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Center for Rare Diseases[Affiliation] Publications | LitMetric

1,774 results match your criteria: "Center for Rare Diseases[Affiliation]"

CYSTOID MACULAR EDEMA IN BIRDSHOT RETINOCHOROÏDITIS: Long-Term Treatment Study in 142 Patients.

Retina

October 2024

Department of Ophthalmology, Reference Center for Rare Diseases, Pitié-Salpêtrière Hospital, Paris-Sorbonne University, Paris, France.

Purpose: To assess the long-term efficacy and safety of treatments for cystoid macular edema in birdshot retinochoroïditis.

Methods: Observational retrospective study of 142 HLA-A29-positive patients with cystoid macular edema; the main outcome was the optical coherence tomography intraretinal cysts resolution.

Results: During the mean follow-up of 75 months (12-178), 61.

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Description of bone health in adolescents and young persons with Klinefelter syndrome - results from a pilot study.

Mol Cell Pediatr

September 2024

Department of Pediatrics, Division of Rare Diseases, University Hospital of Pediatrics and Adolescent Medicine, Katholisches Klinikum Bochum, Member of ENDO ERN, Ruhr-University Bochum, Alexandrinenstraße 5, 44791, Bochum, Germany.

Background: In adults with Klinefelter syndrome (KS), impaired bone health with reduced bone mineral density (BMD) has been described even in the presence of testosterone replacement therapy. The aim of the present study was to characterize bone health in young patients with KS.

Patients And Methods: 20 participants aged 16.

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Case report: Nocardial brain abscess in elderly patients.

Asian J Surg

September 2024

Department of Brain Center and Neurology, and Center for Rare Diseases, Lishui Municipal Central Hospital, Lishui, 323000, Zhejiang, China. Electronic address:

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A major challenge faced by patients with rare diseases (RDs) often stems from delays in diagnosis, typically due to nonspecific clinical symptoms or doctors' limited experience in connecting symptoms to the underlying RD. Using patient-oriented questionnaires (POQs) as a data source for machine learning (ML) techniques can serve as a potential solution. These questionnaires enable patients to portray their day-to-day experiences living with their condition, irrespective of clinical symptoms.

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Plastin-3 (PLS3) encodes T-plastin, an actin-bundling protein mediating the formation of actin filaments by which numerous cellular processes are regulated. Loss-of-function genetic defects in PLS3 are reported to cause X-linked osteoporosis and childhood-onset fractures. However, the molecular etiology of PLS3 remains elusive.

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Monogenic lupus - from gene to targeted therapy.

Mol Cell Pediatr

September 2024

Department of Pediatrics, Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, Dresden, 01307, Germany.

Systemic lupus erythematosus (SLE) is a prototypic autoimmune disease characterized by loss of tolerance to nuclear antigens. The formation of autoantibodies and the deposition of immune complexes trigger inflammatory tissue damage that can affect any part of the body. In most cases, SLE is a complex disease involving multiple genetic and environmental factors.

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Article Synopsis
  • The study investigates the unique blood-related manifestations of Multiple Sclerosis (MS) in Chinese patients, where the condition is quite rare and poorly understood.
  • Using advanced techniques like mass cytometry and metabolomics, researchers analyzed immune cells, proteins, and metabolites in blood samples from 39 MS patients compared to 40 normal controls.
  • Key findings revealed significant differences in immune cell types, protein levels, and metabolic profiles between MS patients and controls, suggesting potential biomarkers for MS severity and supporting future treatment developments.
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Article Synopsis
  • Focal dermal hypoplasia (FDH), also known as Goltz syndrome, is a rare genetic condition affecting primarily women, linked to mutations in the PORCN gene, that impacts the skin, bones, and eyes.
  • A study at Aarhus University Hospital examined four confirmed cases of FDH, revealing typical symptoms like skin atrophy, limb abnormalities, and eye issues, as well as identifying new genetic variants.
  • The prevalence of FDH in Western Denmark was estimated at 1.6 cases per million, highlighting the rarity and complexity of the disorder, which necessitates comprehensive medical collaboration for effective diagnosis and care.
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Genetic modifiers and ascertainment drive variable expressivity of complex disorders.

medRxiv

August 2024

Department of Biochemistry and Molecular Biology, Pennsylvania State University, University Park, PA 16802, USA.

Article Synopsis
  • - The study examines how secondary genetic variants can influence the clinical features of individuals with primary disease-causing variants, suggesting that these modifiers play a significant role in disease expression.
  • - Specifically focusing on the 16p12.1 deletion, researchers identified various rare and common variants that predisposed individuals to specific developmental issues, such as neurological defects and microcephaly.
  • - By analyzing data from different cohorts, the findings indicate that the effects of primary and secondary variants on phenotype vary depending on the specific primary variant involved, highlighting the need for personalized approaches in treatment.
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Neurodevelopmental disorders encompass a range of conditions such as intellectual disability, autism spectrum disorder, rare genetic disorders and developmental and epileptic encephalopathies, all manifesting during childhood. Over 1,500 genes involved in various signaling pathways, including numerous transcriptional regulators, spliceosome elements, chromatin-modifying complexes and variants have been recognized for their substantial role in these disorders. Along with new machine learning tools applied to neuroimaging, these discoveries facilitate genetic diagnoses, providing critical insights into neuropathological mechanisms and aiding in prognosis, and precision medicine.

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Article Synopsis
  • Skeletal dysplasias are a group of rare genetic disorders that disrupt the normal development of bones and cartilage, with over 770 documented cases.
  • A 13-month-old girl presented with jaundice and failure to thrive, leading to blood tests that showed abnormal levels of bilirubin and calcium, alongside irregular bone development.
  • Whole exome sequencing identified a specific mutation in the BAAT gene as the cause of her skeletal dysplasia, contributing important genetic insights for future clinical applications.
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Brain function requires a constant supply of glucose. However, the brain has no known energy stores, except for glycogen granules in astrocytes. In the present study, we report that continuous oligodendroglial lipid metabolism provides an energy reserve in white matter tracts.

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Gender-affirming hormonal therapy induces a gender-concordant fecal metagenome transition in transgender individuals.

BMC Med

September 2024

Institute of Forensic Psychiatry and Sex Research, Center for Translational Neuro- and Behavioral Sciences, University of Duisburg-Essen, Alfredstr. 68-72, Essen, 45130, Germany.

Article Synopsis
  • This study investigates how gender-affirming hormonal therapy (GAHT) affects gut microbiota in transgender individuals, focusing on the nuanced impact of sex steroids on microbial changes.
  • Thirty-six participants (17 trans women and 19 trans men) were analyzed for shifts in gut microbiota before and after 12 weeks of GAHT, using advanced sequencing techniques.
  • Findings revealed significant changes in specific gut bacteria related to affirmed gender, indicating that GAHT leads to distinct microbial profiles and may affect health outcomes for trans men and women.
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Understanding the sequence of cellular responses and their contributions to pathomorphogical changes in spinal white matter injuries is a prerequisite for developing efficient therapeutic strategies for spinal cord injury (SCI) as well as neurodegenerative and inflammatory diseases of the spinal cord such as amyotrophic lateral sclerosis and multiple sclerosis. We have developed several types of surgical procedures suitable for acute one-time and chronic recurrent in vivo multiphoton microscopy of spinal white matter [1]. Sophisticated surgical procedures were combined with transgenic mouse technology to image spinal tissue labeled with up to four fluorescent proteins (FPs) in axons, astrocytes, microglia, and blood vessels.

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Integrin αVß6 - autoantigen and driver of epithelial remodeling in colon and bile ducts in primary sclerosing cholangitis and inflammatory bowel disease.

J Crohns Colitis

August 2024

Department of Medicine 1, Gastroenterology, Pneumology and Endocrinology, Friedrich Alexander University Erlangen-Nürnberg, Universitätsklinikum Erlangen, Erlangen, Germany.

Objective: Recently, autoantibodies directed against the epithelial adhesion protein integrin αVβ6 have been identified which strongly associate with ulcerative colitis (UC). We aimed to elucidate whether anti-integrin αVβ6 (anti- αVβ6) is present in primary sclerosing cholangitis (PSC), its associated inflammatory bowel disease or other cholestatic liver diseases and their persistence after proctocolectomy.

Design: We detected anti- αVβ6 by an enzyme-linked immunosorbent assay in sera collected at two German tertiary centers, including healthy controls (N=62), UC (N=36), Crohn's disease (CD, N=65), PSC-IBD (78 samples from N=41 patients), PSC without IBD (PSC, 41 samples from N=18 patients), primary biliary cholangitis (PBC, N=24), autoimmune hepatitis (AIH, N=32), secondary sclerosing cholangitis (SSC, N=12) and metabolic dysfunction-associated steatotic liver disease (MASLD, N=24).

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The vacuolar H-ATPase (V-ATPase) is a functionally conserved multimeric complex localized at the membranes of many organelles where its proton-pumping action is required for proper lumen acidification. The V-ATPase complex is composed of several subunits, some of which have been linked to human disease. We and others previously reported pathogenic dominantly acting variants in ATP6V1B2, the gene encoding the V1B2 subunit, as underlying a clinically variable phenotypic spectrum including dominant deafness-onychodystrophy (DDOD) syndrome, Zimmermann-Laband syndrome (ZLS), and deafness, onychodystrophy, osteodystrophy, intellectual disability, and seizures (DOORS) syndrome.

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Article Synopsis
  • The study aimed to evaluate the need for tube feeding in infants with type I Spinal Muscular Atrophy (SMA) and identify predictive factors for it.
  • Out of 75 infants assessed, by the last follow-up, only 34 needed no tube feeding, while 32 required tube feeding and could not be fed orally.
  • Key findings indicate that the necessity for tube feeding is not common in treated infants and can be predicted by their initial level of feeding involvement and CHOP INTEND scores, rather than SMA type or genetic factors.
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Robust Differentiation of Human Pluripotent Stem Cells into Lymphatic Endothelial Cells Using Transcription Factors.

Cells Tissues Organs

December 2024

Department of Aerospace and Mechanical Engineering, Bioengineering Graduate Program, University of Notre Dame, Notre Dame, Indiana, USA.

Introduction: Generating new lymphatic vessels has been postulated as an innovative therapeutic strategy for various disease phenotypes, including neurodegenerative diseases, metabolic syndrome, cardiovascular disease, and lymphedema. Yet, compared to the blood vascular system, protocols to differentiate human induced pluripotent stem cells (hiPSCs) into lymphatic endothelial cells (LECs) are still lacking.

Methods: Transcription factors, ETS2 and ETV2 are key regulators of embryonic vascular development, including lymphatic specification.

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Background: To investigate the impact of children's inborn error of metabolism (IEMs) on the children's and their parents' lives from the parents' perspective. We focused on disease-related restrictions in various issues of daily life, experienced discrimination, parental family planning, and management of metabolic emergencies.

Methods: We conducted a questionnaire-based survey with 108 parents of 119 children with IEM who attended a metabolic outpatient clinic.

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Chronic obstructive pulmonary disease is a common chronic lung disease with an ever-increasing incidence. Despite years of drug research and approvals, we are still not able to halt progress or restore normal lung function. Our previous studies have demonstrated that liver growth factor-LGF has an effect on the repair of the affected tissue in a mouse model of cigarette smoke exposure, but by what pathways it achieves this is unknown.

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Precision Medicine in Angelman Syndrome.

Neuropediatrics

September 2024

Division of Pediatric Neurology, Developmental Medicine and Social Pediatrics, Department of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, Ludwig Maximilian University Munich, Munich, Germany.

Angelman syndrome (AS) is a rare neurogenetic disorder caused by a loss of function of on the maternal allele. Clinical features include severe neurodevelopmental delay, epilepsy, sleep disturbances, and behavioral disorders. Therapy currently evolves from conventional symptomatic, supportive, and antiseizure treatments toward alteration of mRNA expression, which is subject of several ongoing clinical trials.

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Wired high resolution surface electromyography (sEMG) using gelled electrodes is a standard method for psycho-physiological, neurological and medical research. Despite its widespread use electrode placement is elaborative, time-consuming, and the overall experimental setting is prone to mechanical artifacts and thus offers little flexibility. Wireless and easy-to-apply technologies would facilitate more accessible examination in a realistic setting.

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Clarifying main nutritional aspects and resting energy expenditure in children with Smith-Magenis syndrome.

Eur J Pediatr

October 2024

Center for Rare Diseases and Birth Defects, Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168, Roma, Italy.

Unlabelled: Our study aims to define resting energy expenditure (REE) and describe the main nutritional patterns in a single-center cohort of children with Smith-Magenis syndrome (SMS). REE was calculated using indirect calorimetry. Patients' metabolic status was assessed by comparing measured REE (mREE) with predictive REE (pREE).

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Article Synopsis
  • - The study focuses on the impact of Hepatocyte Nuclear Factor 1-beta (HNF1B) gene variants and chromosome 17q12 deletion (17q12del) on kidney disease progression, particularly chronic kidney disease (CKD), in a large cohort of 521 patients.
  • - Findings reveal that patients with the 17q12del experience a significant delay in the progression to CKD stage 3 compared to those with other HNF1B variants, with specific mutations in the DNA-binding domains correlating with even better outcomes.
  • - Additionally, the 17q12del is linked to lower magnesium levels (hypomagnesemia) and higher likelihood of elevated uric acid levels (hyperuric
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