modifier

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  • 文章类型: English Abstract
    The aim of this study was to examine the effects of different modifiers on the changes in aggregates and organic carbon in acidic purple soil, providing a scientific basis for the remediation of acidic purple soil. Using purple soil as the research object, a total of six treatments were set up, including no fertilization (CK), single fertilization (F), fertilization with lime (SF), fertilization with organic fertilizer (OM), fertilization with biochar (BF), and fertilization with distiller\'s grains ash (JZ). We compared the composition of aggregates in acidic purple soil under the application of different modifiers, as well as the distribution pattern of organic carbon in aggregates of different particle sizes. Combined with the stability indicators of aggregates, we sought to clarify the impact of different modifiers on the structure of aggregates in acidic purple soil. The results showed that fertilization significantly increased the soil pH, with the JZ treatment being the most effective. Fertilization significantly increased soil organic matter content, with the OM treatment showing the largest increase. The BF and OM treatments significantly reduced soil bulk density, whereas the SF and BF treatments significantly increased soil moisture content (P < 0.05). All treatments used < 0.25 mm aggregates as the dominant particle size. Fertilization could significantly increase the content of large aggregates (aggregate structure units with diameter > 0.25 mm). At the same time, fertilization treatments significantly increased the soil geometric mean diameter (GMD), average weight diameter (MWD), and R0.25 value ( > 0.25 mm aggregate content) and reduced the fractal cone number (D) and aggregate destruction rate (PAD) values (P < 0.05). Fertilization also promoted the aggregation and stability of soil aggregates, with the OM treatment having the greatest effect. Compared with that in the CK treatment, fertilization could significantly increase soil organic carbon content by 31.71%-209.67%, with the OM treatment showing the most significant change. Different treatments of soil organic carbon were mainly distributed in large aggregates. Compared with that in the CK treatment, each treatment significantly increased the contribution rate of organic carbon in large aggregates by 19.34%-47.76%, with the OM treatment having the most significant effect (P < 0.05). In general, chemical fertilizer combined with organic fertilizer could promote the formation of large aggregates in acidic purple soil, improve the stability of soil aggregates, and increase the content of soil organic carbon, which is an effective measure to improve the soil structure and improve the quality of acidic purple soil.
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  • 文章类型: Case Reports
    β-地中海贫血(β-thal)的β0/β0基因型患者通常表现为输血依赖性的β-thal主要(β-TM)表型。β-thal的病理生理学是α/β-珠蛋白链之间的不平衡。α/β-珠蛋白失衡的程度可以通过更有效的γ-珠蛋白链的合成来降低,并增加HbF水平,改变β-TM的临床严重程度。我们报告了一名中国儿童,其具有纯合β0-thal和杂合KLF1突变。该患者自6个月大以来患有中度贫血,保持基线Hb值为8.0-9.0g/dL。她的发育正常,除了身材矮小(第3百分位数),直到6岁,当脾肿大和面部骨畸形发生。尽管在β0/β0患者中KLF1表达的遗传改变可以导致一定程度的疾病缓解,我们的案例表明,不足以令人满意地改善演示文稿。为高危家庭提供遗传咨询和产前诊断的医生应牢记这一点。
    Patients with the genotype of β0/β0 for β-thalassemia (β-thal) usually behave as β-thal major (β-TM) phenotype which is transfusion-dependent. The pathophysiology of β-thal is the imbalance between α/β-globin chains. The degree of α/β-globin imbalance can be reduced by the more effective synthesis of γ-globin chains, and increased Hb F levels, modifying clinical severity of β-TM. We report a Chinese child who had homozygous β0-thal and a heterozygous KLF1 mutation. The patient had a moderate anemia since 6 months old, keeping a baseline Hb value of 8.0-9.0 g/dL. She had normal development except for a short stature (3rd percentile) until 6 years old, when splenomegaly and facial bone deformities occurred. Although genetic alteration of KLF1 expression in β0/β0 patients can result in some degree of disease alleviation, our case shows that it is insufficient to ameliorate satisfactorily the presentation. This point should be borne in mind for physicians who provide the genetic counseling and prenatal diagnosis to at-risk families.
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  • 文章类型: Journal Article
    汞污染地区的水稻等作物中汞(Hg)的高生物积累对人类和野生生物具有潜在的健康危害。为了开发一种安全的替代技术,接种芽孢杆菌的生物肥料,柠檬酸,蚯蚓,比较了硒改性的活性粘土在巨大狼尾草中调节Hg生物积累的能力(P。giganteum)。这种生物肥料显着增加了芽孢杆菌。土壤中的丰度增加了157.12%,通过挥发和吸附机制去除27.52%的水溶性汞组分。土壤中生物可利用性Hg的变化显着降低了P.giganteum幼叶中的总Hg浓度,老树叶,茎,和巨大的根74.14%,48.08%,93.72%,50.91%,分别为(p<0.05),低于中国饲料安全标准(100ngg-1)。生物肥料的抑制潜力与硒改性活性粘土的抑制潜力高度一致。生物肥料显着降低了各种双歧杆菌组织中的甲基汞浓度(p<0.05),而硒改性的活性粘土未能达到相当的效果。这种生物肥料辅助种植模式可以实现汞污染稻田水稻种植模式的经济收入翻两番。由于其重要的环境和金融应用,生物肥料辅助种植模式有望取代汞污染的稻田。
    High mercury (Hg) bioaccumulation in crops such as rice in Hg-contaminated areas presents a potential health hazard to humans and wildlife. To develop a safe alternative technique, bacillus-inoculated biofertilizer, citric acid, earthworms, and selenium-modified activated clay were compared for their ability to regulate Hg bioaccumulation in Pennisetum giganteum (P. giganteum). This biofertilizer significantly increased Bacillus sp. abundance in the soil by 157.12%, resulting in the removal of 27.52% of water-soluble Hg fractions through volatilization and adsorption mechanisms. The variation in bioavailable Hg in the soil significantly reduced the total Hg concentration in P. giganteum young leaves, old leaves, stems, and roots of P. giganteum by 74.14%, 48.08%, 93.72%, and 50.91%, respectively (p < 0.05), which is lower than the Chinese feed safety standard (100 ng g-1). The biofertilizer inhibitory potential was highly consistent with that of the selenium-modified activated clay. Biofertilizers significantly reduced the methylmercury concentration in various P. giganteum tissues (p < 0.05), whereas selenium-modified activated clay failed to achieve a comparable effect. This biofertilizer-assisted planting pattern can achieve an economic income quadruple that of the rice planting pattern in the Hg-contaminated paddy fields. Because of its significant environmental and financial applications, the biofertilizer-assisted planting pattern is expected to replace Hg-contaminated paddy fields.
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  • 文章类型: Journal Article
    筛选环保高效Cd污染修复材料,分析了Cd暴露条件下BC和BF对土壤Cd生物有效性和棉花Cd吸收的影响。此外,还分析了生物炭(BC)和生物肥料(BF)影响Cd污染土壤和棉花的代谢机制的差异。结果表明,施用BC和BF增加了棉花干物质积累,棉铃号,和单棉铃重量,降低了棉花根中的Cd含量,茎,叶子,还有Bolls.在收获的时候,BC和BF组棉花根中Cd含量分别降低了15.23%和16.33%,分别,与控制相比。这归因于BC和BF将碳酸盐结合的Cd(碳Cd)和可交换Cd(EX-Cd)转化为残留Cd(Res-Cd)。应当指出,BF组土壤有效Cd(Ava-Cd)含量低于BC组。代谢组学分析结果表明,对于BC和BF,差异代谢产物咖啡酸的相对丰度,Xanthurenicacid,土壤和棉花根系中的莽草酸表达上调。Mantel检验发现,棉花根系渗出液l-Histinine与棉花各器官中Cd的富集有关。因此,施用BC和BF可以通过降低土壤Ava-Cd含量和棉花对Cd的吸收来缓解Cd胁迫,在降低土壤和棉花器官中Cd含量方面,BF优于BC。本研究将为开发高效的Cd污染碱性土壤修复技术提供参考,并为后续的宏基因组学分析提供依据。
    To screen environmentally friendly and efficient Cd pollution remediation material, the effects of BC and BF on soil Cd bio-availability and cotton Cd absorption were analyzed under Cd exposure. Besides, the differences in metabolic mechanisms by which biochar (BC) and biofertilizer (BF) affect Cd-contaminated soil and cotton were also analyzed. The results showed that the application of BC and BF increased cotton dry matter accumulation, boll number, and single boll weight, and reduced the Cd content in cotton roots, stems, leaves, and bolls. At harvest, the Cd content in cotton roots in the BC and BF groups reduced by 15.23% and 16.33%, respectively, compared with that in the control. This was attributed to the conversion of carbonate-bound Cd (carbon-Cd) and exchangeable Cd (EX-Cd) by BC and BF into residual Cd (Res-Cd). It should be noted that the soil available Cd (Ava-Cd) content in the BF group was lower than that in the BC group. The metabolomic analysis results showed that for BC vs BF, the relative abundance of differential metabolites Caffeic acid, Xanthurenic acid, and Shikimic acid in soil and cotton roots were up-regulated. Mantel test found that cotton root exudate l-Histinine was correlated with the enrichment of Cd in various organs of cotton. Therefore, the application of BC and BF can alleviate Cd stress by reducing soil Ava-Cd content and cotton\'s Cd uptake, and BF is superior to BC in reducing Cd content in soil and cotton organs. This study will provide a reference for the development of efficient techniques for the remediation of Cd-polluted alkaline soil, and provide a basis for subsequent metagenomics analysis.
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  • 文章类型: Journal Article
    通过接枝共聚制备阳离子水炭凝结剂时,含氧官能团的含量和种类非常重要。在这里,通过引入不同种类和数量的改性剂(即,HCOOH,柠檬酸(CA),H2SO4和H2O2),然后研究了衍生的阳离子混凝剂(SBC-g-DMC)的表面性质和絮凝性能。结果表明,四种改性剂的使用提高了SBC表面的酸性基团,CA的存在可以明显增加酚羟基的含量。DMC单体接枝后,所形成的凝结剂在宽pH范围内具有正ζ电位(即,3.0~11.0),表现出典型的阳离子性质。接枝率和效率,以及用不同SBC前体制备的凝结剂的阳离子度遵循SBCCA-g-DMC>[配方:见正文]-g-DMC>SBCHCOOH-g-DMC>[配方:见正文]-g-DMC的降序;因此,接枝效果最好的SBCCA-g-DMC混凝剂显示出优越的絮凝性能。当采用4mg/L的剂量时,SBCCA-g-DMC的平均浊度去除率可达94.44%。同时,由于与引发剂的可能和强大的氧化,H2O2似乎不是SBC制备的完美改性剂。该研究可为SBC及其基混凝剂的最佳合成提供必要的参考,用于有机物的回收和污染物的去除。
    The contents and kinds of oxygen-containing functional groups are very significant when preparing cationic hydrochar coagulants via graft copolymerization. Herein, the hydrothermal conditions to produce sludge-based hydrochar (SBC) precursors were optimized by introducing different kinds and amounts of modifying agents (i.e., HCOOH, citric acid (CA), H2SO4, and H2O2), then the surface properties and flocculation performance of derived cationic coagulants (SBC-g-DMC) were studied. Results showed that the utilization of four modifiers raised the acidic groups on the SBC surface; thereinto, the presence of CA could evidently increase the content of phenolic hydroxyl groups. After DMC monomer grafting, the formed coagulants possess positive zeta potentials over a wide pH range (i.e., 3.0 ~ 11.0), showing a typical cationic property. The grafting ratio and efficiency, as well as the cationic degree of coagulants prepared with different SBC precursors follow a descending order of SBCCA-g-DMC > [Formula: see text]-g-DMC > SBCHCOOH-g-DMC > [Formula: see text]-g-DMC; thus, SBCCA-g-DMC coagulant with the best grafting result shows a superior flocculation performance. When a dosage of 4 mg/L was adopted, the average turbidity removal rate of SBCCA-g-DMC could reach up to 94.44%. Meanwhile, due to the possible and robust oxidation with the initiator, H2O2 seems not a perfect modifier for SBC preparation. This study could provide an essential reference for the optimal synthesis of SBC and its based coagulants for organic matter recovery and pollutant removal.
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  • 文章类型: Journal Article
    为进一步推动直植式SBS改性沥青研究的发展,本文分析了直接对植物SBS改性剂的发展。从物质组成和作用机理出发,常见的直接对植物SBS改性剂进行了分析,并根据其作用机理分为四类,包括即时溶解原则,分子内润滑原理,非造粒原理,和硫化原理。从改性效果的评价来看,总结了直接入厂SBS改性沥青性能的研究方法,包括荧光显微镜,AFM技术,分子动力学模拟技术。从实际应用的角度来看,论述了直接入厂SBS改性沥青的施工工艺,包括设计阶段,原料准备阶段,配合比设计阶段,和现场施工阶段。结果表明,常见的直接对植物SBS改性剂主要是具有小粒径(小于200目)或特定模型的SBS,辅以添加剂(EVA,环烷油,硫磺,石油树脂,等。),提高熔化效率和润滑性或使其经历硫化反应,改变沥青组分的比例,提高稳定性。在评价直植式SBS改性沥青的改性效果时,通过观察干混合后的颗粒残留物来确定直接对植物SBS改性剂的差异。用改性沥青和改性沥青混合料的宏观指标来确定直植SBS改性剂与沥青的交联效果,并在微观水平上评价了湿法SBS改性剂的改性机理和改性效果。直植式SBS改性沥青的开发应结合直植式SBS改性剂的特点和现场应用的属性,有针对性的研究,以及开发适用于不同地区的高性能直植SBS改性剂和完整生产技术,加强改性效果评估的改进,形成完整的理论体系。
    To further promote the development of research on direct-to-plant SBS-modified asphalt, this article analyzes the development of direct-to-plant SBS modifiers. Starting from the material composition and mechanism of action, common direct-to-plant SBS modifiers were analyzed and classified into four categories based on their mechanism of action, including the instant dissolution principle, intramolecular lubrication principle, non-granulation principle, and vulcanization principle. From the evaluation of the modification effect, the method of studying the performance of direct-to-plant SBS-modified asphalt is summarized, including fluorescence microscopy, AFM technology, and molecular dynamics simulation technology. From the perspective of practical application, the construction process of direct-to-plant SBS-modified asphalt was discussed, including the design stage, raw material preparation stage, mix design stage, and on-site construction stage. The results show that common direct-to-plant SBS modifiers are primarily SBS with a small particle size (less than 200 mesh) or specific model, supplemented by additives (EVA, naphthenic oil, sulfur, petroleum resin, etc.), which improve melting efficiency and lubricity or make it undergo vulcanization reaction, change the proportion of asphalt components, and improve stability. In the evaluation of the modification effect of direct-to-plant SBS-modified asphalt, the disparity of the direct-to-plant SBS modifier is determined by observing the particle residue after dry mixing. Macroscopic indexes of modified asphalt and modified asphalt mixture are used to determine the cross-linking effect of direct-to-plant SBS modifier and asphalt, and the modification mechanism and modification effect of wet SBS modifier are evaluated at the microscopic level. The development of direct-to-plant SBS-modified asphalt should combine the characteristics of direct-to-plant SBS modifiers and the attributes of field application, targeted research, and the development of high-performance direct-to-plant SBS modifiers and complete production technologies applicable to different regions, strengthen the improvement of modification effect evaluation, and form a complete theoretical system.
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  • 文章类型: Journal Article
    肌萎缩侧索硬化症(ALS)患者的生存时间差异很大,和有助于ALS生存的遗传因素没有得到很好的研究。缺乏全面的研究来阐明遗传因素在ALS生存中的作用。
    已发表的研究从PubMed进行了系统搜索和获得,EMBASE,和Cochrane图书馆从成立到2021年10月27日没有任何语言限制。对ALS致病/危险基因进行了网络荟萃分析,并对其他遗传修饰因子进行了系统评价和成对荟萃分析。PROSPERO注册号:CRD42022311646。
    总共确定了29,764个潜在相关参考文献,71篇论文有资格根据预先确定的标准进行分析,包括35篇针对9个ALS致病/风险基因的网络荟萃分析文章,对四种遗传修饰的17篇文章进行了成对荟萃分析,和系统评价中描述的19篇文章。三个基因的变异,包括ATXN2(HR:3.6),C9orf72(HR:1.6),和FUS(HR:1.8),与ALS生存期短有关,但这种关联在SOD1、TARDBP、TBK1、NEK1、UBQLN2和CCNF。此外,UNC13Ars12608932CC基因型和ZNF521Brs2275294C等位基因也导致ALS的生存期缩短;然而,未发现APOEε4等位基因和KIFAP3rs1541160对ALS的存活有任何影响。
    我们的研究总结并对比了ALS预后遗传因素的证据,有助于了解ALS发病机制,指导临床试验和药物开发。
    The time of survival in patients with amyotrophic lateral sclerosis (ALS) varies greatly, and the genetic factors that contribute to the survival of ALS are not well studied. There is a lack of a comprehensive study to elucidate the role of genetic factors in the survival of ALS.
    The published studies were systematically searched and obtained from PubMed, EMBASE, and the Cochrane Library without any language restrictions from inception to Oct 27, 2021. A network meta-analysis for ALS causative/risk genes and a systematic review and pairwise meta-analysis for other genetic modifiers were conducted. The PROSPERO registration number: CRD42022311646.
    A total of 29,764 potentially relevant references were identified, and 71 papers were eligible for analysis based on pre-decided criteria, including 35 articles in network meta-analysis for 9 ALS causative/risk genes, 17 articles in pairwise meta-analysis for four genetic modifiers, and 19 articles described in the systematic review. Variants in three genes, including ATXN2 (HR: 3.6), C9orf72 (HR: 1.6), and FUS (HR:1.8), were associated with short survival of ALS, but such association was not identified in SOD1, TARDBP, TBK1, NEK1, UBQLN2, and CCNF. In addition, UNC13A rs12608932 CC genotype and ZNF521B rs2275294 C allele also caused a shorter survival of ALS; however, APOE ε4 allele and KIFAP3 rs1541160 did not be found to have any effect on the survival of ALS.
    Our study summarized and contrasted evidence for prognostic genetic factors in ALS and would help to understand ALS pathogenesis and guide clinical trials and drug development.
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  • 文章类型: Journal Article
    沥青结合料与集料之间的附着力对沥青路面的性能和耐久性非常重要。为了探讨改性沥青结合料在老化和再生过程中的微观结构特征,原始沥青结合料和三种改性沥青结合料(苯乙烯-丁二烯-苯乙烯嵌段共聚物(SBS),制备了不同老化和复兴条件下的橡胶粉和高粘度高弹性[HVHE]改性剂)。通过原子力显微镜测量微观形态和表面粘附。以平均粗糙度值作为评价沥青结合料微观形貌的指标。以表面粘结性为指标评价沥青结合料的粘结性能。结果表明,SBS改性沥青结合料的“蜜蜂”结构在长期老化后略有增加,芳烃油的回收效果最接近未老化的芳烃油。橡胶粉改性沥青结合料和HVHE改性沥青结合料呈点状结构。无论是短期老化还是长期老化,芳烃油的微观形貌恢复效果最好。老化后三种改性沥青的附着力逐渐降低。3种再生剂对SBS改性沥青结合料和橡胶粉改性沥青结合料附着力的影响不同。复兴者,芳香油和温拌沥青混合料(WMA)添加剂可以在一定程度上恢复HVHE改性沥青结合料的附着力损失。
    The adhesion between asphalt binder and aggregate is very important to the performance and durability of asphalt pavement. In order to explore the characterisation of modified asphalt binder in microstructure during aging and rejuvenation, the virgin asphalt binder and three kinds of modified asphalt binder (styrene-butadiene-styrene block copolymer (SBS), rubber powder and high viscosity and high elasticity [HVHE] modifier) in different aging and rejuvenation condition were prepared. The micromorphology and surface adhesion were measured by atomic force microscopy. The average roughness value was used as the index to evaluate the micromorphology of asphalt binder. The surface adhesion was used as the index to evaluate the adhesion properties of asphalt binder. Results show that the \"bee\" structure of SBS-modified asphalt binder increased slightly after long-term aging, and the recovery effect of aromatics oil was the closest to that of the unaged one. The rubber powder-modified asphalt binder and HVHE-modified asphalt binder showed the spot structure. And no matter for short-term aging or long-term aging, aromatics oil had the best recovery effect on micro morphology. The adhesion of the three modified asphalts would decrease gradually after aging. The effects of three kinds of rejuvenator on the adhesion of SBS-modified asphalt binder and rubber powder-modified asphalt binder were different. Rejuvenator, aromatic oil and warm mix asphalt mixture (WMA) additive could rejuvenate the loss of adhesion of HVHE-modified asphalt binder to a certain extent.
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  • 文章类型: Journal Article
    肌萎缩侧索硬化症(ALS)的发病年龄是高度可变的(例如,在C9orf72的G4C2扩展运营商工作了27-74年)。它可能通过CpG位点的DNA甲基化(DNAm)的调节而受到环境和遗传因素的影响。因此,我们结合表观遗传学和遗传学方法来检验以下假设:CpG位点(CpG-SNPs)的一些常见单核苷酸多态性(SNPs)可以改变ALS发病年龄.我们的全基因组DNAm分析显示,在249名ALS患者中,有3个CpG-SNPs的DNAm水平与发病年龄显著相关(q<0.05)。接下来,遗传分析验证了rs4970944与发现(n=469;P=0.025)和复制(n=4160;P=0.007)ALS队列中发病年龄的相关性.综合队列的荟萃分析显示,AA携带者的中位发病时间比GG携带者晚两年(n=4629;P=0.0012)。观察到与标记SNP相似的关联,暗示1q21.3基因座处的16Kb区域作为ALS发病年龄的修饰因子。值得注意的是,rs4970944基因型也与C9orf72携带者的发病年龄相关(n=333;P=0.025),表明每个A等位基因延迟发病1.6年。基因型组织表达数据的分析显示,保护性A等位基因与小脑中CTSS的表达降低有关(P=0.00018),它是分布式神经回路中的关键大脑区域,为运动控制提供服务。CTSS编码在抗原呈递中起关键作用的组织蛋白酶S蛋白。总之,我们确定了一个由rs4970944标记的16Kb基因座作为ALS发病年龄的修饰因子。我们的发现支持抗原呈递过程在调节ALS发病年龄中的作用,并提示潜在的药物靶标(例如,CTSS)。鼓励未来的复制研究,以验证rs4970944标记的基因座与独立ALS队列中发病年龄之间的联系,包括不同的民族。
    Age at onset of amyotrophic lateral sclerosis (ALS) is highly variable (eg, 27-74 years in carriers of the G4C2-expansion in C9orf72). It might be influenced by environmental and genetic factors via the modulation of DNA methylation (DNAm) at CpG-sites. Hence, we combined an epigenetic and genetic approach to test the hypothesis that some common single nucleotide polymorphisms (SNPs) at CpG-sites (CpG-SNPs) could modify ALS age of onset. Our genome-wide DNAm analysis suggested three CpG-SNPs whose DNAm levels are significantly associated with age of onset in 249 ALS patients (q < 0.05). Next, genetic analysis validated the association of rs4970944 with age of onset in the discovery (n = 469; P = 0.025) and replication (n = 4160; P = 0.007) ALS cohorts. A meta-analysis of the cohorts combined showed that the median onset in AA-carriers is two years later than in GG-carriers (n = 4629; P = 0.0012). A similar association was observed with its tagging SNPs, implicating a 16 Kb region at the 1q21.3 locus as a modifier of ALS age of onset. Notably, rs4970944 genotypes are also associated with age of onset in C9orf72-carriers (n = 333; P = 0.025), suggesting that each A-allele delays onset by 1.6 years. Analysis of Genotype-Tissue Expression data revealed that the protective A-allele is linked with the reduced expression of CTSS in cerebellum (P = 0.00018), which is a critical brain region in the distributed neural circuits subserving motor control. CTSS encodes cathepsin S protein playing a key role in antigen presentation. In conclusion, we identified a 16 Kb locus tagged by rs4970944 as a modifier of ALS age of onset. Our findings support the role of antigen presenting processes in modulating age of onset of ALS and suggest potential drug targets (eg, CTSS). Future replication studies are encouraged to validate the link between the locus tagged by rs4970944 and age of onset in independent ALS cohorts, including different ethnic groups.
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  • 文章类型: Journal Article
    UNASSIGNED: To report the phenotypic heterogeneity of GJB2 c.235delC homozygotes associated with post-lingual and/or milder hearing loss, and explore the possible mechanism of these unconditional phenotypes.
    UNASSIGNED: Mutation screening of GJB2 was performed on all ascertained members from Family 1006983 and three sporadic patients by polymerase chain reaction (PCR) amplification and Sanger sequencing. Next generation sequencing (NGS) was successively performed on some of the affected members and normal controls from Family 1006983 to explore additional possible genetic codes. Reverse transcriptase-quantitative PCR was conducted to test the expression of Connexin30.
    UNASSIGNED: We identified a Chinese autosomal recessive hearing loss family with the GJB2 c.235delC homozygous mutation, affected members from which had post-lingual moderate to profound hearing impairment, and three sporadic patients with post-lingual moderate hearing impairment, instead of congenital profound hearing loss. NGS showed no other particular variants. Overexpression of Connexin30 in some of these cases was verified.
    UNASSIGNED: Post-lingual and/or moderate hearing impairment phenotypes of GJB2 c.235delC homozygotes are not the most common phenotype, revealing the heterogeneity of GJB2 pathogenic mutations. To determine the possible mechanism that rescues part of the hearing or postpones onset age of these cases, more cases are required to confirm both Connexin30 overexpression and the existence of modifier genes.
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