Publications by authors named "Streata I"

Background: Conditions associated with pathogenic (PVs) or likely pathogenic variants (LPVs) are often severe. The early detection of carrier status is ideal, as it provides options for effective case management.

Materials And Methods: The study involved 58 patients with a personal and familial history of breast cancer (BC) who underwent genetic testing at the Regional Centre for Medical Genetics Dolj over a three-year period.

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Background: The Roma population are an endogamous, genetically isolated, minority population who migrated from North-Western India to Europe from the 10th Century throughout the Byzantine period and continues to the present day. Approximately 10-12 million Romani people reside in segregated settlements in Europe, and smaller populations live in North America and China. In addition to the endogamy, they also practice consanguinity.

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Recurrent pregnancy loss (RPL) is a multifactorial condition, encompassing genetic, anatomical, immunological, endocrine, as well as infectious and environmental factors; however, the etiology remains elusive in a substantial number of cases. Genetic factors linked to RPL include parental karyotype abnormalities (e.g.

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Patients with sepsis differ in their clinical presentations and immune dysregulation in response to infection, but the fundamental processes that determine this heterogeneity remain elusive. Here, we aim to understand which types of immune dysregulation characterize patients with sepsis. To that end, we investigate sepsis pathogenesis in the context of two transcriptional states: one represents the immune response to eliminate pathogens (resistance, R) and the other is associated with systemic inflammation (SI).

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Article Synopsis
  • Familial hypercholesterolemia (FH) is an underdiagnosed genetic condition that increases the risk of early cardiovascular issues, highlighting the need for early interventions in children.
  • An interventional study with 10 patients showed that those without FH achieved significant lipid level improvements through lifestyle changes alone, while genetically confirmed FH patients did not see similar benefits without medication.
  • The study emphasizes the critical role of genetic testing for FH in guiding treatment decisions, as it may not be routinely included in current screening practices.
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Colorectal cancer (CRC) is a major public health problem worldwide, currently ranking third in cancer incidence and second in mortality. Multiple genes and environmental factors have been involved in the complex and multifactorial process of CRC carcinogenesis. VDR is an intracellular hormone receptor expressed in both normal epithelial and cancer colon cells at various levels.

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Objectives: IL-1α/β and TNF are closely linked to the pathology of severe COVID-19 and sepsis. The soluble forms of their receptors, functioning as decoy receptors, exhibit inhibitory effects. However, little is known about their regulation in severe bacterial and viral infections, which we aimed to investigate in this study.

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Fibroblast growth factor 21 (FGF21) is a hormone involved in regulating the metabolism, energy balance, and glucose homeostasis, with new studies demonstrating its beneficial effects on the heart. This study investigated the relationship between FGF21 levels and clinical, biochemical, and echocardiographic parameters in patients with acute coronary syndromes (ACSs). This study included 80 patients diagnosed with ACS between May and July 2023, categorized into four groups based on body mass index (BMI): Group 1 (BMI 18.

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  • SNURPORTIN-1 (SNUPN) is important for transporting proteins in the cell but its exact job wasn’t known before.
  • Researchers studied 18 kids with a rare type of muscular dystrophy and found that changes in the SNUPN gene might be causing their health issues.
  • The study showed that the faulty SNUPN protein doesn't work properly, leading to problems in muscle cells and causing symptoms of muscular dystrophy in these kids.
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Alterations in RNA-splicing are a molecular hallmark of several neurological diseases, including muscular dystrophies, where mutations in genes involved in RNA metabolism or characterized by alterations in RNA splicing have been described. Here, we present five patients from two unrelated families with a limb-girdle muscular dystrophy (LGMD) phenotype carrying a biallelic variant in SNUPN gene. Snurportin-1, the protein encoded by SNUPN, plays an important role in the nuclear transport of small nuclear ribonucleoproteins (snRNPs), essential components of the spliceosome.

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The objective of this study was to analyze the serum amino acid profile in children diagnosed with autistic spectrum disorder (ASD) in southern Romania. The analysis aimed to provide insights into the underlying metabolic dysregulations associated with ASD. ASD is a neurodevelopmental disorder characterized by impaired social interaction, communication deficits, and restricted repetitive behaviors.

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Type 2 diabetes mellitus (T2DM) is a common metabolic disorder that results from complex interactions of both environmental and genetic factors. Many single nucleotide polymorphisms (SNPs), including noncoding RNA genes, have been investigated for their association with susceptibility to T2DM and its complications, with little evidence available regarding Caucasians. The aim of the present study was to establish whether four miRNA SNPs (miR-27a rs895819 T>C, miR-146a rs2910164 G>C, miR-196a2 rs11614913 C>T, and miR-499a rs3746444 A>G) are correlated with susceptibility to T2DM and/or diabetic polyneuropathy (DPN) in a Romanian population.

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Article Synopsis
  • - The study examines the effects of vitamin D supplementation in obese children with and without non-alcoholic fatty liver disease (NAFLD), highlighting the lack of effective treatments for this chronic condition in pediatric cases.
  • - It involved 72 children aged 6 to 14, comparing metabolic syndrome components before and after treatment, and found NAFLD was linked to metabolic syndrome in both groups.
  • - Vitamin D deficiency was common and linked to obesity and NAFLD, and correcting this deficiency showed promising improvements, especially when combined with a regimen-based treatment.
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  • Familial hypercholesterolemia (FH) is a genetic disorder leading to high LDL-cholesterol, increasing risks of cardiovascular issues later in life, particularly in adults.
  • A study tested 20 Romanian children with elevated LDL-cholesterol levels at a specialized health institute, using the Illumina TruSight Cardio panel for genetic analysis.
  • Results showed that 5 out of 20 patients had identifiable pathogenic genetic variants linked to FH, indicating that early diagnosis through lipid screening could be crucial for prevention.
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Phenylketonuria (PKU) is caused by mutations in the phenylalanine hydroxylase () gene and is characterized by altered amino acid metabolism. More than 1500 known variants intricately determine a spectrum of metabolic phenotypes. We aim to report on clinical presentation and variants identified in 23 hyperphenylalaninemia (HPA)/PKU Romanian patients.

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Orofaciodigital syndrome I (OFD1-MIM #311200) is a rare ciliopathy characterized by facial dysmorphism, oral cavity, digit, and brain malformations, and cognitive deficits. OFD1 syndrome is an X-linked dominant disorder reported mostly in females. The gene responsible for this condition, OFD1 centriole and centriolar satellite protein (), is involved in primary cilia formation and several cilia-independent biological processes.

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  • - The study aimed to assess how effective first-trimester ultrasound features are in identifying central nervous system (CNS) anomalies in fetuses by analyzing various brain structures and potential abnormalities.
  • - Out of 1,943 single pregnancies examined, 17 significant cases of CNS abnormalities were discovered, including serious conditions like spina bifida and hydrocephaly, with an overall detection rate of 72.7% in the first trimester.
  • - The results indicate that a thorough CNS evaluation during the first trimester is both feasible and effective, allowing for early detection of major brain abnormalities in most cases.
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It is well known that first-trimester miscarriages are associated with chromosome abnormalities, with numerical chromosome abnormalities being the ones most commonly detected. Conventional karyotyping is still considered the gold standard in the analysis of products of conception, despite the extended use of molecular genetic techniques. However, conventional karyotyping is a laborious and time-consuming method, with a limited resolution of 5-10 Mb and hampered by maternal cell contamination and culture failure.

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  • Investigating global developmental delay (GDD) and intellectual disability (ID) can be complex, especially in low-resource settings where advanced diagnostic methods aren't always used.
  • This study analyzed 371 Romanian patients with GDD/ID, using chromosome microarray analysis (CMA) to find genetic causes, revealing that 21.29% had pathogenic copy number variations (pCNVs).
  • The research highlighted that CMA is particularly beneficial in diagnosing GDD/ID, especially when associated with other conditions like facial dysmorphism or congenital anomalies.
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Cancer stem cells (CSCs) are proposed to be involved in colorectal cancer (CRC) initiation, growth, and metastasis. The aim of our pilot study was to assess possible correlations between the clinicopathological characteristics of CRC patients and CSCs gene expression patterns, in order to provide insight into new methods for patient stratification and targeted therapeutic strategies. Our study involved 60 CRC patients, and the following three specific CSC genes were targeted: PROM1/CD133, ALCAM/CD166 and HCAM /CD44.

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  • Sepsis is a complex immune response disorder, and researchers are working to personalize treatments by analyzing patients' inflammatory profiles to improve outcomes.
  • This study evaluated 92 plasma inflammatory markers in 167 sepsis patients and 192 healthy controls, identifying 62 proteins that were significantly altered between these groups.
  • The research uncovered two distinct inflammatory profiles among sepsis patients, indicating that analyzing circulating proteins could enhance patient stratification for better clinical management.
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Early-onset developmental epileptic encephalopathy (DEE) refers to an age-specific, diverse group of epilepsy syndromes with electroclinical anomalies that are associated with severe cognitive, behavioral, and developmental impairments. Genetic DEEs have heterogeneous etiologies. This study includes 36 Romanian patients referred to the Regional Centre for Medical Genetics Dolj for genetic testing between 2017 and 2020.

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19q13 microdeletion syndrome is a very rare genetic disease characterized by pre- and postnatal growth retardation, intellectual disability, expressive language impairment, ectodermal dysplasia, and slender habitus. Since the description of the first case in 1998, less than 30 cases have been reported worldwide. This article aims to review the knowledge gathered so far on this subject and to present the case of a 10-year-old girl admitted to the National University Center for Children Neurorehabilitation "Dr.

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  • * The research involved 82 Romanian patients with MDD and 286 healthy controls, focusing on two genetic variants (NR3C1 rs41423247 and BDNF rs6265) using PCR techniques.
  • * Although the study found specific minor allele frequencies in the Romanian cohort, the genetic variants did not show significant associations with MDD, highlighting potential inconsistencies in previous literature and issues with the study’s sample size.
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Greig cephalopolysyndactyly syndrome (GCPS) is a rare genetic disorder (about 200 cases reported), characterized by macrocephaly, hypertelorism, and polysyndactyly. Most of the reported GCPS cases are the results of heterozygous loss of function mutations affecting the gene (OMIM# 175700), while a small proportion of cases arise from large deletions on chromosome 7p14 encompassing the gene. To our knowledge, only 6 patients have been reported to have a deletion with an exact size (given by genomic coordinates) and a gene content larger than 1 Mb involving the gene.

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