168 results match your criteria: "Clinical Genetics Center[Affiliation]"

: Charcot-Marie-Tooth (CMT) disease is an inherited peripheral neuropathy primarily involving motor and sensory neurons. Mutations in INF2, an actin assembly factor, cause two diseases: peripheral neuropathy CMT-DIE (MIM614455) and/or focal segmental glomerulosclerosis (FSGS). These two phenotypes arise from the progressive degeneration affecting podocytes and Schwann cells.

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Sleep difficulties related to psychopathology and neurocognition in people with 22q11.2 deletion syndrome.

Psychiatry Res

February 2025

Department of Child and Adolescent Psychiatry, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA; Brain Behavior Laboratory, Neuropsychiatry Section, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA. Electronic address:

The 22q11.2 Deletion Syndrome (22q11.2DS) is a multisystem genetic disorder with prominent sleep disturbances, neuropsychiatric conditions and neurocognitive challenges.

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  • - Gliomas are a leading cause of cancer deaths in young individuals, and there's uncertainty about the effectiveness of current treatments for certain types (WHO G2/G3) even after genetic factors like IDH1/2 mutations are considered.
  • - The study focused on the miR-200 family of microRNAs, known to regulate many important genes, to identify their relationship with clinical factors and their potential to predict outcomes in glioma patients.
  • - Results indicated that specific miR-200 family members could serve as independent survival predictors, suggesting that their expression levels could help optimize future treatment strategies for glioma patients.
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Monogenic diabetes.

Diabetol Int

October 2024

Department of Diabetes, Endocrinology and Metabolism, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, Japan.

Diseases in which genetic factors contribute to nearly 100% of the causation by single-gene mutations are referred to as monogenic disorders or Mendelian genetic diseases. These include neonatal diabetes mellitus (NDM), presenting within the first six months of life, maturity-onset diabetes of the young (MODY), developing later in childhood or adolescence, mitochondrial diabetes (MIDD), and insulin-resistant disorders, etc. On the other hand, common lifestyle-related diseases such as type 2 diabetes (T2DM), hypertension and dyslipidemia are multifactorial, emerging through complex interplay of genetic and environmental factors.

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  • The cytoskeleton is essential for cellular processes and inter-organelle interactions, with pathogenic variants of INF2 linked to diseases like glomerulosclerosis and neuropathy.
  • High-resolution imaging revealed that cells with INF2 FSGS variants have altered ER structures, resembling changes seen in cells treated with cytoskeletal inhibitors.
  • These INF2 variants disrupt ER integrity and communication with mitochondria, linking cytoskeletal disorganization to disease severity in conditions like peripheral neuropathy and kidney issues.
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  • Researchers conducted a study on 300 patients with advanced cancers to analyze the impact of comprehensive genomic profiling tests from 2019 to 2022.
  • Of the patients, results were obtained for 274, revealing common genomic alterations like TP53, KRAS, and CDKN2A, which can guide treatment options.
  • The findings suggest that these profiling tests are essential for identifying potential genomic abnormalities, paving the way for future targeted therapies even if effective treatments are currently unavailable.
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  • In 2022, a survey was conducted to understand how hospitals in Japan handle secondary findings from genetic tests, updating information from a 2020 survey.
  • About 82% of hospitals replied, and they mostly used a specific guideline (CTGPMRSF) for sharing secondary findings.
  • The results showed that many hospitals had challenges like insurance issues and different levels of understanding of secondary findings, but the rates for confirmatory tests (tests to double-check findings) were improving, especially in places with genetic experts.
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Purpose: Inborn errors of metabolism (IEM) are known with poor long-term health concerns; however, the health-related quality of life (HRQoL) and the burden placed on families remain unclear. This study investigated the self- and proxy-reported HRQoL of pediatric patients with IEM with or without developmental disabilities and the burden placed on their caregivers.

Methods: Patients with IEM aged 8-15 years and their caregivers were asked to respond to the Pediatric Quality of Life Inventory (PedsQL), EuroQoL five-dimension questionnaire for younger populations (EQ-5D-Y), and Japanese version of the Zarit Caregiver Burden Interview (J-ZBI).

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The nuclear receptor subfamily 5 group A member 1 () gene encodes NR5A1, also known as steroidogenic factor 1, a crucial transcriptional factor regulating adrenal and gonadal development and function. Although pathogenic variants in are known to cause a spectrum of disorders of sex development (DSD), individuals with 46,XY DSD with fully female internal and external genitalia are relatively rare. Herein, we present the case of a patient with 46,XY complete gonadal dysgenesis (CGD) who had a non-communicating rudimentary uterus due to a c.

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Neurocognitive profiles of 22q11.2 and 16p11.2 deletions and duplications.

Mol Psychiatry

February 2025

Lifespan Brain Institute of the Children's Hospital of Philadelphia (CHOP) and Penn Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Rare recurrent copy number variants (CNVs) at chromosomal loci 22q11.2 and 16p11.2 are genetic disorders with lifespan risk for neuropsychiatric disorders.

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Objectives: Regions of homozygosity (ROH) could implicate uniparental disomy (UPD) on specific chromosomes associated with imprinting disorders. Though the algorithms for ROH detection in exome sequencing (ES) have been developed, optimal reporting thresholds and when to pursue confirmatory UPD testing for imprinting disorders remain in ambiguity. This study used a data-driven approach to assess optimal reporting thresholds of ROH in clinical practice.

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  • HELIX syndrome, caused by mutations in the claudin 10 b protein, presents with symptoms like hypohidrosis, xerophthalmia, and skin issues, and was detailed in a 2017 study involving only ten families.
  • In this study, two adult brothers from a consanguineous Spanish family exhibited various symptoms, including skin anomalies and salt-losing nephropathy due to a novel genetic deletion.
  • The findings suggest that early recognition of symptoms associated with HELIX syndrome can prevent misdiagnosis, emphasizing the need for specific genetic testing to ensure timely diagnosis and management.
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Background: Subacute myelo-optico-neuropathy (SMON) is a neurological disorder associated with the administration of clioquinol, particularly at very high doses. Although clioquinol has been used worldwide, there was an outbreak of SMON in the 1950s-1970s in which the majority of cases were in Japan, prompting speculation that the unique genetic background of the Japanese population may have contributed to the development of SMON. Recently, a possible association between loss-of-function polymorphisms in NQO1 and the development of SMON has been reported.

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22q11 Deletion Syndrome (22q11DS) is the most common microdeletion syndrome with broad phenotypic variability, leading to significant morbidity and some mortality. The varied health problems associated with 22q11DS and the evolving phenotype (both medical and developmental/behavioural) across the lifespan can strongly impact the mental health of patients as well as their caregivers. Like caregivers of children with other chronic diseases, caregivers of children with 22q11DS may experience an increased risk of traumatisation and mental health symptoms.

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Lymphatic endothelial cell-specific NRAS p.Q61R mutant embryos show abnormal lymphatic vessel morphogenesis.

Hum Mol Genet

August 2024

Department of Pediatrics, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu 501-1194, Japan.

Article Synopsis
  • Generalized lymphatic anomaly (GLA) and kaposiform lymphangiomatosis (KLA) are rare disorders linked to abnormal development of the lymphatic system, with recent findings indicating the NRAS p.Q61R genetic variant's involvement in these conditions.
  • Research using a specific mouse model showed that embryos with the NRAS p.Q61R variant had wider lymphatic vessels and fewer branching lymphatic vessels, alongside an increase in lymphatic endothelial cells (LECs).
  • Despite these findings in embryos, the same genetic variant did not lead to abnormal lymphatic development post-birth, suggesting that while the model provides insights, it may not fully replicate the human forms of GLA and KLA.
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Clinical features of 22q11.2 microdeletion syndrome (22q11.2DS) are highly variable between affected individuals and frequently include a subset of conotruncal and aortic arch anomalies.

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TNNI3 is a gene that causes hypertrophic cardiomyopathy (HCM). A 14-year-old girl who was diagnosed with nonobstructive HCM presented with cardiopulmonary arrest due to ventricular fibrillation. Genetic testing revealed a novel de novo heterozygous missense variant in TNNI3, NM_000363.

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Japanese 17q12 Deletion Syndrome with Complex Clinical Manifestations.

Intern Med

March 2024

Division of Diabetes, Metabolism and Endocrinology, Department of Internal Medicine, Iwate Medical University, Japan.

Article Synopsis
  • - 17q12 deletion syndrome is a rare genetic condition caused by a specific deletion on chromosome 17, leading to varied health issues in individuals.
  • - A 35-year-old Japanese man was studied, revealing a 1.46 Mb deletion causing multiple health problems, including maturity-onset diabetes, kidney and liver issues, and facial dysmorphic characteristics.
  • - This case adds to our understanding of the diverse symptoms associated with 17q12 deletion syndrome, highlighting its clinical implications.
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Congenital contractual arachnodactyly (CCA) is a genetic connective tissue disorder that is characterized by arachnodactyly, kyphoscoliosis, marfanoid habitus, and crumpled ears. We report a case of a boy with suspected Marfan syndrome. Genetic analysis revealed c.

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Source-based morphometry reveals structural brain pattern abnormalities in 22q11.2 deletion syndrome.

Hum Brain Mapp

January 2024

Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles, California, USA.

Article Synopsis
  • 22q11.2 deletion syndrome (22q11DS) is the most common microdeletion in humans, linked to reduced gray matter volume and neuropsychiatric issues like cognitive impairment and psychosis.
  • A study involving 783 participants (470 with 22q11DS and 313 controls) used advanced brain imaging techniques to identify specific patterns of gray matter volume covariance associated with this syndrome.
  • Results indicated that individuals with 22q11DS show unique structural brain abnormalities, particularly in the cerebellum, and these alterations follow distinct patterns rather than a widespread decline.
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Sickle cell disease (SCD) is an inherited autosomal recessive hemoglobin disorder caused by the presence of hemoglobin S, a mutant abnormal hemoglobin caused by a nucleotide change in codon 6 of the β-globin chain gene. SCD involves a chronic inflammatory state, exacerbated during vaso-occlusive crises, which leads to end-organ damage that occurs throughout the lifespan. SCD is associated with premature mortality in the first years of life.

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  • Primary adrenal insufficiency (PAI) is a rare and serious condition requiring careful diagnosis due to its various causes and genetic factors.
  • Data from 111 patients revealed different groups based on the underlying issues, identifying common symptoms like hyperpigmentation, dehydration, and abnormal genitalia, as well as key laboratory findings of elevated ACTH and decreased cortisol.
  • The study highlights the importance of integrating clinical signs with genetic testing for effective PAI diagnosis, with certain genes showing higher mutation rates among patients.
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