phenotype

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  • 文章类型: Journal Article
    伴有皮质下梗死和白质脑病的常染色体显性动脉病(CADASIL)是由NOTCH3基因突变引起的单基因疾病。我们调查的主要目的是确定在CADASIL患者中发现的最常见的NOTCH3突变中,表型和基因型之间是否存在关联。我们系统地检索了1996年至2023年的临床研究和基因组数据库,以首先确定导致CADASIL的最常见突变。我们发现全球最常见的六种NOTCH3错义突变是p.R75P,p.R133C,p.R141C,p.R169C,p.R182C,和p.R544C,其中p.R133C被描述为最经常发生。专注于具有全面临床记录的研究,我们的分析进一步表明,p.R75P,p.R141C,p.R182C和p.R544C基因型与磁共振成像(MRI)白质高强度的存在高度一致,这是所有四种突变中最常见的表型特征。我们发现p.R141C突变与疾病的严重程度增加有关。我们还发现,与p.R141C携带者相比,p.R544C携带者的平均发病年龄晚了十多年。然而,统计分析显示两种常见突变的表型特征之间没有总体差异,p.R141C和p.R544C.地理上,中国和日本是仅有的两个报告所有四种常见突变与p.R75P的国家,p.R141C,p.R182C和p.R544C.这可能是由于创始人效应的结合,但也可能存在抽样偏见。
    Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) is a monogenic disorder caused by mutations in the NOTCH3 gene. The main aim of our survey was to determine if there is an association between phenotypes and genotypes across the most common NOTCH3 mutations found in CADASIL patients. We systematically searched clinical studies and genomic databases from 1996 to 2023 to first identify the most common mutations responsible for CADASIL. We found the six most common NOTCH3 missense mutations globally were the p.R75P, p.R133C, p.R141C, p.R169C, p.R182C, and p.R544C, of which p.R133C was described to occur most often. Focusing on studies with comprehensive clinical records, our analysis further suggested that the p.R75P, p.R141C, p.R182C and p.R544C genotypes were highly congruent with the presence of white matter hyperintensities on magnetic resonance imaging (MRI), which was the most common phenotypic characteristic across all four mutations. We found the p.R141C mutation was associated with increased severity of disease. We also found the average age of onset in p.R544C carriers was more than a decade later compared to the p.R141C carriers. However, statistical analysis showed there were no overall differences between the phenotypic characteristics of the two common mutations, p.R141C and p.R544C. Geographically, China and Japan were the only two countries to report all the four common mutations vis a vis p.R75P, p.R141C, p.R182C and p.R544C. There is a possibility that this is due to a combination of a founder effect, but there also could be sampling biases.
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  • 文章类型: Journal Article
    背景:花色苷是在广泛的植物系统发育范围内着色的重要贡献者。花青素的生物学功能从繁殖到保护免受生物和非生物胁迫。由于突变体的表型清晰可见,花青素的生物合成及其复杂的调控已经在许多植物物种中进行了研究。编码花青素生物合成酶的基因受包含MYB,bHLH和WD40蛋白。
    结果:花青素色素与花青素色素的系统比较非色素品种在许多植物物种中进行,涵盖了开花植物的分类学多样性。在文献中筛选了报道了导致花青素丢失的遗传因素的病例。此外,重新分析了来自四项先前研究的转录组数据集,以根据其表达模式确定可能导致颜色变异的基因。定量了不同结构和调节基因对种内色素差异的贡献。迄今为止,有关转录因子的差异是对同一物种的两个品种之间观察到的色素沉着差异的最常见解释。在分析病例中的转录因子中,与bHLH或WD40基因相比,MYB基因更容易解释色素沉着差异。在结构基因中,DFR基因通常与花青素的损失有关。
    结论:这些发现支持了先前关于转录调控对进化变化的敏感性及其对新型着色表型进化的重要性的假设。我们的发现强调了MYB的特殊意义及其在MBW复合物特异性中的明显普遍作用。
    BACKGROUND: Anthocyanins are important contributors to coloration across a wide phylogenetic range of plants. Biological functions of anthocyanins span from reproduction to protection against biotic and abiotic stressors. Owing to a clearly visible phenotype of mutants, the anthocyanin biosynthesis and its sophisticated regulation have been studied in numerous plant species. Genes encoding the anthocyanin biosynthesis enzymes are regulated by a transcription factor complex comprising MYB, bHLH and WD40 proteins.
    RESULTS: A systematic comparison of anthocyanin-pigmented vs. non-pigmented varieties was performed within numerous plant species covering the taxonomic diversity of flowering plants. The literature was screened for cases in which genetic factors causing anthocyanin loss were reported. Additionally, transcriptomic data sets from four previous studies were reanalyzed to determine the genes possibly responsible for color variation based on their expression pattern. The contribution of different structural and regulatory genes to the intraspecific pigmentation differences was quantified. Differences concerning transcription factors are by far the most frequent explanation for pigmentation differences observed between two varieties of the same species. Among the transcription factors in the analyzed cases, MYB genes are significantly more prone to account for pigmentation differences compared to bHLH or WD40 genes. Among the structural genes, DFR genes are most often associated with anthocyanin loss.
    CONCLUSIONS: These findings support previous assumptions about the susceptibility of transcriptional regulation to evolutionary changes and its importance for the evolution of novel coloration phenotypes. Our findings underline the particular significance of MYBs and their apparent prevalent role in the specificity of the MBW complex.
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  • 文章类型: Journal Article
    背景:小麦地方品种被认为是育种计划遗传多样性的宝贵来源。在育种研究中评估遗传多样性是有用的,例如标记辅助选择(MAS),全基因组关联研究(GWAS),和基因组选择。此外,构建代表整个品种集遗传多样性的核心种质集对小麦地方品种种质资源的高效保存和利用具有重要意义。
    结果:为了了解小麦地方品种的遗传多样性,以江苏省作物种质资源库中的2023份种质为研究对象,利用Illumina15K单核苷酸多态性(SNP)芯片对其分子多样性和种群结构进行了研究。根据种群结构将这些种群分为五个亚群,主坐标和亲属关系分析。根据分子方差分析(AMOVA),在亚群内部和亚群之间发现了显着差异。亚群3基于不同的等位基因模式显示出更多的遗传变异性(Na,Ne和I)。在MStratv4.1软件中实施的M策略用于构建代表性核心集合。根据基因型和12种不同的表型性状,从整个地方品种种质中选择了总共311种(15.37%)的核心种质。与最初的地方品种相比,核心集合表现出更高的基因多样性(0.31)和多态性信息含量(PIC)(0.25),代表了几乎所有的表型变异。
    结论:开发了一个包含311种种质的核心集合,其中包含初始种群中100%的遗传变异。本馆藏为有效管理提供了种质基础,养护,以及原始集合中变化的利用。
    BACKGROUND: Wheat landraces are considered a valuable source of genetic diversity for breeding programs. It is useful to evaluate the genetic diversity in breeding studies such as marker-assisted selection (MAS), genome-wide association studies (GWAS), and genomic selection. In addition, constructing a core germplasm set that represents the genetic diversity of the entire variety set is of great significance for the efficient conservation and utilization of wheat landrace germplasms.
    RESULTS: To understand the genetic diversity in wheat landrace, 2,023 accessions in the Jiangsu Provincial Crop Germplasm Resource Bank were used to explore the molecular diversity and population structure using the Illumina 15 K single nucleotide polymorphism (SNP) chip. These accessions were divided into five subpopulations based on population structure, principal coordinate and kinship analysis. A significant variation was found within and among the subpopulations based on the molecular variance analysis (AMOVA). Subpopulation 3 showed more genetic variability based on the different allelic patterns (Na, Ne and I). The M strategy as implemented in MStratv 4.1 software was used to construct the representative core collection. A core collection with a total of 311 accessions (15.37%) was selected from the entire landrace germplasm based on genotype and 12 different phenotypic traits. Compared to the initial landrace collections, the core collection displayed higher gene diversity (0.31) and polymorphism information content (PIC) (0.25), and represented almost all phenotypic variation.
    CONCLUSIONS: A core collection comprising 311 accessions containing 100% of the genetic variation in the initial population was developed. This collection provides a germplasm base for effective management, conservation, and utilization of the variation in the original set.
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  • 文章类型: Journal Article
    扭曲的树干在树上并不少见,但它们对树木生长的影响仍不清楚。在针叶树物种中,云南松树干变形现象较为突出。扩大种质遗传资源,我们选择了具有优异表型性状的家庭,为高级一代育种提供材料。以含有93个优良家系(3240棵树)的后代试验为研究材料。表型测量和估计的遗传参数(家族遗传力,现实增益和遗传增益)在9岁、15岁和18岁时进行,分别。遗传评估得出以下结果:(1)株高(PH)的家族内方差分量大于家族间的方差分量,而其他性状的家族间方差成分(胸高直径(DBH),冠部直径(CD),分支下的高度(HUB),茎平直度(DS))大于家族内部,表明家庭之间存在丰富的差异和选择的潜力。(2)在半轮换期(18岁),性状间存在显著的相关性。树干扭曲(1-3级直线度)的树木比例达到48%。DS显著影响生长性状,其中PH和DBH受影响最大。扭曲树干造成的体积损失率为18.06-56.75%,这意味着在人工选择后无法完全消除躯干扭曲。(3)树形的影响,表冠宽度,后备箱音量增加,和PH之间的早晚相关性,DBH和体积极显著。表型变异系数的范围,生长性状的遗传变异系数和家族遗传力(PH,DBH,和体积)为44.29-127.13%,22.88-60.87%,和0.79-0.83。(4)采用隶属度函数结合独立选择的方法,共筛选出21个优良家庭。与中期选拔(18岁)相比,早期选择(9岁)的准确率达到77.5%。所选家庭的遗传增益和现实增益范围分别为5.79-19.82%和7.12-24.27%,分别。本研究可为针叶树种的选育提供一些有益的参考。
    Twisted trunks are not uncommon in trees, but their effects on tree growth are still unclear. Among coniferous tree species, the phenomenon of trunk distortion is more prominent in Pinus yunnanensis. To expand the germplasm of genetic resources, we selected families with excellent phenotypic traits to provide material for advanced generation breeding. The progeny test containing 93 superior families (3240 trees) was used as the research material. Phenotypic measurements and estimated genetic parameters (family heritability, realistic gain and genetic gain) were performed at 9, 15, and 18 years of age, respectively. The genetic evaluation yielded the following results (1) The intra-family variance component of plant height (PH) was greater than that of the inter-family, while the inter-family variance components of other traits (diameter at breast height (DBH), crown diameter (CD), height under branches (HUB), degree of stem-straightness (DS)) were greater than that of the intra-family, indicating that there was abundant variation among families and potential for selection. (2) At half rotation period (18 years old), there was a significant correlation among the traits. The proportion of trees with twisted trunks (level 1-3 straightness) reached 48%. The DS significantly affected growth traits, among which PH and DBH were the most affected. The volume loss rate caused by twisted trunk was 18.06-56.75%, implying that trunk distortion could not be completely eliminated after an artificial selection. (3) The influence of tree shape, crown width, and trunk on volume increased, and the early-late correlation between PH, DBH and volume was extremely significant. The range of phenotypic coefficient of variation, genetic variation coefficient and family heritability of growth traits (PH, DBH, and volume) were 44.29-127.13%, 22.88-60.87%, and 0.79-0.83, respectively. (4) A total of 21 superior families were selected by the method of membership function combined with independent selection. Compared with the mid-term selection (18 years old), the accuracy of early selection (9 years old) reached 77.5%. The selected families\' genetic gain and realistic gain range were 5.79-19.82% and 7.12-24.27%, respectively. This study can provide some useful reference for the breeding of coniferous species.
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  • 文章类型: Journal Article
    食源性沙门氏菌病的发病率不断上升,对食品安全和公共卫生构成了重大的全球威胁。随着沙门氏菌的抗生素耐药性持续上升,人们对噬菌体作为潜在替代品的兴趣日益浓厚。在这项研究中,我们与世隔绝,characterized,并评价了裂解噬菌体L223在鸡肉中的生防效果。噬菌体L223在广泛的温度(20-70°C)和pH水平(2-11)范围内表现出强大的稳定性,并表现出靶向沙门氏菌的有限宿主范围。,尤其是鼠伤寒沙门氏菌和肠炎沙门氏菌。L223的表征显示30分钟的短潜伏期和515PFU/细胞的大量爆发。基因组分析将L223分类为Caudoviricetes类,Guernseyvirinae亚科和Jerseyvirus属,dsDNA基因组大小为44,321bp,GC含量为47.9%,具有72个缺乏抗菌素耐药性的编码序列,毒力因子,毒素,和tRNA基因。在孵育2、4和6小时后,应用L223显着(p<0.005)减少了鼠伤寒沙门氏菌ATCC14,028计数1.24、2.17和1.55logCFU/片,分别,在实验污染的鸡胸肉样本中。这些发现凸显了沙门氏菌噬菌体L223作为减轻食品中沙门氏菌污染的有前途的生物防治剂的潜力。强调其与加强食品安全协议的相关性。
    The escalating incidence of foodborne salmonellosis poses a significant global threat to food safety and public health. As antibiotic resistance in Salmonella continues to rise, there is growing interest in bacteriophages as potential alternatives. In this study, we isolated, characterized, and evaluated the biocontrol efficacy of lytic phage L223 in chicken meat. Phage L223 demonstrated robust stability across a broad range of temperatures (20-70 °C) and pH levels (2-11) and exhibited a restricted host range targeting Salmonella spp., notably Salmonella Typhimurium and Salmonella Enteritidis. Characterization of L223 revealed a short latent period of 30 min and a substantial burst size of 515 PFU/cell. Genomic analysis classified L223 within the Caudoviricetes class, Guernseyvirinae subfamily and Jerseyvirus genus, with a dsDNA genome size of 44,321 bp and 47.9% GC content, featuring 72 coding sequences devoid of antimicrobial resistance, virulence factors, toxins, and tRNA genes. Application of L223 significantly (p < 0.005) reduced Salmonella Typhimurium ATCC 14,028 counts by 1.24, 2.17, and 1.55 log CFU/piece after 2, 4, and 6 h of incubation, respectively, in experimentally contaminated chicken breast samples. These findings highlight the potential of Salmonella phage L223 as a promising biocontrol agent for mitigating Salmonella contamination in food products, emphasizing its relevance for enhancing food safety protocols.
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  • 文章类型: Journal Article
    结论:QTL定位结合全基因组关联研究,揭示了热带CATETO相关玉米品系YML226中抗北方叶枯病的潜在候选基因,为玉米品种的标记辅助选择提供了基础北方叶枯病(NLB)是一种叶面病害,可导致玉米严重的产量损失。识别和利用NLB抗性基因是预防和控制这种疾病的最有效方法。在这项研究中,以5个重要的玉米自交系为亲本,构建了一个多亲群体,用于鉴定NLB抗性基因座。QTL定位和GWAS分析显示QTLqtl_YML226_1具有最大的表型变异解释(PVE)9.28%,和SNP5-49,193,921共同位于CATO相关系YML226中。该基因座与候选基因Zm00001d014471相关,该基因编码五肽重复(PPR)蛋白。在Zm00001d014471的编码区中,YML226比其它亲本系具有更特异性的SNP。qRT-PCR显示Zm00001d014471在接种和未接种的YML226叶片中的相对表达量显著升高,表明候选基因的表达与NLB抗性相关。分析表明YML226中的较高表达水平可能是由SNP突变引起的。这项研究确定了来自CATETO种质的热带玉米自交系YML226中的NLB抗性候选基因座和基因,从而为利用现代标记辅助育种技术选育抗NLB遗传资源提供理论依据。
    CONCLUSIONS: QTL mapping combined with genome-wide association studies, revealed a potential candidate gene for  resistance to northern leaf blight in the tropical CATETO-related maize line YML226, providing a basis for marker-assisted selection of maize varieties Northern leaf blight (NLB) is a foliar disease that can cause severe yield losses in maize. Identifying and utilizing NLB-resistant genes is the most effective way to prevent and control this disease. In this study, five important inbred lines of maize were used as parental lines to construct a multi-parent population for the identification of NLB-resistant loci. QTL mapping and GWAS analysis revealed that QTL qtl_YML226_1, which had the largest phenotypic variance explanation (PVE) of 9.28%, and SNP 5-49,193,921 were co-located in the CATETO-related line YML226. This locus was associated with the candidate gene Zm00001d014471, which encodes a pentatricopeptide repeat (PPR) protein. In the coding region of Zm00001d014471, YML226 had more specific SNPs than the other parental lines. qRT-PCR showed that the relative expressions of Zm00001d014471 in inoculated and uninoculated leaves of YML226 were significantly higher, indicating that the expression of the candidate gene was correlated with NLB resistance. The analysis showed that the higher expression level in YML226 might be caused by SNP mutations. This study identified NLB resistance candidate loci and genes in the tropical maize inbred line YML226 derived from the CATETO germplasm, thereby providing a theoretical basis for using modern marker-assisted breeding techniques to select genetic resources resistant to NLB.
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  • 文章类型: Journal Article
    支气管扩张症是一种复杂且异质性的炎症性慢性呼吸系统疾病,约有30-40%的患者病因不明。气道感染与慢性炎症的存在,气道粘膜纤毛功能障碍和肺损伤是恶性涡流模型的关键组成部分,可以更好地描述其病理生理学。尽管支气管扩张的研究在过去几年中已大大增加,并且已鉴定出不同的基因型,在对病理生理学的理解上仍然存在很大的差距。基因组方法可能有助于识别新的基因型,正如在其他慢性气道疾病中所显示的那样,比如COPD。不同的研究已经开始朝着这个方向努力,近年来,在支气管扩张中对理解微生物组和蛋白质组多样性做出了重大贡献。然而,与其他呼吸系统疾病相比,系统应用组学方法来识别支气管扩张(内生型)病理生理学的新分子见解仍然有限。鉴于这些技术的复杂性和多样性,这篇综述描述了支气管扩张的病理生理学的关键组成部分,以及如何应用基因组学来增加我们的知识,包括蛋白质组学等新技术的研究,代谢组学和表观基因组学。此外,我们提出了训练有素的先天免疫的新概念,这是由微生物组暴露导致表观遗传修饰驱动的,可以补充我们目前对恶性漩涡的理解。最后,我们讨论挑战,基因组学在临床实践中应用的机会和意义,以更好地将患者分层为新疗法。
    Bronchiectasis is a complex and heterogeneous inflammatory chronic respiratory disease with an unknown cause in around 30-40% of patients. The presence of airway infection together with chronic inflammation, airway mucociliary dysfunction and lung damage are key components of the vicious vortex model that better describes its pathophysiology. Although bronchiectasis research has significantly increased over the past years and different endotypes have been identified, there are still major gaps in the understanding of the pathophysiology. Genomic approaches may help to identify new endotypes, as has been shown in other chronic airway diseases, such as COPD.Different studies have started to work in this direction, and significant contributions to the understanding of the microbiome and proteome diversity have been made in bronchiectasis in recent years. However, the systematic application of omics approaches to identify new molecular insights into the pathophysiology of bronchiectasis (endotypes) is still limited compared with other respiratory diseases.Given the complexity and diversity of these technologies, this review describes the key components of the pathophysiology of bronchiectasis and how genomics can be applied to increase our knowledge, including the study of new techniques such as proteomics, metabolomics and epigenomics. Furthermore, we propose that the novel concept of trained innate immunity, which is driven by microbiome exposures leading to epigenetic modifications, can complement our current understanding of the vicious vortex. Finally, we discuss the challenges, opportunities and implications of genomics application in clinical practice for better patient stratification into new therapies.
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  • 文章类型: Journal Article
    支气管扩张是一种异质性疾病,具有多种病因和多种临床特征。人们普遍认为,最佳治疗需要专注于特定可治疗疾病特征的精准医学方法。被称为可治疗的特征。识别具有不同潜在生物学(内生型)的疾病亚型取决于与疾病特征相关的生物标志物的识别。预后或治疗反应,可应用于临床实践。支气管扩张是一种以炎症为特征的疾病,感染,结构性肺损伤和粘液纤毛清除受损。越来越多的可用的方法来测量疾病的这些组成部分,揭示了异质性的炎症特征,微生物群,支气管扩张患者的放射学和粘液和上皮生物学。使用新兴的生物标志物和组学技术来指导支气管扩张症的治疗是一个有前途的研究领域。在这里,我们回顾了有关支气管扩张中生物标志物的最新数据。
    Bronchiectasis is a heterogeneous disease with multiple aetiologies and diverse clinical features. There is a general consensus that optimal treatment requires precision medicine approaches focused on specific treatable disease characteristics, known as treatable traits. Identifying subtypes of conditions with distinct underlying biology (endotypes) depends on the identification of biomarkers that are associated with disease features, prognosis or treatment response and which can be applied in clinical practice. Bronchiectasis is a disease characterised by inflammation, infection, structural lung damage and impaired mucociliary clearance. Increasingly there are available methods to measure each of these components of the disease, revealing heterogeneous inflammatory profiles, microbiota, radiology and mucus and epithelial biology in patients with bronchiectasis. Using emerging biomarkers and omics technologies to guide treatment in bronchiectasis is a promising field of research. Here we review the most recent data on biomarkers in bronchiectasis.
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  • 文章类型: Journal Article
    抗微生物抗性细菌的增殖和传播是一个日益全球性的挑战,主要归因于抗生素的过度或不当使用。目前,检测耐药菌株的金标准表型方法是琼脂平板,这是一个耗时的过程,涉及多个继代培养步骤。基因型分析技术是快速的,但是它们需要纯的起始样本,并且不能区分活的和非活的生物体。因此,有必要开发一种更好的方法来识别和防止抗菌素耐药性的传播。这项工作提出了一种通过结合用于细菌检测的细胞分选仪和用于细菌分类的弹性光散射方法来检测和鉴定抗生素抗性菌株的新方法。细胞分选仪配备了用于处理病原生物的安全机制,并能够将单个细菌精确放置在琼脂板上。在抗生素梯度板上进行图案化,其中具有高抗生素浓度的切片中菌落的生长证实了抗性菌株的存在。还使用弹性光散射装置测试抗生素梯度板,其中记录每个菌落的独特菌落散射模式并使用机器学习进行分类以快速鉴定细菌。使用细胞分选仪在抗生素梯度板上分选和图案化细菌减少了继代培养步骤的数量,并允许直接定性二元检测抗性菌株。弹性光散射技术是一种快速、无标签,和非破坏性方法,允许根据独特的细菌菌落散布模式对病原菌进行即时分类。关键点:•通过细胞分选仪将单个细菌细胞置于梯度琼脂平板上•激光散射图案用于识别抗生素抗性生物体•由对应于AMR相关表型的菌落形成的散射图案。
    The proliferation and dissemination of antimicrobial-resistant bacteria is an increasingly global challenge and is attributed mainly to the excessive or improper use of antibiotics. Currently, the gold-standard phenotypic methodology for detecting resistant strains is agar plating, which is a time-consuming process that involves multiple subculturing steps. Genotypic analysis techniques are fast, but they require pure starting samples and cannot differentiate between viable and non-viable organisms. Thus, there is a need to develop a better method to identify and prevent the spread of antimicrobial resistance. This work presents a novel method for detecting and identifying antibiotic-resistant strains by combining a cell sorter for bacterial detection and an elastic-light-scattering method for bacterial classification. The cell sorter was equipped with safety mechanisms for handling pathogenic organisms and enabled precise placement of individual bacteria onto an agar plate. The patterning was performed on an antibiotic-gradient plate, where the growth of colonies in sections with high antibiotic concentrations confirmed the presence of a resistant strain. The antibiotic-gradient plate was also tested with an elastic-light-scattering device where each colony\'s unique colony scatter pattern was recorded and classified using machine learning for rapid identification of bacteria. Sorting and patterning bacteria on an antibiotic-gradient plate using a cell sorter reduced the number of subculturing steps and allowed direct qualitative binary detection of resistant strains. Elastic-light-scattering technology is a rapid, label-free, and non-destructive method that permits instantaneous classification of pathogenic strains based on the unique bacterial colony scatter pattern. KEY POINTS: • Individual bacteria cells are placed on gradient agar plates by a cell sorter • Laser-light scatter patterns are used to recognize antibiotic-resistant organisms • Scatter patterns formed by colonies correspond to AMR-associated phenotypes.
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  • 文章类型: Journal Article
    背景:庞皮病(PD)是由GAA基因变异引起的代谢性肌病,导致酶活性不足。我们旨在描述一系列墨西哥患者的临床特征和相关遗传变异。
    方法:我们对诊断为LOPD的患者的临床记录进行了回顾性研究,IOPD或假性缺乏。
    结果:29名患者被纳入研究,包括这三种形式。总的来说,症状发作年龄为0.1~43岁.最常见的变异是c.-32-13T>G,在14个等位基因中检测到。在GAA基因中鉴定的23种不同变体中,14人被归类为致病性,5人可能致病,1是不确定意义的变体。两个变体以顺式排列遗传,两个是假性缺陷相关的良性等位基因。我们鉴定了两个新的变体(c.1615G>A和c.1076-20_1076-4delAAGTCGGGCGTTGGCCTG)。
    结论:据我们所知,该系列代表了墨西哥PD患者最大的表型和基因型特征.我们系列的患者表现出LOPD和IOPD相关变异的组合,这可能与墨西哥人口的遗传多样性有关。需要进一步的全人群研究来更好地描述墨西哥人群中这种疾病的发病率。
    BACKGROUND: Pompe Disease (PD) is a metabolic myopathy caused by variants in the GAA gene, resulting in deficient enzymatic activity. We aimed to characterize the clinical features and related genetic variants in a series of Mexican patients.
    METHODS: We performed a retrospective study of clinical records of patients diagnosed with LOPD, IOPD or pseudodeficiency.
    RESULTS: Twenty-nine patients were included in the study, comprising these three forms. Overall, age of symptom onset was 0.1 to 43 years old. The most frequent variant identified was c.-32-13T>G, which was detected in 14 alleles. Among the 23 different variants identified in the GAA gene, 14 were classified as pathogenic, 5 were likely pathogenic, and 1 was a variant of uncertain significance. Two variants were inherited in cis arrangement and 2 were pseudodeficiency-related benign alleles. We identified two novel variants (c.1615 G>A and c.1076-20_1076-4delAAGTCGGCGTTGGCCTG).
    CONCLUSIONS: To the best of our knowledge, this series represent the largest phenotypic and genotypic characterization of patients with PD in Mexico. Patients within our series exhibited a combination of LOPD and IOPD associated variants, which may be related to genetic diversity within Mexican population. Further population-wide studies are required to better characterize the incidence of this disease in Mexican population.
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