8 T cells, are involved in damaging secretory cell types in SjD, highlighting the complex immune interactions that contribute to the disease's progression.
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Stuttering is a common speech disorder that interrupts speech fluency and tends to cluster in families. Typically, stuttering is characterized by speech sounds, words or syllables which may be repeated or prolonged and speech that may be further interrupted by hesitations or 'blocks'. Rare variants in a small number of genes encoding lysosomal pathway proteins have been linked to stuttering.

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  • Enlargement of the endolymphatic sac, duct, and vestibular aqueduct (EVA) is a common inner ear deformity linked to sensorineural hearing loss and often involves the SLC26A4 gene, but many patients lack identifiable mutations.
  • A study examined 34 families without SLC26A4 mutations, identifying two families with monoallelic CHD7 gene variants that are associated with conditions like CHARGE syndrome.
  • These findings imply that CHD7 may play a role in nonsyndromic hearing loss and EVA, indicating the need for its inclusion in genetic testing for these conditions.
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Changes in metabolism of macrophages are required to sustain macrophage activation in response to different stimuli. We showed that the cytokine TGF-β (transforming growth factor-β) regulates glycolysis in macrophages independently of inflammatory cytokine production and affects survival in mouse models of sepsis. During macrophage activation, TGF-β increased the expression and activity of the glycolytic enzyme PFKL (phosphofructokinase-1 liver type) and promoted glycolysis but suppressed the production of proinflammatory cytokines.

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Hereditary deafness and retinal dystrophy are each genetically heterogenous and clinically variable. Three small unrelated families segregating the combination of deafness and retinal dystrophy were studied by exome sequencing (ES). The proband of Family 1 was found to be compound heterozygous for NM_004525.

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Although variant alleles of hundreds of genes are associated with sensorineural deafness in children, the genes and alleles involved remain largely unknown in the Sub-Saharan regions of Africa. We ascertained 56 small families mainly of Yoruba ethno-lingual ancestry in or near Ibadan, Nigeria, that had at least one individual with nonsyndromic, severe-to-profound, prelingual-onset, bilateral hearing loss not attributed to nongenetic factors. We performed a combination of exome and Sanger sequencing analyses to evaluate both nuclear and mitochondrial genomes.

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The endocochlear potential (EP) generated by the stria vascularis (SV) is necessary for hair cell mechanotransduction in the mammalian cochlea. We sought to create a model of EP dysfunction for the purposes of transcriptional analysis and treatment testing. By administering a single dose of cisplatin, a commonly prescribed cancer treatment drug with ototoxic side effects, to the adult mouse, we acutely disrupt EP generation.

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The stria vascularis (SV) in the cochlea generates and maintains the endocochlear potential, thereby playing a pivotal role in normal hearing. Knowing transcriptional profiles and gene regulatory networks of SV cell types establishes a basis for studying the mechanism underlying SV-related hearing loss. While we have previously characterized the expression profiles of major SV cell types in the adult mouse, transcriptional profiles of rare SV cell types remained elusive due to the limitation of cell capture in single-cell RNA-Seq.

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Usher syndrome has been historically categorized into one of three classical types based on the patient phenotype. However, the vestibular phenotype does not infallibly predict which Usher genes are mutated. Conversely, the Usher syndrome genotype is not sufficient to reliably predict vestibular function.

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Human pathogenic variants of are associated with clinically heterogeneous phenotypes, including recessive nonsyndromic deafness DFNB86, dominant nonsyndromic deafness DFNA65, seizure accompanied by deafness, a variety of isolated seizure phenotypes and DOORS syndrome, characterized by deafness, onychodystrophy, osteodystrophy, intellectual disability and seizures. Thirty-five pathogenic variants of human associated with deafness have been reported. However, functions of TBC1D24 in the inner ear and the pathophysiology of TBC1D24-related deafness are unknown.

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Dental epithelial stem cells give rise to four types of dental epithelial cells: inner enamel epithelium (IEE), outer enamel epithelium (OEE), stratum intermedium (SI), and stellate reticulum (SR). IEE cells further differentiate into enamel-forming ameloblasts, which play distinct roles, and are essential for enamel formation. These are conventionally classified by their shape, although their transcriptome and biological roles are yet to be fully understood.

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Article Synopsis
  • Dental enamel, the hardest substance in the body, is formed by matrices secreted from ameloblasts, and its mineralization is closely linked to the maturation of these cells and ion balance.
  • Disruption in the processes regulating enamel can lead to hypomineralization, and the study highlights the importance of a specific G protein-coupled receptor (GPCR) in this process.
  • Research using knockout mice and dental cell lines shows that this GPCR is essential for proper ion transport and pH balance in enamel formation, indicating a significant role in both enamel mineralization and ectodermal organ development.
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Sensory epithelia of the inner ear contain mechanosensory hair cells (HCs) and glia-like supporting cells (SCs), both of which are required for hearing and balance functions. Each of these cell types has unique responses to ototoxic and cytoprotective stimuli. Non-lethal heat stress in the mammalian utricle induces heat shock proteins (HSPs) and protects against ototoxic drug-induced hair cell death.

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Hepatocyte growth factor (HGF) is a multifunctional protein that signals through the MET receptor. HGF stimulates cell proliferation, cell dispersion, neuronal survival, and wound healing. In the inner ear, levels of HGF must be fine-tuned for normal hearing.

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Hearing loss is a problem that impacts a significant proportion of the adult population. Cochlear hair cell (HC) loss due to loud noise, chemotherapy and aging is the major underlying cause. A significant proportion of these individuals are dissatisfied with available treatment options which include hearing aids and cochlear implants.

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The stria vascularis (SV) generates the endocochlear potential (EP) in the inner ear and is necessary for proper hair cell mechanotransduction and hearing. While channels belonging to SV cell types are known to play crucial roles in EP generation, relatively little is known about gene regulatory networks that underlie the ability of the SV to generate and maintain the EP. Using single cell and single nucleus RNA-sequencing, we identify and validate known and rare cell populations in the SV.

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Article Synopsis
  • Epilepsy, deafness, and other disorders linked to TBC1D24 mutations are not fully understood, prompting researchers to create a mouse model with a specific mutant gene variant associated with early infantile epileptic encephalopathy (EIEE).
  • The engineered mice exhibit normal hearing but develop spontaneous seizures around postnatal day 15, mimicking the human condition, which corresponds with a change in how the TBC1D24 protein is made during development.
  • The study highlights the important role of TBC1D24 in neuronal function and opens the door for testing new medications to treat seizure disorders linked to TBC1D24 mutations.
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Article Synopsis
  • Mechanosensory hair cells in the inner ear are crucial for hearing and balance but can be damaged by certain drugs and stressors, leading to hearing loss.
  • Researchers previously found that heat shock proteins can protect these cells from damage caused by specific antibiotics.
  • Using a library of cellular signatures (LINCS), the study identified compounds that mimic heat shock gene expression and tested them in zebrafish, finding three that protect hair cells from drug-induced death.
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  • Periodontitis is a common inflammatory disease, and this study reveals a significant increase in resident memory T helper 17 (T17) cells in affected individuals, indicating a potential area for therapeutic targeting.
  • T17 cell expansion in periodontitis is linked to a dysbiotic microbiome and relies on two cytokines, IL-6 and IL-23, unlike the T17 cells that maintain oral health.
  • The research suggests that targeting T17 cell differentiation may offer new ways to treat periodontitis, as observed in both experimental models and in patients with a genetic defect affecting T17 cells, leading to reduced inflammation despite a higher risk of fungal infections.
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Consanguineous Pakistani pedigrees segregating deafness have contributed decisively to the discovery of 31 of the 68 genes associated with nonsyndromic autosomal recessive hearing loss (HL) worldwide. In this study, we utilized genome-wide genotyping, Sanger and exome sequencing to identify 163 DNA variants in 41 previously reported HL genes segregating in 321 Pakistani families. Of these, 70 (42.

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