phenotypic characteristics

表型特征
  • 文章类型: Journal Article
    表型分析具有帮助育种工作的巨大潜力。然而,在食用菌领域,缺乏利用表型分析的研究。杏鲍菇是一种利润丰厚的食用菌,具有巨大的市场需求和可观的工业产值,并且在其繁殖过程中,对杏鲍菇进行早期表型分析势在必行。本研究利用图像识别技术研究了毕赤酵母菌丝体的表型特征。我们旨在建立这些表型特征与菌丝体质量之间的关系。四组菌丝体,即,未降解和降解的菌丝体以及第5和第14次传代培养,用作图像源。两类表型指标,轮廓和纹理,进行了定量计算和分析。在菌丝体的轮廓特征中,五个指标,即,菌丝体周长,半径,area,增长率,改变速度,建议证明菌丝生长。在菌丝体的质地特征中,五个指标,即,菌丝体覆盖,圆度,凹槽深度,密度,和密度变化,进行菌丝体表型特征分析。此外,我们还比较了菌丝的纤维素酶和漆酶活性,发现纤维素酶水平与菌丝的表型指标一致,进一步验证了数字图像处理技术在菌丝体表型特征分析中的准确性。结果表明,这10个表型特征指标存在显著差异(P<0.001),阐明表型特征与菌丝质量之间的密切关系。该结论有助于在猪的早期育种阶段快速准确地选择菌株。
    Phenotypic analysis has significant potential for aiding breeding efforts. However, there is a notable lack of studies utilizing phenotypic analysis in the field of edible fungi. Pleurotus geesteranus is a lucrative edible fungus with significant market demand and substantial industrial output, and early-stage phenotypic analysis of Pleurotus geesteranus is imperative during its breeding process. This study utilizes image recognition technology to investigate the phenotypic features of the mycelium of P. geesteranus. We aim to establish the relations between these phenotypic characteristics and mycelial quality. Four groups of mycelia, namely, the non-degraded and degraded mycelium and the 5th and 14th subcultures, are used as image sources. Two categories of phenotypic metrics, outline and texture, are quantitatively calculated and analyzed. In the outline features of the mycelium, five indexes, namely, mycelial perimeter, radius, area, growth rate, and change speed, are proposed to demonstrate mycelial growth. In the texture features of the mycelium, five indexes, namely, mycelial coverage, roundness, groove depth, density, and density change, are studied to analyze the phenotypic characteristics of the mycelium. Moreover, we also compared the cellulase and laccase activities of the mycelium and found that cellulase level was consistent with the phenotypic indices of the mycelium, which further verified the accuracy of digital image processing technology in analyzing the phenotypic characteristics of the mycelium. The results indicate that there are significant differences in these 10 phenotypic characteristic indices ( P < 0.001 ), elucidating a close relationship between phenotypic characteristics and mycelial quality. This conclusion facilitates rapid and accurate strain selection in the early breeding stage of P. geesteranus.
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  • 文章类型: Journal Article
    目的:本研究旨在分析6例由溶质载体家族38成员8(SLC38A8)变异体引起的中央凹发育不全(FH)的临床和遗传特征,并从以前的文献中描述SLC38A8变体的基因型和表型。
    方法:所有受试者都接受了全面的眼科检查。进行光学相干断层扫描(OCT)以评估FH的结构等级。使用基于小组的下一代测序和直接Sanger测序技术鉴定SLC38A8基因的致病变体。Further,之前报道的所有SLC38A8变异病例均与本研究中发现的新病例一起进行了重新分析.
    结果:有6例SLC38A8基因变异的患者存在眼球震颤和FH,伴有正常的前节。在4名患者中确定了4级FH。共鉴定出12种SLC38A8基因变异体,包括9种新颖的变体。系统分析显示一半的变异(30/60)是错义的,其中大部分(23/30)分布在跨膜(TM)结构域中。在大多数患者中检测到4级FH(66%,23/35).0、1和2个错义变异的患者亚组之间的临床特点无统计学差别。
    结论:在具有SLC38A8变异体的患者中发现了严重的中央凹发育停滞。本研究提供了致病性SLC38A8变异的临床和遗传特征的简要总结,有助于FH的鉴别诊断。
    OBJECTIVE: This study aimed to analyze the clinical and genetic characteristics of 6 Chinese patients with foveal hypoplasia (FH) caused by the variants of solute carrier family 38 member 8 (SLC38A8), and to describe the genotype and phenotype of SLC38A8 variants from previous literature.
    METHODS: All subjects underwent comprehensive ophthalmic examinations. Optical coherence tomography (OCT) was performed to evaluate the structural grade of FH. Pathogenic variants of SLC38A8 gene were identified using panel-based next-generation sequencing and direct Sanger sequencing techniques. Further, all previously reported cases of SLC38A8 variants were re-analyzed together with the novel ones identified in this study.
    RESULTS: Nystagmus and FH were present in 6 patients with variants of SLC38A8 gene, accompanied by a normal anterior segment. Grade 4 FH was identified in 4 patients. A total of 12 variants of SLC38A8 gene were identified, including 9 novel variants. Systematical analysis revealed that half of the variants (30/60) were missense, the majority of which (23/30) were distributed in the transmembrane (TM) domains. Grade 4 FH was detected in the majority of patients (66%, 23/35). There was no statistical difference in the clinical features between the subgroups of patients with 0, 1 and 2 missense variants.
    CONCLUSIONS: Severe arrest of foveal development was identified in patients with variants of SLC38A8. This study provides a brief summary of the clinical and genetic characteristics of the pathogenic SLC38A8 variants, which is helpful in the differentiation diagnosis of FH.
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  • 文章类型: Journal Article
    这项研究旨在检查南加里曼丹的雌性Alabio鸭(AnasplatyrhynchosBorneo)及其卵的表型特征的多样性,印度尼西亚。
    使用多级随机抽样的调查方法,总共选择了200只18个月大的鸭子和300个鸡蛋。这些样本来自南加里曼丹省的两个地区[Banjar(BJ)地区和TanahLaut(TL)]。对于每个位置,使用独立的t检验对观察到的数据进行描述性分析。使用主成分分析(PCA)来评估总体差异并定义个体之间具有更大区分力的变量。
    对Alabio鸭的身体物理特征和卵的观察表明,除卵黄直径外,BJ和TL区域的鸭之间存在显着差异(p<0.05),蛋白高度,蛋白指数,和Haugh单位(HU)(p>0.05)。BJ的大多数卵品质性状大于TL,其中包括鸡蛋重量,鸡蛋长度,鸡蛋宽度,蛋黄重量,蛋白重量,外壳重量,壳体厚度,和蛋形指数。PCA揭示了Alabio鸭及其卵的表型身体特征中的中等至高群落性。
    在两个位置之间发现了显着的物理特征和鸡蛋质量差异,除了蛋白指数和HU,每个性状都有很大的变异性。这些性状可以解释雌性Alabio鸭表型特征的总变异。
    UNASSIGNED: This study aimed to examine the diversity of phenotypic characteristics of female Alabio ducks (Anas platyrhynchos Borneo) and their eggs in South Kalimantan, Indonesia.
    UNASSIGNED: A total of 200 18-month-old ducks and 300 eggs were selected using a survey method with multistage random sampling. These samples were obtained from two districts in the province of South Kalimantan [Banjar (BJ) districts and Tanah Laut (TL)]. The observed data were analyzed descriptively with variations using the independent t-test for each location. Principal component analysis (PCA) was deployed to assess the overall variance and define variables with greater discriminatory power between individuals.
    UNASSIGNED: The observations on the body\'s physical characteristics and the eggs of Alabio ducks showed significant differences between ducks from BJ and TL areas (p < 0.05) except for yolk diameter, albumen height, albumen index, and Haugh unit (HU) (p > 0.05). Most egg quality traits from BJ were greater than those from TL, which include egg weight, egg length, egg width, yolk weight, albumen weight, shell weight, shell thickness, and egg shape index. The PCA revealed medium-to-high communalities in the phenotypic body characteristics of Alabio ducks and their eggs.
    UNASSIGNED: Significant physical characteristics and egg quality differences were found between the two locations, except for the albumen index and HU, with substantial variability within each trait. These traits could explain the total variation in the phenotypic characteristics of female Alabio ducks.
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  • 文章类型: Journal Article
    以前,我们从日本动物园的圈养长鼻猴(Nasalislarvatus)的新鲜前胃内容物中分离出一种新型乳酸菌(Nasalislarvatus)。在这项研究中,我们从居住在马来西亚河流森林中的野生长鼻猴的冻干前胃内容物中分离出了两株纳氏乳杆菌。这些样品已经储存了六年多。表型分析表明,与先前从圈养对应物中分离的菌株相比,从野生个体中分离的菌株具有更多的糖利用率和更低的耐盐性。这些表型差异很可能是由摄食条件引起的;野生个体食用各种各样的天然食物,与动物园饲养的同行不同,后者食用含钠充足的配方饲料。由于在先前创建的野生型16SrRNA文库中检测到了纳氏乳杆菌的16SrRNA序列,预配置,马来西亚和日本圈养的长鼻猴,纳氏乳杆菌可能是长鼻猴前肠微生物群落的必需细菌。目前建立的从储存的冻干样品中分离肠道细菌的方法将适用于许多已经储存的珍贵样品。
    Previously, we isolated a novel lactic acid bacteria species (Lactobacillus nasalidis) from the fresh forestomach contents of a captive proboscis monkey (Nasalis larvatus) in a Japanese zoo. In this study, we isolated two strains of L. nasalidis from the freeze-dried forestomach contents of a wild proboscis monkey inhabiting a riverine forest in Malaysia. The samples had been stored for more than six years. Phenotypic analysis showed that strains isolated from the wild individual had more diverse sugar utilization and lower salt tolerance than strains previously isolated from the captive counterpart. These phenotypic differences are most likely induced by feeding conditions; wild individuals consume a wide variety of natural food, unlike their zoo-raised counterparts that consume formula feed with sodium sufficiency. Since 16s rRNA sequences of L. nasalidis were detected in the previously created 16S rRNA libraries of wild, provisioned, and captive proboscis monkeys in Malaysia and Japan, L. nasalidis may be an essential bacterium of the foregut microbial community of the proboscis monkey. The currently established method for the isolation of gut bacteria from freeze-dried samples under storage will be applicable to many already-stored precious samples.
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  • 文章类型: Journal Article
    胃肠道含有复杂的微生物群落。派尔贴剂(PPs)在诱导胃肠道粘膜免疫反应中起重要作用。然而,关于共生微生物群对宿主PPs的影响知之甚少。这里,我们分析了无特定病原体(SPF)和无菌(GF)仔猪(在有和没有共生微生物群的环境中喂养,分别)阐明共生菌群在宿主肠粘膜免疫中的作用。解剖和组织学特征分析表明共生菌群缺乏导致PP发育不全,特别是关于B和T细胞。在12个文库中总共表达了12,444个mRNA;在空肠PP(JPP)和回肠PP(IPP)中检测到2,156和425个差异表达(DE)mRNA,分别(SPF与GF)。JPP和IPP的共有DEmRNA主要参与基本的生理和代谢过程,而特异性DEmRNA富集在调节JPP中的免疫细胞和IPP中的微生物反应和细胞免疫中。共生微生物区显着调节与B细胞功能相关的基因的表达,包括激活,扩散,分化,凋亡,受体信号,生发中心形成,和IgA同种型类别转换,特别是在JPP。响应于微生物定植和在LPS/SCFA处理的B细胞中诱导TLR4途径相关基因。我们还在JPP和IPP中检测到69和21个DElncRNAs,分别,并鉴定了四个一对一的lncRNA-mRNA对。这些发现可能代表了微生物定植过程中宿主肠粘膜免疫发展的关键调节轴。总的来说,这项研究的结果表明,共生菌调节了仔猪肠道PPs的表型特征和基因表达,并强调了早期微生物定植对宿主粘膜免疫发育的重要性。
    The gastrointestinal tract contains a complex microbial community. Peyer\'s patches (PPs) play an important role in inducing mucosal immune responses in the gastrointestinal tract. However, little is known about the effect of commensal microbiota on the host\'s PPs. Here, we analyzed the phenotypic-to-transcriptome changes in the intestine PPs of specific pathogen-free (SPF) and germ-free (GF) piglets (fed in an environment with and without commensal microbiota, respectively) to elucidate the role of commensal microbiota in host intestine mucosal immunity. Analyses of anatomical and histological characteristics showed that commensal microbiota deficiency led to PP hypoplasia, especially regarding B and T cells. A total of 12,444 mRNAs were expressed in 12 libraries; 2,156 and 425 differentially expressed (DE) mRNAs were detected in the jejunal PP (JPP) and ileal PP (IPP), respectively (SPF vs. GF). The shared DE mRNAs of the JPP and IPP were mainly involved in basic physiological and metabolic processes, while the specific DE mRNAs were enriched in regulating immune cells in the JPP and microbial responses and cellular immunity in the IPP. Commensal microbiota significantly modulated the expression of genes related to B-cell functions, including activation, proliferation, differentiation, apoptosis, receptor signaling, germinal center formation, and IgA isotype class switching, particularly in the JPP. TLR4 pathway-related genes were induced in response to microbial colonization and in LPS/SCFA-treated B cells. We also detected 69 and 21 DE lncRNAs in the JPP and IPP, respectively, and four one-to-one lncRNA-mRNA pairs were identified. These findings might represent key regulatory axes for host intestine mucosal immunity development during microbial colonization. Overall, the findings of this study revealed that commensal microbiota modulated phenotypic characteristics and gene expression in the piglet intestine PPs and underscored the importance of early microbial colonization for host mucosal immunity development.
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  • 文章类型: Journal Article
    昆虫病原真菌(EPF)的保存旨在保持有价值的特征。增长,在6种保存方法中,对8种EPF的分生孢子和遗传稳定性进行了长达8.2年的评估。-196°C低温保存,冷冻干燥,在-70°C下超冻是长期储存的最佳方法。
    Entomopathogenic fungi (EPF) preservation aims to maintain valuable characteristics. Growth, conidiation and genetic stability of eight species of EPF were evaluated in six preservation methods for up to 8.2 years. Cryopreservation at -196 °C, freeze-drying, and ultra-freezing at -70 °C resulted as the best methods for long-term storage.
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  • 文章类型: Journal Article
    本研究旨在通过筛选生物膜相关基因(BAG)(spgM,rmlA和rpfF),它们的突变变异性,并评估聚苯乙烯表面的粘附生长。方法包括:PCR扩增,全基因组测序(WGS)和结晶紫微量滴定板测定用于生物膜定量。BAG的总发生率为:spgM98.6%,rmlA86%,和rpfF66.5%。最普遍的基因型是spgM+/rmlA+/rpfF+(56.1%),其次是spgM+/rmlA+/rpfF-(28.5%),和spgM+/rmlA-/rpfF+(9.5%),与其他来源的分离株相比,它们在下呼吸道分离株中占显著优势(P<0.001)。所有检查的菌株均被表征为强生物膜生产者(OD550从0.224±0.049到2.065±0.023),只有一个例外显示出弱的生物膜形成能力(0.177±0.024)。根据分离来源,生物膜形成没有观察到显著差异,以及COVID-19和非COVID-19分离株(1.256±0.028vs.分别为1.348±0.128)。此外,生物膜数量与相应基因型之间未发现相关性.WGS显示,与其他BAG相比,rmlA积累了更多的变体(每个碱基0.0086),表明其产品对生物膜形成没有关键作用。此外,发现其中两个分离株含有1类整合子(大小为7kb和2.6kb,分别)在其3个保守端含有sul1,赋予磺酰胺抗性。据我们所知,这是保加利亚第一个关于嗜麦芽窄食链球菌生物膜形成的研究,其还识别新的序列类型(ST819、ST820和ST826)。它证明了这种适应性机制在生物膜相关感染的多因素发病机理中的复杂性质。
    The present study aimed to explore the genotypic and phenotypic characteristics of biofilm formation in Bulgarian nosocomial Stenotrophomonas maltophilia isolates (n = 221) during the period 2011-2022, by screening for the presence of biofilm-associated genes (BAG) (spgM, rmlA and rpfF), their mutational variability, and assessment of the adherent growth on a polystyrene surface. The methodology included: PCR amplification, whole-genome sequencing (WGS) and crystal violet microtiter plate assay for biofilm quantification. The overall incidence of BAG was: spgM 98.6%, rmlA 86%, and rpfF 66.5%. The most prevalent genotype was spgM+/rmlA+/rpfF+ (56.1%), followed by spgM+/rmlA+/rpfF- (28.5%), and spgM+/rmlA-/rpfF+ (9.5%), with their significant predominance in lower respiratory tract isolates compared to those with other origin (P < 0.001). All strains examined were characterized as strong biofilm producers (OD550 from 0.224 ± 0.049 to 2.065 ± 0.023) with a single exception that showed a weak biofilm-forming ability (0.177 ± 0.024). No significant differences were observed in the biofilm formation according to the isolation source, as well as among COVID-19 and non-COVID-19 isolates (1.256 ± 0.028 vs. 1.348 ± 0.128, respectively). Also, no correlation was found between the biofilm amounts and the corresponding genotypes. WGS showed that the rmlA accumulated a larger number of variants (0.0086 per base) compared to the other BAG, suggesting no critical role of its product to the biofilm formation. Additionally, two of the isolates were found to harbour class 1 integrons (7-kb and 2.6-kb sized, respectively) containing sul1 in their 3\' conservative ends, which confers sulfonamide resistance. To the best of our knowledge, this is the first study on S. maltophilia biofilm formation in Bulgaria, which also identifies novel sequence types (ST819, ST820 and ST826). It demonstrates the complex nature of this adaptive mechanism in the multifactorial pathogenesis of biofilm-associated infections.
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  • 文章类型: Journal Article
    目的:16p13.11微缺失/微重复是一种罕见的遗传病,外显率不完全,其中大部分是在成人和儿童中报道的,在胎儿中很少描述超声表型。这里,我们分析了与16p13.11微缺失/微重复相关的产前超声表型特征,为了增进了解,诊断和监测胎儿的这种疾病。
    方法:对2016年10月至2022年1月在三级转诊机构接受侵入性产前诊断核型分析和SNP阵列检查的9000例孕妇进行回顾性分析。
    结果:SNP阵列显示20个胎儿在16p13.11区域有拷贝数变异(CNV),其中5个有16p13.11微缺失,其余显示微重复,以及不同的超声表型。此外,4/20例显示结构异常,其余16例超声检查不典型。一起来看,16p13.1微缺失与颈部半透明增厚密切相关,而16p13.11微重复与肠回声更密切相关。只有5/15的胎儿被血统证实,一例16p13.11微缺失从头出现,其他16p13.11微重复病例均遗传自父母一方。在4/20案例中,妊娠终止。除一例身材矮小,另一例接受肺囊腺瘤手术外,其他病例在随访期间未报告异常.
    结论:16p13.11微缺失/微重复胎儿无宫内超声特征性表型,出生后健康状况良好,从而为此类病例的围产期管理提供参考。
    OBJECTIVE: 16p13.11 microdeletion/microduplication are rare genetic diseases with incomplete penetrance, most of which have been reported in adults and children, with ultrasound phenotyping in fetuses rarely described. Here, we have analyzed prenatal ultrasound phenotypic characteristics associated with 16p13.11 microdeletion/microduplication, in order to improve the understanding, diagnosis and monitoring of this disease in the fetus.
    METHODS: A total of 9000 pregnant women who underwent invasive prenatal diagnosis for karyotyping and SNP-array were retrospectively analyzed in tertiary referral institutions from October 2016 to January 2022.
    RESULTS: SNP-array revealed that 20 fetuses had copy number variation (CNV) in the 16p13.11 region, out of which 5 had 16p13.11 microdeletion and the rest showed microduplication, along with different ultrasound phenotypes. Furthermore, 4/20 cases demonstrated structural abnormalities, while the remaining 16 cases were atypical in ultrasound. Taken together, 16p13.1 microdeletion was closely related to thickened nuchal translucency, while 16p13.11 microduplication was more closely associated with echogenic bowel. Only 5/15 fetuses were verified by pedigree, with one case of 16p13.11 microdeletion being de novo, and the other cases of 16p13.11 microduplication were inherited from one parent. In 4/20 cases, the pregnancy was terminated. Except for one case with short stature and another one who underwent lung cystadenoma surgery, no abnormalities were reported in the other cases during follow-up.
    CONCLUSIONS: Fetuses with 16p13.11 microdeletion/microduplication had no characteristic phenotype of intrauterine ultrasound and was in good health after birth, thus providing a reference for the perinatal management of such cases.
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  • 文章类型: Journal Article
    当狩猎采集者最终开始以农民的身份定居时,传染病开始肆虐他们。早期的人类可以区分像蛀牙这样的散发性疾病,肿瘤,等。,来自过去引起爆发和流行病的传染病。对传染病的最早理解主要是基于宗教背景和神话,但是随着人类知识的增长,这些疾病的原因正在被调查。同样,传染病的分类学逐渐从迷信的前景转变,像流感一样,表示由于“恒星的影响”而导致的疾病,例如从“结核杆菌”一词中得出的结核病,这意味着在死后的人体组织标本中看到的小肿胀。从历史的角度来看,我们确定了五类微生物命名法的基础,即微生物的表型特征,疾病名称,地名,身体隔离部位,和地名。本文在历史背景下探讨了常见传染病和微生物命名的词源。
    When the hunter-gatherers finally started settling down as farmers, infectious diseases started scourging them. The earlier humans could differentiate sporadic diseases like tooth decay, tumors, etc., from the infectious diseases that used to cause outbreaks and epidemics. The earliest comprehension of infectious diseases was primarily based on religious background and myths, but as human knowledge grew, the causes of these diseases were being probed. Similarly, the taxonomy of infectious diseases gradually changed from superstitious prospects, like influenza, signifying disease infliction due to the \"influence of stars\" to more scientific ones like tuberculosis derived from the word \"tuberculum\" meaning small swellings seen in postmortem human tissue specimens. From a historical perspective, we identified five categories for the basis of the microbial nomenclature, namely phenotypic characteristics of microbe, disease name, eponym, body site of isolation, and toponym. This review article explores the etymology of common infectious diseases and microorganisms\' nomenclature in a historical context.
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  • 文章类型: Journal Article
    自2005年以来,保加利亚在认识原发性免疫缺陷(PID)方面取得了巨大进展,我们加入了J项目中东欧合作项目。十年后,在索非亚大学医院“Alexandrovska”建立了罕见疾病-原发性免疫缺陷专家中心(ExpC)。2017年5月,国家罕见疾病患者登记册也开始运作,作为包含保加利亚PID患者临床和遗传信息的数据库。将保加利亚PID患者的数据和信息转移到欧洲原发性免疫缺陷数据库,由欧洲原发性免疫缺陷学会(ESID)管理的已于2020年开始。现在登记的病人总数为191人(100名男性和91名女性),其中一半以上是儿童(106;55.5%)。定期更新登记册中的信息显示,有5.2%的患者死亡,大多数(94.8%)受到持续监测,其他欧洲国家也有报道。随着ExpC的建立,PID患者的诊断和注册动态显着增强。在5年(2016-2021年)的时间内,与ExpC建立之前的101例患者进行了评估和注册,当时仅诊断出89例患者。最常见的病理是体液免疫缺陷(85例;44.5%)。96名(50.3%)的病人接受基因检测,667%有基因确诊。其中三种变体尚未在人口数据库中报告。经过遗传调查,在82.8%的病例中实现了初始表型诊断的确认,并在17%的病例中改变了诊断。62名患者接受定期替代或特定治疗,其余患者接受对症和支持治疗。总之,我们介绍了保加利亚的第一个传染病流行病学报告,基于国家PID登记册。临床数据,PID患者的表型和遗传特征为我国原发性免疫缺陷疾病的性质提供了重要信息。
    Tremendous progress has been made in the recognition of primary immune deficiencies (PIDs) in Bulgaria since in 2005 we have joined the J Project Central-Eastern European collaborative program. Ten years later an Expert Centre (ExpC) for Rare Diseases - Primary Immune Deficiencies at the University Hospital \"Alexandrovska\"- Sofia was established. In May 2017 The National Register of Patients with Rare Diseases also became operational as a database containing clinical and genetic information for Bulgarian patients with PID. The transfer of data and information on Bulgarian PID patients to the European Primary Immunodeficiency Database, managed by the European Society for Primary Immunodeficiency (ESID) has started in 2020. The total number of registered patients now is 191 (100 men and 91 women), with more than half of them being children (106; 55.5%). Regular updating of the information in the register showed that 5.2% of patients are deceased and the majority (94.8%) is a subject to continuous monitoring as it has been reported for other European countries as well. With the establishment of the ExpC, the dynamics in the diagnosis and registration of patients with PID significantly intensified. For a period of 5 years (2016-2021) 101 patients were evaluated and registered in comparison with previous period - before ExpC establishment when only 89 patients were diagnosed. The most common pathology was humoral immune deficiency (85 patients; 44.5%). Ninety-six (50.3%) of the patients underwent genetic testing, and 66. 7% had genetically confirmed diagnosis. Three of the variants have not been reported in population databases. Following genetic investigation confirmation of the initial phenotypic diagnosis was achieved in 82.8% of cases and change in the diagnosis - in 17%. Sixty-two patients were on regular replacement or specific therapy, and the rest received symptomatic and supportive treatment. In summary, we present the first epidemiological report of PIDs in Bulgaria, based on the National PID register. Data on the clinical, phenotypic and genetic characteristics of PID patients provided important information about the nature of primary immunodeficiency diseases in our country.
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