Genes, Regulator

基因, 调节剂
  • 文章类型: Journal Article
    感兴趣基因的上游调节基因的发现仍然具有挑战性。在这里,我们应用了一种可扩展的计算方法,通过搜索整个基因组来无偏地预测关键转录因子的候选调控基因。我们通过对人类初级调节性T细胞(Tregs)的主调节因子FOXP3的案例研究来说明我们的方法。虽然已经确定了FOXP3的靶基因,其上游监管机制仍然难以捉摸。我们的方法选择了五个排名最高的候选人,通过概念验证实验进行了测试。击倒后,5个候选对象中有3个对多个供体的FOXP3mRNA表达有显著影响.这提供了对调节Treg中FOXP3转录表达的调节机制的见解。总的来说,在基因组水平上,这代表了预测感兴趣的关键基因的上游调控基因的高度准确性。
    The discovery of upstream regulatory genes of a gene of interest still remains challenging. Here we applied a scalable computational method to unbiasedly predict candidate regulatory genes of critical transcription factors by searching the whole genome. We illustrated our approach with a case study on the master regulator FOXP3 of human primary regulatory T cells (Tregs). While target genes of FOXP3 have been identified, its upstream regulatory machinery still remains elusive. Our methodology selected five top-ranked candidates that were tested via proof-of-concept experiments. Following knockdown, three out of five candidates showed significant effects on the mRNA expression of FOXP3 across multiple donors. This provides insights into the regulatory mechanisms modulating FOXP3 transcriptional expression in Tregs. Overall, at the genome level this represents a high level of accuracy in predicting upstream regulatory genes of key genes of interest.
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  • 文章类型: Journal Article
    淋巴管生成(LYM)在肿瘤进展中具有重要作用,并且与肿瘤转移密切相关。然而,LYM的临床应用没有像预期的那样进展。LYM在肺腺癌(LUAD)患者中的潜在价值有待进一步发展。
    LUAD患者的测序数据和临床特征从癌症基因组图谱和GEO数据库下载。使用多种机器学习算法来筛选特征基因并开发LYM索引。免疫细胞浸润,免疫检查点表达,采用肿瘤免疫功能失调(TIDE)算法和药物敏感性分析,探讨LYM指数与免疫谱和抗肿瘤治疗的相关性。
    我们筛选了四个淋巴管生成特征基因(PECAM1,TIMP1,CXCL5和PDGFB),以基于多种机器学习算法构建LYM指数。我们根据LYM指数中位数将LUAD患者分为高LYM指数组和低LYM指数组。LYM指数是影响LUAD患者预后的危险因素。此外,高LYM指数组和低LYM指数组之间的免疫谱存在显着差异。根据TIDE算法的结果,低LYM指数组的LUAD患者似乎从免疫疗法中受益更多。
    总的来说,我们证实LYM指数是LUAD患者的预后危险因素和有价值的免疫治疗反应预测因子,这为LYM的潜在应用提供了新的证据。
    UNASSIGNED: Lymphangiogenesis (LYM) has an important role in tumor progression and is strongly associated with tumor metastasis. However, the clinical application of LYM has not progressed as expected. The potential value of LYM needs to be further developed in lung adenocarcinoma (LUAD) patients.
    UNASSIGNED: The Sequencing data and clinical characteristics of LUAD patients were downloaded from The Cancer Genome Atlas and GEO databases. Multiple machine learning algorithms were used to screen feature genes and develop the LYM index. Immune cell infiltration, immune checkpoint expression, Tumor Immune Dysfunction and Exclusion (TIDE) algorithm and drug sensitivity analysis were used to explore the correlation of LYM index with immune profile and anti-tumor therapy.
    UNASSIGNED: We screened four lymphangiogenic feature genes (PECAM1, TIMP1, CXCL5 and PDGFB) to construct LYM index based on multiple machine learning algorithms. We divided LUAD patients into the high LYM index group and the low LYM index group based on the median LYM index. LYM index is a risk factor for the prognosis of LUAD patients. In addition, there was a significant difference in immune profile between high LYM index and low LYM index groups. LUAD patients in the low LYM index group seemed to benefit more from immunotherapy based on the results of TIDE algorithm.
    UNASSIGNED: Overall, we confirmed that the LYM index is a prognostic risk factor and a valuable predictor of immunotherapy response in LUAD patients, which provides new evidence for the potential application of LYM.
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  • 文章类型: Journal Article
    组蛋白脱乙酰酶(HDAC)对启动有显著贡献,programming,结直肠腺癌(COAD)的预后。此外,HDAC调节肿瘤微环境,免疫逃逸,和肿瘤干细胞,并与COAD预后密切相关。我们开发了COAD的预后模型,该模型包含HDAC以评估其特定作用。使用TCGA和GEO数据库收集包含临床和突变数据的COAD数据集以获得与HDAC相关的基因。使用LASSO分析以及单变量和多变量Cox回归分析来确定预后基因的存在。多变量Cox分析也用于确定HDAC相关特征的风险评分。此外,基因组改变,免疫浸润,比较高和低风险组的药物反应。细胞实验验证了BRD3对COAD增殖的潜在调节作用,迁移,和凋亡。风险评分中位数,根据特征计算,低危组患者的预后改善更为显著。此外,HDAC相关特征被确定为COAD患者的重要独立预后因素。此外,基因组突变状态,免疫浸润,和功能,以及对免疫疗法和化疗的反应,被发现与风险评分相关。亚组分析表明,抗PD-1治疗可能对低风险组患者有益。此外,风险评分降低与免疫浸润减少相关.最后,HCT116和HT29细胞表现出BRD3基因增殖和迁移的抑制作用,以及促进细胞凋亡。在COAD患者中,HDAC相关特征可用于预测生存和选择治疗。
    Histone deacetylases (HDACs) contribute significantly to the initiation, progression, and prognosis of colorectal adenocarcinoma (COAD). Additionally, HDACs regulate the tumor microenvironment, immune escape, and tumor stem cells, and are closely linked to COAD prognosis. We developed a prognostic model for COAD that incorporates HDACs to evaluate their specific roles. The COAD dataset containing clinical and mutation data was collected using the TCGA and GEO databases to obtain genes associated with HDAC. LASSO analysis and univariate and multivariate Cox regression analysis were used to determine the presence of prognostic genes. Multivariate Cox analysis was also used to determine risk scores for HDAC-related features. Furthermore, genomic alterations, immune infiltration, and drug response were compared between high- and low-risk groups. Cellular experiments validated the potential regulatory role of BRD3 on COAD proliferation, migration, and apoptosis. The median risk scores, calculated based on the characteristics, demonstrated a more significant prognostic improvement in patients in the low-risk group. Furthermore, HDAC-related features were identified as important independent prognostic factors for patients with COAD. Additionally, genomic mutation status, immune infiltration, and function, as well as response to immunotherapy and chemotherapy, were found to be associated with risk scores. Subgroup analyses indicate that anti-PD-1 therapy may be beneficial for patients in the low-risk group. Additionally, a decrease in risk score was associated with a decrease in immune infiltration. Finally, HCT116 and HT29 cells exhibited inhibition of BRD3 gene proliferation and migration, as well as promotion of apoptosis. In patients with COAD, HDAC-related characteristics may be useful in predicting survival and selecting treatment.
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  • 文章类型: Journal Article
    背景:紫外线辐射通过产生多种酶引起皮肤光老化,这既影响皮肤健康,又阻碍美丽。目前,光老化的早期诊断和治疗仍然是一个挑战。生物信息学分析在探索光老化的核心基因和生物学途径方面具有很强的优势。
    目的:筛选和验证光老化中与纤溶酶原相关的关键风险基因,并鉴定光老化的潜在靶基因。
    方法:通过搜索基因表达综合(GEO)数据库获得了两个人类转录组数据集,并对GSE131789数据集中的mRNA进行了差异分析,然后进行加权基因共表达网络分析(WGCNA)以找出最强的相关性。模板基因,差异表达基因(DEGs)的相互作用分析,具有大多数WGCNA相关性的模块化基因,进行了与纤溶酶原相关的基因数据库,和进一步的京都基因和基因组百科全书(KEGG)途径分析。两种不同的算法,最小绝对收缩和选择算子(LASSO)和支持向量机-递归特征消除(SVM-RFE),被用来寻找关键基因。然后对数据集(GSE206495)进行验证和分析。通过体外细胞实验进行实时PCR以验证关键基因的表达。
    结果:IFI6,IFI44L,从数据集中筛选HRSP12和BMP4作为光老化的关键基因,进一步分析表明这些基因对光老化具有重要的诊断价值。
    结论:IFI6、IFI44L、HRSP12和BMP4在光老化的发病机制中起关键作用,并作为光老化的潜在预测生物标志物。
    BACKGROUND: Ultraviolet radiation causes skin photoaging by producing a variety of enzymes, which impact both skin health and hinder beauty. Currently, the early diagnosis and treatment of photoaging remain a challenge. Bioinformatics analysis has strong advantages in exploring core genes and the biological pathways of photoaging.
    OBJECTIVE: To screen and validate key risk genes associated with plasminogen in photoaging and to identify potential target genes for photoaging.
    METHODS: Two human transcriptome datasets were obtained by searching the Gene Expression Omnibus (GEO) database, and the mRNAs in the GSE131789 dataset were differentially analyzed, and then the weighted gene co-expression network analysis (WGCNA) was performed to find out the strongest correlations. Template genes, interaction analysis of differentially expressed genes (DEGs), modular genes with the most WGCNA correlations, and genecard database genes related to plasminogen were performed, and further Kyoto genes and Genome Encyclopedia (KEGG) pathway analysis. Two different algorithms, least absolute shrinkage and selection operator (LASSO) and support vector machines-recursive feature elimination (SVM-RFE), were used to find key genes. Then the data set (GSE206495) was validated and analyzed. Real-time PCR was performed to validate the expression of key genes through in vitro cellular experiments.
    RESULTS: IFI6, IFI44L, HRSP12, and BMP4 were screened from datasets as key genes for photoaging and further analysis showed that these genes have significant diagnostic value for photoaging.
    CONCLUSIONS: IFI6, IFI44L, HRSP12, and BMP4 play a key role in the pathogenesis of photoaging, and serve as promising potential predictive biomarkers for photoaging.
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  • 文章类型: Journal Article
    Hippo通路在控制肿瘤发生和转移过程中的各种生物过程中起着至关重要的作用。在这条道路上,上游信号刺激激活核心激酶级联,涉及MST1/2和LATS1/2,随后磷酸化并抑制转录共激活因子YAP及其同源物TAZ。这种抑制调节下游靶基因的转录调节,影响细胞增殖,迁移,和死亡。尽管蛋白激酶在Hippo途径中具有公认的意义,蛋白磷酸酶的调控作用在很大程度上仍未被探索.在这项研究中,我们对调节Hippo途径的蛋白酪氨酸磷酸酶(PTP)进行了首次功能获得筛选.利用LATS激酶生物传感器(LATS-BS),YAP/TAZ活动报告者(STBS-Luc),和一个全面的PTP库,我们发现了许多在Hippo通路中起调节作用的新型PTP。随后的实验验证了PTPN12,致癌受体酪氨酸激酶(RTK)的主要调节因子,作为Hippo通路效应子的一个以前未被认可的负调节因子,致癌YAP/TAZ,影响乳腺癌细胞增殖和迁移。总之,我们的发现为PTP在Hippo信号通路中的作用提供了有价值的见解,大大有助于我们对乳腺癌生物学和潜在治疗策略的理解。
    The Hippo pathway plays crucial roles in governing various biological processes during tumorigenesis and metastasis. Within this pathway, upstream signaling stimuli activate a core kinase cascade, involving MST1/2 and LATS1/2, that subsequently phosphorylates and inhibits the transcriptional co-activators YAP and its paralog TAZ. This inhibition modulates the transcriptional regulation of downstream target genes, impacting cell proliferation, migration, and death. Despite the acknowledged significance of protein kinases in the Hippo pathway, the regulatory influence of protein phosphatases remains largely unexplored. In this study, we conducted the first gain-of-functional screen for protein tyrosine phosphatases (PTPs) regulating the Hippo pathway. Utilizing a LATS kinase biosensor (LATS-BS), a YAP/TAZ activity reporter (STBS-Luc), and a comprehensive PTP library, we identified numerous novel PTPs that play regulatory roles in the Hippo pathway. Subsequent experiments validated PTPN12, a master regulator of oncogenic receptor tyrosine kinases (RTKs), as a previously unrecognized negative regulator of the Hippo pathway effectors, oncogenic YAP/TAZ, influencing breast cancer cell proliferation and migration. In summary, our findings offer valuable insights into the roles of PTPs in the Hippo signaling pathway, significantly contributing to our understanding of breast cancer biology and potential therapeutic strategies.
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  • 文章类型: Journal Article
    小的非编码RNA(sncRNA)的失调与转移的发生有关。我们评估了早期乳腺癌患者sncRNAs的表达,对60例肿瘤和前哨淋巴结(SLN)样本的患者进行RNA测序,并进行差异表达,基因本体论,富集和生存分析。测序注释将大多数sncRNAs分类为小核仁RNA(snoRNAs,70%)和小核RNA(snRNA,13%)。我们的结果显示,从同一患者获得的肿瘤或SLN之间的sncRNA表达没有显着差异。差异表达分析显示在局部区域转移患者中下调(n=21)sncRNAs和上调(n=2)sncRNAs。SNHG5,SNORD90,SCARNA2和SNORD78的表达与管腔B肿瘤的管腔A,而SNORD124上调与腔BHER2+肿瘤相关。判别分析和接受者工作曲线分析揭示了六个snoRNAs的特征(SNORD93,SNORA16A,SNORD113-6,SNORA7A,SNORA57和SNORA18A)可区分具有局部区域转移的患者并预测患者预后。基因本体论和Reactome通路分析显示了与翻译起始相关的生物过程的富集,蛋白质靶向特定的细胞位置,以及Wnt和NOTCH信号通路的正向调节,通常参与促进转移。我们的结果指出,在早期乳腺癌患者中,几种sncRNAs作为淋巴结转移和患者预后的替代标志物的潜力。需要进一步的临床前和临床研究来了解最重要的sncRNAs的生物学意义,并在更大的患者队列中验证我们的结果。
    Deregulation of small non-coding RNAs (sncRNAs) has been associated with the onset of metastasis. We evaluated the expression of sncRNAs in patients with early-stage breast cancer, performing RNA sequencing in 60 patients for whom tumor and sentinel lymph node (SLN) samples were available, and conducting differential expression, gene ontology, enrichment and survival analyses. Sequencing annotation classified most of the sncRNAs into small nucleolar RNA (snoRNAs, 70%) and small nuclear RNA (snRNA, 13%). Our results showed no significant differences in sncRNA expression between tumor or SLNs obtained from the same patient. Differential expression analysis showed down-regulation (n = 21) sncRNAs and up-regulation (n = 2) sncRNAs in patients with locoregional metastasis. The expression of SNHG5, SNORD90, SCARNA2 and SNORD78 differentiated luminal A from luminal B tumors, whereas SNORD124 up-regulation was associated with luminal B HER2+ tumors. Discriminating analysis and receiver-operating curve analysis revealed a signature of six snoRNAs (SNORD93, SNORA16A, SNORD113-6, SNORA7A, SNORA57 and SNORA18A) that distinguished patients with locoregional metastasis and predicted patient outcome. Gene ontology and Reactome pathway analysis showed an enrichment of biological processes associated with translation initiation, protein targeting to specific cell locations, and positive regulation of Wnt and NOTCH signaling pathways, commonly involved in the promotion of metastases. Our results point to the potential of several sncRNAs as surrogate markers of lymph node metastases and patient outcome in early-stage breast cancer patients. Further preclinical and clinical studies are required to understand the biological significance of the most significant sncRNAs and to validate our results in a larger cohort of patients.
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  • 文章类型: Journal Article
    这项研究的目的是研究与胶质母细胞瘤(GBM)的总体生存率(OS)相关的基因表达变化。使用NanostringnCounter平台,我们确定了四个基因(COL1A2,IGFBP3,NGFR,和WIF1),当将GBM与非肿瘤性脑组织进行比较时,具有统计学意义。这四个基因被纳入多变量Cox比例风险模型,随着年龄的增长,切除范围,和O6-甲基鸟嘌呤-DNA甲基转移酶(MGMT)启动子甲基化,建立独特的胶质母细胞瘤预后指数(GPI)。GPI评分与生存呈负相关:GPI高的患者的中位OS为7.5个月(18个月OS=9.7%),而GPI低的患者的中位OS为20.1个月(18个月OS=54.5%;对数秩p值=0.004)。然后在来自国家数据库的癌症基因组图谱(TCGA)的188GBM患者中验证了GPI评分;类似地,高GPI患者的中位OS为10.5个月(18个月OS=12.4%),而低GPI患者的中位OS为16.9个月(18个月OS=41.5%)(对数秩p值=0.0003).我们得出的结论是,这种基于mRNA的新型预后指数可用于将GBM患者分类为风险组,并完善预后估计,以更好地指导治疗决策或分层进入临床试验。
    The aim of this study was to investigate gene expression alterations associated with overall survival (OS) in glioblastoma (GBM). Using the Nanostring nCounter platform, we identified four genes (COL1A2, IGFBP3, NGFR, and WIF1) that achieved statistical significance when comparing GBM with non-neoplastic brain tissue. The four genes were included in a multivariate Cox Proportional Hazard model, along with age, extent of resection, and O6-methylguanine-DNA methyltransferase (MGMT) promotor methylation, to create a unique glioblastoma prognostic index (GPI). The GPI score inversely correlated with survival: patient with a high GPI had a median OS of 7.5 months (18-month OS = 9.7%) whereas patients with a low GPI had a median OS of 20.1 months (18-month OS = 54.5%; log rank p-value = 0.004). The GPI score was then validated in 188 GBM patients from The Cancer Genome Atlas (TCGA) from a national data base; similarly, patients with a high GPI had a median OS of 10.5 months (18-month OS = 12.4%) versus 16.9 months (18-month OS = 41.5%) for low GPI (log rank p-value = 0.0003). We conclude that this novel mRNA-based prognostic index could be useful in classifying GBM patients into risk groups and refine prognosis estimates to better inform treatment decisions or stratification into clinical trials.
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  • 文章类型: Journal Article
    多发性硬化症(MS)是中枢神经系统最常见的慢性炎性疾病。目前,MS的病理机制尚未完全了解,但是研究表明,铁代谢紊乱可能与MS的发病和临床表现有关。
    该研究利用公开可用的数据库和生物信息学技术进行基因表达数据分析,包括差异表达分析,加权相关网络分析,基因富集分析,并构建Logistic回归模型。随后,孟德尔随机化用于评估不同铁代谢标志物与MS之间的因果关系。
    这项研究确定了IREB2,LAMP2,ISCU,ATP6V1G1,ATP13A2和SKP1作为与多发性硬化症(MS)和铁代谢相关的基因,建立其对MS的多基因诊断价值,AUC为0.83。此外,孟德尔随机化分析显示转铁蛋白饱和度与MS之间存在潜在的因果关系(p=2.22E-02;OR95CI=0.86(0.75,0.98)),以及血清转铁蛋白和MS(p=2.18E-04;OR95CI=1.22(1.10,1.36))。
    本研究通过整合的生物信息学分析和孟德尔随机化方法,全面探索了铁代谢与MS之间的关系。这些发现为进一步研究铁代谢紊乱在MS发病机制中的作用提供了重要见解,为MS的治疗提供了重要的理论支持。
    Multiple sclerosis (MS) is the most common chronic inflammatory disease of the central nervous system. Currently, the pathological mechanisms of MS are not fully understood, but research has suggested that iron metabolism disorder may be associated with the onset and clinical manifestations of MS.
    The study utilized publicly available databases and bioinformatics techniques for gene expression data analysis, including differential expression analysis, weighted correlation network analysis, gene enrichment analysis, and construction of logistic regression models. Subsequently, Mendelian randomization was used to assess the causal relationship between different iron metabolism markers and MS.
    This study identified IREB2, LAMP2, ISCU, ATP6V1G1, ATP13A2, and SKP1 as genes associated with multiple sclerosis (MS) and iron metabolism, establishing their multi-gene diagnostic value for MS with an AUC of 0.83. Additionally, Mendelian randomization analysis revealed a potential causal relationship between transferrin saturation and MS (p=2.22E-02; OR 95%CI=0.86 (0.75, 0.98)), as well as serum transferrin and MS (p=2.18E-04; OR 95%CI=1.22 (1.10, 1.36)).
    This study comprehensively explored the relationship between iron metabolism and MS through integrated bioinformatics analysis and Mendelian randomization methods. The findings provide important insights for further research into the role of iron metabolism disorder in the pathogenesis of MS and offer crucial theoretical support for the treatment of MS.
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  • 文章类型: Journal Article
    结论:纳米颗粒预处理改善了老化的Cajanuscajan种子的健康。,氧化还原状态的调节,基因表达,和恢复荷尔蒙稳态。老化会降低种子的活力和生存能力,从而降低种子的质量。并随着发芽的丧失而终止。这些天,纳米技术已经被认为彻底改变了农业部门,特别是纳米氧化锌(nZnO)由于其独特的性能而获得了相当大的兴趣。当前工作的目的是破译使用nZnO使Cajanuscajan的加速老化(AA)种子再生的可能性。化学(CnZnO)和绿色(GnZnO;使用辣木合成)制造的nZnOs均通过标准技术进行表征,以解释其纯度,尺寸,和形状。实验结果表明,发芽不稳定,生存力和膜稳定性下降,这是AA种子中活性氧中间体(ROI)积累的结果。nZnO的应用大幅减少了ROI的产生,随着抗氧化剂产量的增加,α-淀粉酶活性,总糖,蛋白质和DNA含量。在nZnO脉冲AA种子中定性/组织学和定量评估了较高的锌水平,支持发芽而不诱导毒性。同时,在nZnO激发的种子中,赤霉素的增加与脱落酸水平的同时降低相比,在AA种子中,提示ROI可能参与激素信号传导。此外,nZnO处理的AA种子揭示了水通道蛋白和细胞周期调控基因的差异表达。总结,在CnZnO和GnZnO中,后来,通过恢复细胞氧化还原稳态,提供对衰老相关恶化的相当大的耐受性,从而具有更好的复兴CajanuscajanAA种子的潜力,荷尔蒙信号,以及水通道蛋白和细胞周期调控基因表达模式的改变。
    CONCLUSIONS: Nanoparticle pretreatment improved the health of aged Cajanus cajan seeds viz., regulation of redox status, gene expression, and restoration of hormonal homeostasis. Ageing deteriorates the quality of seeds by lowering their vigor and viability, and terminating with loss of germination. These days, nanotechnology has been seen to revolutionize the agricultural sectors, and particularly nano zinc oxide (nZnO) has gained considerable interests due to its distinctive properties. The aim of the present work was to decipher the possibilities of using nZnO to rejuvenate accelerated aged (AA) seeds of Cajanus cajan. Both chemically (CnZnO) and green (GnZnO; synthesized using Moringa oleifera) fabricated nZnOs were characterized via standard techniques to interpret their purity, size, and shape. Experimental results revealed erratic germination with a decline in viability and membrane stability as outcomes of reactive oxygen intermediate (ROI) buildup in AA seeds. Application of nZnO substantially rebated the accrual of ROI, along with enhanced production of antioxidants, α-amylase activity, total sugar, protein and DNA content. Higher level of zinc was assessed qualitatively/ histologically and quantitatively in nZnO pulsed AA seeds, supporting germination without inducing toxicity. Meantime, augmentation in the gibberellic acid with a simultaneous reduction in the abscisic acid level were noted in nZnO invigorated seeds than that determined in the AA seeds, suggesting possible involvement of ROI in hormonal signalling. Furthermore, nZnO-subjected AA seeds unveiled differential expression of aquaporins and cell cycle regulatory genes. Summarizing, among CnZnO and GnZnO, later one holds better potential for a revival of AA seeds of Cajanus cajan by providing considerable tolerance against ageing-associated deterioration via recouping the cellular redox homeostasis, hormonal signaling, and alteration in expression patterns of aquaporin and cell cycle regulatory genes.
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  • 文章类型: Journal Article
    目的:探讨中国家族中多个特发性宫颈根吸收(MICRR)的遗传背景和临床表型。
    方法:先证者及其三个家庭成员进行了临床检查,并通过放射造影(RVG)系统和CBCT进行了X线片检查,以确定MICRR的诊断。从患者外周血样本中提取基因组DNA(gDNA),他的父亲,母亲和妹妹进行全外显子组测序(WES)。根据可能的遗传模式分析了次要等位基因频率(MAF)小于0.005的罕见变异的致病性。12个软件程序的预测结果,美国医学遗传学学院(ACMG)2015年标准,还有ClinVar的信息,OMIM和HGMD数据库以及基因功能。
    结果:先证者表现出典型的MICRR表型,例如宫颈浆壁薄和苹果核样病变。按照隐性遗传模式,WES分析确定SHROOM2,SYTL5,MAGED1和FLNA具有较高的引起MICRR的机会。还发现四个具有复合杂合变体的基因和另外27个具有常染色体显性或常染色体隐性模式的从头变体的基因具有潜在的致病性。
    结论:通过WES从一个中国家族发现了35个新的潜在致病基因与MICRR相关。MICRR的新遗传背景可能有助于临床和分子诊断。
    OBJECTIVE: To explore the genetic background and clinical phenotypes of multiple idiopathic cervical root resorption (MICRR) in a Chinese family.
    METHODS: The proband and his three family members were clinically examined and had radiographs taken with a radiovisiography (RVG) system and CBCT to define the diagnosis of MICRR. Genomic DNA (gDNA) was extracted from peripheral blood samples of the patient, his father, mother and younger sister for whole exome sequencing (WES). The pathogenicity of rare variants with minor allele frequency (MAF) less than 0.005 were analysed following possible inheritance patterns, predicted results from 12 software programs, the American College of Medical Genetics (ACMG) 2015 criteria, and information from ClinVar, OMIM and HGMD databases as well as gene function.
    RESULTS: The proband presented the typical MICRR phenotypes such as thin cervical pulp wall and apple core-like lesions in radiographs. Following the recessive inheritance pattern, WES analysis identified SHROOM2, SYTL5, MAGED1 and FLNA with a higher chance of causing MICRR. Four genes with compound heterozygous variants and another 27 genes with de novo variants either in autosomal-dominant or autosomal-recessive pattern were also found to have the potential pathogenicity.
    CONCLUSIONS: A total of 35 novel potential pathogenic genes were found to be associated with MICRR from a Chinese family through WES. The new genetic background of MICRR may be helpful for clinical and molecular diagnosis.
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