Publications by authors named "Simon-Pierre Guay"

Background And Aims: Familial chylomicronemia syndrome (FCS) and multifactorial chylomicronemia syndrome (MCS) are the two main causes of severe hypertriglyceridemia (sHTG). FCS is a rare autosomal recessive form of sHTG, whereas MCS is mainly polygenic in nature with both common and rare variants accumulating and leading to sHTG. However, 30 to 50% of MCS patients have no identified genetic cause of sHTG.

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Background: Homozygous familial hypercholesterolemia (HoFH) is a rare genetic disease of low-density lipoprotein cholesterol (LDL-C) metabolism. Despite the devastating effect of this disease on atherosclerotic cardiovascular health, the disease phenotype and severity are more heterogeneous than previously thought. The predictors of atherosclerotic cardiovascular disease (ASCVD) in HoFH patients have never been systematically studied.

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  • Recent research highlights the varied risk levels of acute pancreatitis in patients with severe hypertriglyceridemia (HTG) due to genetic factors, beyond just triglyceride levels.* -
  • Studies show that polygenic susceptibility significantly affects the likelihood of acute pancreatitis, with a new risk score indicating that high susceptibility patients have triple the risk.* -
  • Continued focus on developing risk assessment tools and predictive models is crucial for identifying individuals who may benefit from proactive treatments to reduce pancreatitis risk, such as APOC3 inhibitors.*
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  • Acute pancreatitis (AP) is often triggered by gallstones, alcohol, or high triglycerides, and this study explores the genetic factors that could help identify individuals at higher risk for AP.
  • Researchers analyzed genetic data from nearly 485,000 individuals to create a weighted polygenic risk score (PRS) using specific genetic variants linked to pancreatitis.
  • Those with a higher pancreatitis PRS (above the 90th percentile) had a significantly increased risk of developing AP, suggesting that this genetic information can aid in identifying patients who might need closer monitoring and intervention.
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  • Dysbetalipoproteinemia (DBL) is linked to high cholesterol and significantly increases the risk of atherosclerotic cardiovascular disease (ASCVD).
  • The study examined predictors of ASCVD in 2,699 individuals with the ε2/ε2 genotype, finding that factors like age, hypertension, waist circumference, and a polygenic risk score are key indicators of risk.
  • Results suggest that ε2/ε2 individuals with DBL have lower survival rates free from ASCVD, emphasizing the need for improved risk assessment and management strategies for these patients.
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  • * Patients exhibit a range of symptoms, including neurological, hematological, and gastrointestinal issues, due to the lack of certain lipoproteins.
  • * The report highlights four cases from a specific French-Canadian population, showing a higher-than-expected prevalence of a particular MTTP mutation, recommending early diagnosis and potential screening in the community.
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Sitosterolemia is a rare monogenic lipid disease characterized by the excessive uptake of phytosterols and their accumulation in blood and tissues. Clinically, it can present with hypercholesterolemia and xanthomas, often causing it to be misdiagnosed as familial hypercholesterolemia (FH). The diagnosis of sitosterolemia can easily be confirmed and distinguished from FH with a sterol profile and genetic investigations.

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  • Dysbetalipoproteinemia (DBL) is a genetic disorder that affects lipoprotein metabolism, increasing cardiovascular disease risk, but diagnosing it is challenging and its prevalence is unclear.
  • In a study of 453,437 UK Biobank participants, 0.2% were found to have DBL, with similar prevalence across different genetic ancestries.
  • The study validated several diagnostic criteria, revealing good sensitivity (>90%) but poor positive predictive value (0.6%-15.4%), suggesting these criteria should be used for initial screening before genetic testing for confirmation.
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  • * Researchers assessed 114 MCS patients using genetic testing and a polygenic risk score, revealing that two-thirds had hyperTG of polygenic origin and those with pathogenic variants (PVs) in triglyceride metabolism genes were at a higher risk for extreme triglyceride levels and pancreatitis.
  • * The findings indicate that MCS patients with both a high triglyceride polygenic risk score and PVs have a significantly greater risk of pancreatitis, suggesting that understanding genetic
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Background: Multifactorial chylomicronemia syndrome (MCS) is a severe form of hypertriglyceridemia associated with an increased risk of acute pancreatitis (AP). The risk of AP is heterogenous and is associated with increased level of triglycerides (TG) and presence of rare variants in TG metabolism-related genes.

Objective: To determine if the accumulation of common variants in pancreatitis susceptibility genes, measured with a weighted polygenic risk score (PRS), is associated with AP in MCS patients.

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Background: Multifactorial chylomicronemia syndrome (MCS) is a severe form of hypertriglyceridemia (hyperTG) associated with an increased risk of acute pancreatitis. However, the risk of acute pancreatitis is very heterogenous in MCS. Previous studies suggested that inflammation might promote disease progression in hyperTG-induced acute pancreatitis.

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Tendinous xanthomas are usually a sign of genetic dyslipidemias and are said to be pathognomonic for familial hypercholesterolemia. However, the differential diagnosis must also include rarer forms of genetic dyslipidemias such as cerebrotendinous xanthomatosis (CTX). In this report, we present the diagnostic odyssey of a French-Canadian patient presenting with Achilles tendon xanthomas and an unusual mild to moderate hypercholesterolemia.

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  • RNA polymerase III-related or 4H leukodystrophy (POLR3-HLD) is a genetic disorder leading to neurological issues, dental problems, and hormonal deficiencies, caused by mutations in specific genes.
  • A study evaluated the craniofacial features of 31 POLR3-HLD patients, revealing common abnormalities like a flat midface, smooth philtrum, and pointed chin, with different features linked to specific gene mutations.
  • The findings highlight that craniofacial abnormalities are prevalent in POLR3-HLD, offering detailed insights into the dysmorphic traits associated with the various genetic variants involved.
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  • During pregnancy, maternal metabolism changes significantly to support the fetus, with microRNAs (miRNAs) playing a key role in regulating gene expression and biological functions.
  • A study analyzed the plasma microtranscriptome in pregnant women, comparing it to non-pregnant women, by examining 436 pregnant women (weeks 4-16) and 15 non-pregnant women using advanced sequencing techniques.
  • Results showed that 191 miRNAs were differentially abundant between the two groups, with fluctuations in 57 miRNAs correlated with gestational age, indicating that specific miRNAs are linked to both pregnancy and its progression during the first trimester.
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Unlabelled: Adenosine kinase (ADK) deficiency is a rare autosomal recessive inborn error of metabolism involving the methionine and purine metabolic pathways. Prior reports show that most patients present in infancy with jaundice, hypotonia, developmental delay, and mild dysmorphic features. Characteristic biochemical findings included hypoglycemic hyperinsulinism, cholestasis, elevated liver functions, methionine, S-adenosylhomocysteine, and S-adenosylmethionine, with normal or mildly elevated homocysteine level.

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To investigate the associations between high-density lipoprotein (HDL)-enriched miRNAs and the cardiometabolic profile of healthy men and women. miRNAs were quantified using next-generation sequencing of miRNAs extracted from purified HDL and plasma from 17 healthy men and women couples. Among the HDL-enriched miRNAs, miR-30a-5p correlated positively with HDL-cholesterol levels, whereas miR-144-5p and miR-30a-5p were negatively associated with fasting insulin levels and Homeostasis model assessment of insulin resistance index.

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  • * A study examined how blood DNA methylation (DNAm) relates to cognitive functions in DM1 patients, analyzing data from 115 individuals with the condition.
  • * Results indicated that for most patients, baseline DNAm can predict cognitive performance almost a decade later, while those with variant repeats showed distinct DNAm and cognitive patterns.
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Placental lipids transfer is essential for optimal fetal development, and alterations of these mechanisms could lead to a higher risk of adverse birth outcomes. Low-density lipoprotein receptor (LDLR), LDL receptor-related protein 1 (LRP1), and scavenger receptor class B type 1 (SCARB1) genes are encoding lipoprotein receptors expressed in the placenta where they participate in cholesterol exchange from maternal to fetal circulation. The aim of this study was thus to investigate the association between maternal lipid changes occurring in pregnancy, placental DNA methylation (DNAm) variations at LDLR, LRP1, and SCARB1 gene loci, and newborn's anthropometric profile at birth.

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Objective: To assess the effects of dystrophia myotonica protein kinase () DNA methylation (DNAme) epivariation on muscular and respiratory profiles in patients with myotonic dystrophy type 1 (DM1).

Methods: Phenotypes were assessed with standardized measures. Pyrosequencing of bisulfite-treated DNA was used to quantify DNAme levels in blood from 90 patients with DM1 (adult form).

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  • - The study aimed to analyze the microtranscriptome of high-density lipoproteins (HDLs) to determine if it differs from plasma and between genders.
  • - Researchers extracted RNA from HDLs and plasma of 17 healthy male-female couples, finding an average of 310 miRNAs in HDLs and 355 in plasma, with significant differences in their abundance.
  • - The identified miRNAs were linked to lipid metabolism and cellular functions, indicating that HDLs have a unique miRNA profile that is consistent across sexes and may affect their physiological role.
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Inhibition of PACE4, a proprotein convertase that is overexpressed in prostate cancer, has been shown to block cancer progression in an androgen-independent manner. However, the basis for its overexpression and its growth-inhibitory effects are mitigated and uncertain. Here, we report that PACE4 pre-mRNA undergoes DNA methylation-sensitive alternative splicing of its terminal exon 3' untranslated region, generating an oncogenic, C-terminally modified isoform (PACE4-altCT).

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Gestational diabetes mellitus (GDM) is associated with obesity in childhood. This suggests that consequences of in utero exposure to maternal hyperglycemia extend beyond the fetal development, possibly through epigenetic programming. The aims of this study were to assess whether placental DNA methylation (DNAm) marks were associated with maternal GDM status and to offspring body composition at 5 years old in a prospective birth cohort.

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Aim: High-density lipoproteins (HDLs) are associated to cardioprotection and transport functional miRNAs in circulation. The aim of this study is to assess whether consumption of trans fatty acids (TFAs) modifies the HDL-carried miRNA concentration and their contribution to the plasmatic pool.

Methods: In a double-blind, randomized crossover controlled study, nine healthy men were fed each of three isoenergetic 4-week diets: first, rich in industrial TFAs; second, rich in TFAs from ruminants; third, low in TFAs.

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Background: Calcific aortic valve disease is characterized by an abnormal mineralization of the aortic valve. Osteogenic activity in the aortic valve is under the control of NOTCH1, which regulates the expression of key pro-osteogenic genes such as RUNX2 and BMP2. Long noncoding RNAs (lncRNAs) may reprogram cells by altering the gene expression pattern.

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Background: Children exposed to gestational diabetes mellitus (GDM) are at a higher risk of developing obesity and type 2 diabetes. This susceptibility might involve brown adipose tissue (BAT), which is suspected to protect against obesity. The objective of this study is to assess whether fetal exposure to maternal hyperglycemia is associated with DNA methylation variations in genes involved in BAT genesis and activation.

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