Publications by authors named "Winship I"

This study delves into the claustrum's role in modulating spontaneous and sensory-evoked network activity across cortical regions. Using mesoscale calcium imaging and Gi and Gq DREADDs in anesthetized mice, we show that decreasing claustral activity enhances prefrontal cortical activity, while activation reduces prefrontal cortical activity. This claustrum modulation also caused changes to the brain's large-scale functional networks, emphasizing the claustrum's ability to influence long-range functional connectivity in the cortex.

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Renal cell carcinoma (RCC) has been associated with germline pathogenic or likely pathogenic (PLP) variants in recognised cancer susceptibility genes. Studies of RCC using gene panel sequencing have been highly variable in terms of study design, genes included, and reported prevalence of PLP variant carriers (4-26%). Studies that restricted their analysis to established RCC predisposition genes identified variants in 1-6% of cases.

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  • Diagnostic genomic sequencing is becoming essential in nephrology, with efforts to enhance its national implementation to benefit patient outcomes.
  • A national study established 20 kidney genetics clinics across Australia from 2013 to 2022, offering genomic testing for patients with suspected monogenic kidney diseases and facilitating the collection of data on diagnostic experiences.
  • The initiative successfully integrated a multidisciplinary approach to kidney genetics, optimizing care for patients while adapting to ongoing technological advancements and preparing for broader healthcare funding for genomic testing.
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  • Colorectal cancers (CRCs) linked to biallelic germline variants show specific mutational signatures (SBS18+SBS36 and SBS30) that could also be present in adenomas, which are precursors to CRCs.
  • A study sequenced DNA from adenomas and CRCs in biallelic cases and compared them with sporadic cases to investigate these signatures.
  • Results indicated that adenomas in biallelic cases had similar mutational signature proportions as their corresponding CRCs, suggesting testing adenomas could enhance the detection of biallelic cases and improve variant classification for better CRC prevention strategies.
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Introduction: Young onset dementia (YOD) by its nature is difficult to diagnose. Despite involvement of multidisciplinary neurogenetics services, patients with YOD and their families face significant diagnostic delays. Genetic testing for people with YOD currently involves a staggered, iterative approach.

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Intense interest surrounds current research on psychedelics, particularly regarding their potential in treating mental health disorders. Various studies suggest a link between the subjective effects produced by psychedelics and their therapeutic efficacy. Neuroimaging evidence indicates an association of changes in brain functional connectivity with the subjective effects of psychedelics.

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The Ehlers-Danlos syndromes (EDSs) are a heterogeneous group of heritable connective tissue disorders characterized by joint hypermobility, skin hyperextensibility and generalized tissue fragility. In all types of EDS, skin wound healing is impaired to a variable degree. Additional support through wound management plans may help to improve these outcomes; however, there is a paucity of evidence regarding clinical management of skin fragility and wounds in EDS.

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Background: Colorectal cancers (CRCs) in the Lynch syndromes have been assumed to emerge through an accelerated adenoma-carcinoma pathway. In this model adenomas with deficient mismatch repair have an increased probability of acquiring additional cancer driver mutation(s) resulting in more rapid progression to malignancy. If this model was accurate, the success of colonoscopy in preventing CRC would be a function of the intervals between colonoscopies and mean sojourn time of detectable adenomas.

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  • * Recognizing these features helps both genetic and non-genetic specialists to detect cancers early, leading to better patient outcomes through timely interventions.
  • * Advances in genetic testing and risk-reducing treatments underscore the importance of knowing the facial and other physical signs of high-risk cancer syndromes for improved diagnosis and screening.
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Despite substantial progress in mapping the trajectory of network plasticity resulting from focal ischemic stroke, the extent and nature of changes in neuronal excitability and activity within the peri-infarct cortex of mice remains poorly defined. Most of the available data have been acquired from anesthetized animals, acute tissue slices, or infer changes in excitability from immunoassays on extracted tissue, and thus may not reflect cortical activity dynamics in the intact cortex of an awake animal. Here, in vivo two-photon calcium imaging in awake, behaving mice was used to longitudinally track cortical activity, network functional connectivity, and neural assembly architecture for 2 months following photothrombotic stroke targeting the forelimb somatosensory cortex.

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Genetic testing can provide valuable information to mitigate personal disease risk, but the use of genetic results in life insurance underwriting is known to deter many consumers from pursuing genetic testing. In 2019, following Australian Federal Parliamentary Inquiry recommendations, the Financial Services Council (FSC) introduced an industry-led partial moratorium, prohibiting life insurance companies from using genetic test results for policies up to $AUD500,000. We used semi-structured interviews to explore genetic test consumers' experiences and views about the FSC moratorium and the use of genetic results by life insurers.

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Young breast and bowel cancers (e.g., those diagnosed before age 40 or 50 years) have far greater morbidity and mortality in terms of years of life lost, and are increasing in incidence, but have been less studied.

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  • The study examined the connection between certain bacteria (pks E. coli, Enterotoxigenic Bacteroides fragilis, and Fusobacterium nucleatum) and colorectal cancer (CRC) by analyzing DNA samples from various cohorts.
  • Results revealed that pks E. coli is linked to male CRC patients and a specific APC gene mutation, mainly in early-onset cases, while F. nucleatum correlates with various cancer traits including DNA repair deficiencies and specific tumor locations.
  • The findings suggest that pks E. coli might cause DNA damage related to the identified mutation, and F. nucleatum exists in both hereditary and sporadic factors of DNA mismatch repair deficiencies, highlighting the importance of the tumor environment for bacterial colon
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  • This study evaluates the cost-effectiveness of combined genomic screening for high-risk conditions in young adults in Australia, comparing it to existing clinical testing methods.
  • The intervention could prevent significant morbidity and mortality, estimating around 31,094 quality-adjusted life years (QALYs) gained by identifying and managing risks for various cancers and coronary heart disease.
  • While the upfront cost of implementing the screening for 50% of the population is AU$832 million, the potential health benefits suggest that this approach could be a valuable investment for the public healthcare system.
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Background: The following outlines ethical reasons for widening the Human Genome Organisation's (HUGO) mandate to include ecological genomics. MAIN: The environment influences an organism's genome through ambient factors in the biosphere (e.g.

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  • The study investigates a unique multi-generation family affected by colorectal cancer (CRC) with pathogenic variants in the BRCA1 and RNF43 genes, which are linked to breast/ovarian cancer and Serrated Polyposis Syndrome, respectively.
  • Out of 105 families eligible for Familial Colorectal Cancer Type X, this particular family underwent whole exome sequencing, revealing 10 carriers of a BRCA1 variant and 8 of an RNF43 variant, with some individuals developing CRC.
  • The analysis showed loss of heterozygosity in CRC tumors related to both genes, indicating that both BRCA1 and RNF43 play critical roles in the development of CRC through digenic inheritance and homologous recombination
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  • * A study analyzed 28 tumors from 25 patients with variants of uncertain significance (VUS) in MMR genes to evaluate how specific tumor characteristics help classify these genetic variants.
  • * The results reclassified 28% of VUS as likely pathogenic, with the majority confirming features like microsatellite instability and MMR deficiency, suggesting that recognizing these characteristics can enhance clinical decision-making.
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  • Dominantly inherited micro-satellite instable (MSI) cancers, linked to mutations in mismatch repair (MMR) genes (MSH2, MLH1, MSH6, PMS2), challenge traditional views of cancer development and are associated with unique syndromes known as Lynch syndromes.
  • Each Lynch syndrome has distinct risks and expressions, and it’s crucial to consider factors like specific gene mutation and sex when studying these cancers.
  • Advances in colonoscopy surveillance, aspirin usage, and immunotherapy represent significant progress in personalized medicine for managing and preventing inherited MSI cancers.
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  • Many families show unusual cancer clusters but don't fit into known hereditary cancer syndrome categories; they may still carry harmful genetic variants that increase cancer risk.* -
  • In a study of 195 participants with suspected hereditary cancer syndromes, whole-genome sequencing identified pathogenic variants in 5.1% and additional variants with potential health implications in 9.7% of participants.* -
  • The study suggests that using whole-genome sequencing up front is more cost-effective than traditional testing, but broader implementation will hinge on funding decisions and financial perspectives of healthcare payers.*
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Chondroitin sulfate proteoglycans (CSPGs), one of the major extracellular matrix components of the glial scar that surrounds central nervous system (CNS) injuries, are known to inhibit the regeneration of neurons. This study investigated whether pleiotrophin (PTN), a growth factor upregulated during early CNS development, can overcome the inhibition mediated by CSPGs and promote the neurite outgrowth of neurons in vitro. The data showed that a CSPG matrix inhibited the outgrowth of neurites in primary cortical neuron cultures compared to a control matrix.

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Germline pathogenic variants in the DNA mismatch repair (MMR) genes (Lynch syndrome) predispose to colorectal (CRC) and endometrial (EC) cancer. However, mosaic variants in the MMR genes have been rarely described. We identified a likely de novo mosaic MSH6:c.

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