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1.
Cell ; 179(7): 1455-1467, 2019 12 12.
Artigo em Inglês | MEDLINE | ID: mdl-31835027

RESUMO

Understanding the genetic and molecular drivers of phenotypic heterogeneity across individuals is central to biology. As new technologies enable fine-grained and spatially resolved molecular profiling, we need new computational approaches to integrate data from the same organ across different individuals into a consistent reference and to construct maps of molecular and cellular organization at histological and anatomical scales. Here, we review previous efforts and discuss challenges involved in establishing such a common coordinate framework, the underlying map of tissues and organs. We focus on strategies to handle anatomical variation across individuals and highlight the need for new technologies and analytical methods spanning multiple hierarchical scales of spatial resolution.


Assuntos
Variação Anatômica , Diagnóstico por Imagem/normas , Exame Físico/normas , Diagnóstico por Imagem/métodos , Humanos , Exame Físico/métodos , Padrões de Referência
2.
Genet Med ; 18(3): 259-64, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26656653

RESUMO

PURPOSE: The current Clinical and Laboratory Standards Institute standard recommends blood collection from 24 to 48 hours after birth for newborn genetic disorder screening. We used California population-level data to determine whether early specimens (collected from 12 to 23 hours) would also be considered satisfactory based on screening performance. METHODS: Screening data from California Genetic Disease Screening Program were analyzed for false-negative and false-positive rates in four disease categories: metabolic disorders detectable by tandem mass spectrometry (MS/MS); congenital adrenal hyperplasia (CAH); congenital hypothyroidism (CH); and initial immune reactive trypsinogen (IRT) for cystic fibrosis (CF). We compared the rates between the early-collection group (12 to 23 hours) and the standard-collection group (24 to 48 hours). RESULTS: No significant difference of false-negative rate was detected between the two collection-timing groups. Early specimens had a significantly higher false-positive rate for CH (0.10 vs. 0.01%) and IRT (1.85 vs. 1.54%) but a lower false-positive rate for MSMS metabolic disorders (0.11 vs. 0.18%) and CAH (0.10 vs. 0.14%). CONCLUSION: Newborn specimens collected after 12 hours provided satisfactory screening performance. A policy allowing earlier collection could improve timeliness of reporting screening results.


Assuntos
Hiperplasia Suprarrenal Congênita/diagnóstico , Coleta de Amostras Sanguíneas/normas , Hipotireoidismo Congênito/diagnóstico , Fibrose Cística/diagnóstico , Doenças Metabólicas/diagnóstico , Triagem Neonatal/normas , California , Estudos de Coortes , Reações Falso-Positivas , Testes Genéticos/normas , Humanos , Recém-Nascido , Masculino , Triagem Neonatal/métodos , Fatores de Tempo
3.
Pediatrics ; 136(6): 1062-72, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26574590

RESUMO

OBJECTIVES: This article describes the methods used and the program performance results for the first 5 years of newborn screening for cystic fibrosis (CF) in California. METHODS: From July 16, 2007, to June 30, 2012, a total of 2,573,293 newborns were screened for CF by using a 3-step model: (1) measuring immunoreactive trypsinogen in all dried blood spot specimens; (2) testing 28 to 40 selected cystic fibrosis transmembrane conductance regulator (CFTR) mutations in specimens with immunoreactive trypsinogen values ≥62 ng/mL (top 1.6%); and (3) performing DNA sequencing on specimens found to have only 1 mutation in step 2. Infants with ≥2 mutations/variants were referred to CF care centers for diagnostic evaluation and follow-up. Infants with 1 mutation were considered carriers and their parents offered telephone genetic counseling. RESULTS: Overall, 345 CF cases, 533 CFTR-related metabolic syndrome cases, and 1617 carriers were detected; 28 cases of CF were missed. Of the 345 CF cases, 20 (5.8%) infants were initially assessed as having CFTR-related metabolic syndrome, and their CF diagnosis occurred after age 6 months (median follow-up: 4.5 years). Program sensitivity was 92%, and the positive predictive value was 34%. CF prevalence was 1 in 6899 births. A total of 303 CFTR mutations were identified, including 78 novel variants. The median age at referral to a CF care center was 34 days (18 and 37 days for step 2 and 3 screening test-positive infants, respectively). CONCLUSIONS: The 3-step model had high detection and low false-positive levels in this diverse population.


Assuntos
Regulador de Condutância Transmembrana em Fibrose Cística/genética , Fibrose Cística/diagnóstico , Triagem Neonatal/métodos , Tripsinogênio/sangue , Algoritmos , California , Pré-Escolar , Feminino , Testes Genéticos/métodos , Humanos , Lactente , Recém-Nascido , Masculino , Mutação , Valor Preditivo dos Testes , Prevalência , Sensibilidade e Especificidade
4.
Nature ; 513(7518): 375-381, 2014 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-25186727

RESUMO

Cichlid fishes are famous for large, diverse and replicated adaptive radiations in the Great Lakes of East Africa. To understand the molecular mechanisms underlying cichlid phenotypic diversity, we sequenced the genomes and transcriptomes of five lineages of African cichlids: the Nile tilapia (Oreochromis niloticus), an ancestral lineage with low diversity; and four members of the East African lineage: Neolamprologus brichardi/pulcher (older radiation, Lake Tanganyika), Metriaclima zebra (recent radiation, Lake Malawi), Pundamilia nyererei (very recent radiation, Lake Victoria), and Astatotilapia burtoni (riverine species around Lake Tanganyika). We found an excess of gene duplications in the East African lineage compared to tilapia and other teleosts, an abundance of non-coding element divergence, accelerated coding sequence evolution, expression divergence associated with transposable element insertions, and regulation by novel microRNAs. In addition, we analysed sequence data from sixty individuals representing six closely related species from Lake Victoria, and show genome-wide diversifying selection on coding and regulatory variants, some of which were recruited from ancient polymorphisms. We conclude that a number of molecular mechanisms shaped East African cichlid genomes, and that amassing of standing variation during periods of relaxed purifying selection may have been important in facilitating subsequent evolutionary diversification.


Assuntos
Ciclídeos/classificação , Ciclídeos/genética , Evolução Molecular , Especiação Genética , Genoma/genética , África Oriental , Animais , Elementos de DNA Transponíveis/genética , Duplicação Gênica/genética , Regulação da Expressão Gênica/genética , Genômica , Lagos , MicroRNAs/genética , Filogenia , Polimorfismo Genético/genética
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