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1.
Skeletal Radiol ; 46(9): 1297-1300, 2017 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-28601949

RESUMEN

We report transient proximal and distal femoral metaphyseal striations that have not previously been described in autosomal dominant brachyolmia. The pelvis/hip radiograph of a 13-year-old boy demonstrated bilaterally symmetrical proximal femoral metaphyseal vertical striations. Additional vertical striations were also observed at the distal femur and proximal tibia metaphysis. Radiography of the thoracolumbar spine demonstrated platyspondyly with irregular endplates and overfaced pedicles. TRPV4 mutations were confirmed in this patient. Similar proximal femoral metaphyseal vertical striations were noted in the patient's sibling. Those streaks disappeared on the follow-up radiographs, and we considered it a unique radiologic finding transiently observed in autosomal dominant brachyolmia.


Asunto(s)
Osteocondrodisplasias/diagnóstico por imagen , Adolescente , Niño , Diagnóstico Diferencial , Humanos , Masculino
2.
Eur J Med Genet ; 72: 104972, 2024 Sep 16.
Artículo en Inglés | MEDLINE | ID: mdl-39293509

RESUMEN

Heterozygous variants of MATN3 is one of the common causes of multiple epiphyseal dysplasia (MED). Here we report three individuals from two unrelated families who harbor compound heterozygous variants in MATN3 (p.Arg121Trp and p.Val220Ala). Contrary to the MED phenotype, these individuals exhibit spondyloepimetaphyseal dysplasia (SEMD) resembling the phenotypes caused by homozygous MATN3 variants. Clinical manifestations included short stature, aggravating genu varum, joint laxity, and spinal abnormalities. Radiographic findings were distinct from typical MED. These compound heterozygous variants in the von Willebrand factor A domain of MATN3 expand the phenotypic spectrum associated with MATN3, and suggest that extreme MATN3 dysfunction resulting from dual variants can lead to a specific pattern of SEMD.

3.
Front Plant Sci ; 14: 1012718, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36743508

RESUMEN

Plant-to-plant variation (interplant variation) may play an important role in determining individual plant and whole canopy performance, where interplant variation in architecture and photosynthesis traits has direct effects on light absorption and photosynthesis. We aimed to quantify the importance of observed interplant variation on both whole-plant and canopy light absorption and photosynthesis. Plant architecture was measured in two experiments with fruiting tomato crops (Solanum lycopersicum) grown in glasshouses in the Netherlands, in week 16 (Exp. 1) or week 19 (Exp. 2) after transplanting. Experiment 1 included four cultivars grown under three supplementary lighting treatments, and Experiment 2 included two different row orientations. Measured interplant variations of the architectural traits, namely, internode length, leaf area, petiole angle, and leaflet angle, as well as literature data on the interplant variation of the photosynthesis traits alpha, J max28, and V cmax28, were incorporated in a static functional-structural plant model (FSPM). The FSPM was used to analyze light absorption and net photosynthesis of whole plants in response to interplant variation in architectural and photosynthesis traits. Depending on the trait, introducing interplant variation in architecture and photosynthesis traits in a functional-structural plant model did not affect or negatively affected canopy light absorption and net photosynthesis compared with the reference model without interplant variation. Introducing interplant variation of architectural and photosynthesis traits in FSPM results in a more realistic simulation of variation of plants within a canopy. Furthermore, it can improve the accuracy of simulation of canopy light interception and photosynthesis although these effects at the canopy level are relatively small (<4% for light absorption and<7% for net photosynthesis).

4.
J Am Chem Soc ; 134(10): 4545-8, 2012 Mar 14.
Artículo en Inglés | MEDLINE | ID: mdl-22360301

RESUMEN

Modulation of the fluorescence lifetime (FLT) of CdTeSe/ZnS quantum dots (QDs) by near-IR (NIR) organic chromophores represents a new strategy for generating reproducible pH-sensing nanomaterials. The hybrid construct transfers the pH sensitivity of photolabile NIR cyanine dyes to highly emissive and long-lifetime pH-insensitive QDs, thereby inducing a reproducible FLT change from 29 ns at pH >7 to 12 ns at pH <5. This approach provides an unparalleled large dynamic FLT range for pH sensing at NIR wavelengths.


Asunto(s)
Colorantes Fluorescentes/química , Concentración de Iones de Hidrógeno , Puntos Cuánticos , Espectroscopía Infrarroja Corta/métodos , Fluorescencia , Transferencia Resonante de Energía de Fluorescencia , Microscopía Electrónica de Transmisión , Espectrofotometría Ultravioleta
5.
Bioconjug Chem ; 23(3): 656-63, 2012 Mar 21.
Artículo en Inglés | MEDLINE | ID: mdl-22309692

RESUMEN

We report a novel activatable NIR fluorescent probe for in vivo detection of cancer-related matrix metalloproteinase (MMP) activity. The probe is based on a triple-helical peptide substrate (THP) with high specificity for MMP-2 and MMP-9 relative to other members of the MMP family. MMP-2 and MMP-9 (also known as gelatinases) are specifically associated with cancer cell invasion and cancer-related angiogenesis. At the center of each 5 kDa peptide strand is a gelatinase sensitive sequence flanked by 2 Lys residues conjugated with NIR fluorescent dyes. Upon self-assembly of the triple-helical structure, the 3 peptide chains intertwine, bringing the fluorophores into close proximity and reducing fluorescence via quenching. Upon enzymatic cleavage of the triple-helical peptide, 6 labeled peptide chains are released, resulting in an amplified fluorescent signal. The fluorescence yield of the probe increases 3.8-fold upon activation. Kinetic analysis showed a rate of LS276-THP hydrolysis by MMP-2 (k(cat)/K(M) = 30,000 s(-1) M(-1)) similar to that of MMP-2 catalysis of an analogous fluorogenic THP. Administration of LS276-THP to mice bearing a human fibrosarcoma xenografted tumor resulted in a tumor fluorescence signal more than 5-fold greater than that of muscle. This signal enhancement was reduced by treatment with the MMP inhibitor Ilomostat, indicating that the observed tumor fluorescence was indeed enzyme mediated. These results are the first to demonstrate that triple-helical peptides are suitable for highly specific in vivo detection of tumor-related MMP-2 and MMP-9 activity.


Asunto(s)
Metaloproteinasa 2 de la Matriz/metabolismo , Metaloproteinasa 9 de la Matriz/metabolismo , Péptidos/metabolismo , Colorantes Fluorescentes , Humanos , Inmunohistoquímica , Cinética , Proteolisis , Espectroscopía Infrarroja Corta
6.
PLoS Genet ; 5(11): e1000743, 2009 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-19956743

RESUMEN

We describe a comprehensive and general approach for mapping centromeres and present a detailed characterization of two maize centromeres. Centromeres are difficult to map and analyze because they consist primarily of repetitive DNA sequences, which in maize are the tandem satellite repeat CentC and interspersed centromeric retrotransposons of maize (CRM). Centromeres are defined epigenetically by the centromeric histone H3 variant, CENH3. Using novel markers derived from centromere repeats, we have mapped all ten centromeres onto the physical and genetic maps of maize. We were able to completely traverse centromeres 2 and 5, confirm physical maps by fluorescence in situ hybridization (FISH), and delineate their functional regions by chromatin immunoprecipitation (ChIP) with anti-CENH3 antibody followed by pyrosequencing. These two centromeres differ substantially in size, apparent CENH3 density, and arrangement of centromeric repeats; and they are larger than the rice centromeres characterized to date. Furthermore, centromere 5 consists of two distinct CENH3 domains that are separated by several megabases. Succession of centromere repeat classes is evidenced by the fact that elements belonging to the recently active recombinant subgroups of CRM1 colonize the present day centromeres, while elements of the ancestral subgroups are also found in the flanking regions. Using abundant CRM and non-CRM retrotransposons that inserted in and near these two centromeres to create a historical record of centromere location, we show that maize centromeres are fluid genomic regions whose borders are heavily influenced by the interplay of retrotransposons and epigenetic marks. Furthermore, we propose that CRMs may be involved in removal of centromeric DNA (specifically CentC), invasion of centromeres by non-CRM retrotransposons, and local repositioning of the CENH3.


Asunto(s)
Evolución Biológica , Centrómero/genética , Sitios Genéticos , Retroelementos , Zea mays/genética , Secuencia de Bases , Centrómero/ultraestructura , Cromosomas de las Plantas , ADN de Plantas
7.
Biochemistry ; 50(13): 2691-700, 2011 Apr 05.
Artículo en Inglés | MEDLINE | ID: mdl-21329363

RESUMEN

We demonstrate that the structure of carbocyanine dyes, which are commonly used to label small peptides for molecular imaging and not the bound peptide, controls the rate of extravasation from blood vessels to tissue. By examining several near-infrared (NIR) carbocyanine fluorophores, we demonstrate a quantitative correlation between the binding of a dye to albumin, a model plasma protein, and the rate of extravasation of the probe into tissue. Binding of the dyes was measured by fluorescence quenching of the tryptophans in albumin and was found to be inversely proportional to the rate of extravasation. The rate of extravasation, determined by kurtosis from longitudinal imaging studies using rodent ear models, provided a basis for quantitative measurements. Structure-activity studies aimed at evaluating a representative library of NIR fluorescent cyanine probes showed that hydrophilic dyes with binding constants several orders of magnitude lower than their hydrophobic counterparts have much faster extravasation rate, establishing a foundation for rational probe design. The correlation provides a guideline for dye selection in optical imaging and a method to verify if a certain dye is optimal for a specific molecular imaging application.


Asunto(s)
Carbocianinas/metabolismo , Colorantes Fluorescentes/metabolismo , Imagen Molecular/métodos , Sondas Moleculares/metabolismo , Oligopéptidos/metabolismo , Animales , Carbocianinas/química , Carbocianinas/farmacocinética , Extravasación de Materiales Terapéuticos y Diagnósticos , Colorantes Fluorescentes/química , Colorantes Fluorescentes/farmacocinética , Interacciones Hidrofóbicas e Hidrofílicas , Cinética , Ratones , Sondas Moleculares/química , Sondas Moleculares/farmacocinética , Oligopéptidos/química , Oligopéptidos/farmacocinética , Albúmina Sérica Bovina/metabolismo , Relación Estructura-Actividad
8.
Bioconjug Chem ; 22(4): 777-84, 2011 Apr 20.
Artículo en Inglés | MEDLINE | ID: mdl-21388195

RESUMEN

Highly tumor selective near-infrared (NIR) pH-activatable probe was developed by conjugating pH-sensitive cyanine dye to a cyclic arginine-glycine-aspartic acid (cRGD) peptide targeting α(v)ß(3) integrin (ABIR), a protein that is highly overexpressed in endothelial cells during tumor angiogenesis. The NIR pH-sensitive dye used to construct the probe exhibits high spectral sensitivity with pH changes. It has negligible fluorescence above pH 6 but becomes highly fluorescent below pH 5, with a pK(a) of 4.7. This probe is ideal for imaging acidic cell organelles such as tumor lysosomes or late endosomes. Cell microscopy data demonstrate that binding of the cRGD probe to ABIR facilitated the endocytosis-mediated lysosomal accumulation and subsequent fluorescence enhancement of the NIR pH-activatable dye in tumor cells (MDA-MB-435 and 4T1/luc). A similar fluorescence enhancement mechanism was observed in vivo, where the tumors were evident within 4 h post injection. Moreover, lung metastases were also visualized in an orthotopic tumor mouse model using this probe, which was further confirmed by histologic analysis. These results demonstrate the potential of using the new integrin-targeted pH-sensitive probe for the detection of primary and metastatic cancer.


Asunto(s)
Neoplasias de la Mama/diagnóstico , Diagnóstico por Imagen , Colorantes Fluorescentes/química , Neoplasias de la Mama/metabolismo , Neoplasias de la Mama/secundario , Células Endoteliales/metabolismo , Colorantes Fluorescentes/síntesis química , Colorantes Fluorescentes/farmacocinética , Humanos , Concentración de Iones de Hidrógeno , Integrina alfaVbeta3/análisis , Integrina alfaVbeta3/biosíntesis , Microscopía Confocal , Estructura Molecular , Péptidos Cíclicos/química , Péptidos Cíclicos/farmacocinética , Sensibilidad y Especificidad , Espectroscopía Infrarroja Corta , Distribución Tisular , Células Tumorales Cultivadas
9.
PLoS Biol ; 6(11): e286, 2008 Nov 25.
Artículo en Inglés | MEDLINE | ID: mdl-19067486

RESUMEN

Centromeres are sites for assembly of the chromosomal structures that mediate faithful segregation at mitosis and meiosis. Plant and animal centromeres are typically located in megabase-sized arrays of tandem satellite repeats, making their precise mapping difficult. However, some rice centromeres are largely embedded in nonsatellite DNA, providing an excellent model to study centromere structure and evolution. We used chromatin immunoprecipitation and 454 sequencing to define the boundaries of nine of the 12 centromeres of rice. Centromere regions from chromosomes 8 and 9 were found to share synteny, most likely reflecting an ancient genome duplication. For four centromeres, we mapped discrete subdomains of binding by the centromeric histone variant CENH3. These subdomains were depleted in both intact and nonfunctional genes relative to interspersed subdomains lacking CENH3. The intergenic location of rice centromeric chromatin resembles the situation for human neocentromeres and supports a model of the evolution of centromeres from gene-poor regions.


Asunto(s)
Centrómero/genética , Cromatina/genética , Mapeo Cromosómico , Histonas/metabolismo , Oryza/genética , Secuencia de Bases , Sitios de Unión , Centrómero/metabolismo , Cromatina/metabolismo , Inmunoprecipitación de Cromatina , Cromosomas de las Plantas , Duplicación de Gen
10.
J Nanosci Nanotechnol ; 11(8): 7382-5, 2011 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-22103201

RESUMEN

The Nanolayered TiO2 photocatalysts were prepared by thermal treatment of metallic titanium chips. Photocatalytic activity for methyl ethyl ketone (MEK) and toluene was investigated using a closed circulating system. The photocatalysts were characterized by SEM and XRD. Surface of the Ti chips changed to be rough with increase of treatment temperature, and severe oxidation over 900 degrees C resulted in TiO2 powder. Uniform TiO2 nanolayer was formed as a rutile type on the metallic chip. Photocatalytic decomposition of MEK over the TiO2 photocatalysts occurred efficiently by UV-C irradiation. The maximum activity for MEK was obtained over Ti Chip treated at 700 degrees C. It was known that the prepared photocatalyts could be applied to remove various VOCs.

11.
Clin Linguist Phon ; 25(3): 198-209, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21080826

RESUMEN

Psycholinguistic studies dealing with Alzheimer's disease (AD) commonly consider verbal aspects of language. In this article, we investigated both verbal and non-verbal aspects of speech production in AD. We used pauses and hesitations as markers of planning difficulties and hypothesized that AD patients show different patterns in the process of discourse production. We compared the distribution, the duration and the frequency of speech dysfluencies in the spontaneous discourse of 20 AD patients with 20 age, gender and socio-economically matched healthy peers. We found that patients and controls differ along several lines: patients' discourse displays more frequent silent pauses, which occur more often outside syntactic boundaries and are followed by more frequent words. Overall patients show more lexical retrieval and planning difficulties, but where controls signal their planning difficulties using filled pauses, AD patients do not.


Asunto(s)
Enfermedad de Alzheimer/psicología , Habla , Conducta Verbal , Vocabulario , Anciano , Anciano de 80 o más Años , Humanos , Memoria , Medición de la Producción del Habla
12.
Hum Genome Var ; 8(1): 17, 2021 May 07.
Artículo en Inglés | MEDLINE | ID: mdl-33963180

RESUMEN

An 11-year-old Korean boy presented with short stature, hip dysplasia, radial head dislocation, carpal coalition, genu valgum, and fixed patellar dislocation and was clinically diagnosed with Steel syndrome. Scrutinizing the trio whole-exome sequencing data revealed novel compound heterozygous mutations of COL27A1 (c.[4229_4233dup]; [3718_5436del], p.[Gly1412Argfs*157];[Gly1240_Lys1812del]) in the proband, which were inherited from heterozygous parents. The maternal mutation was a large deletion encompassing exons 38-60, which was challenging to detect.

13.
J Korean Med Sci ; 25(7): 1105-8, 2010 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-20592910

RESUMEN

Multiple epiphyseal dysplasia is caused by heterogeneous genotypes involving more than six genes. Recessive mutations in the DTDST gene cause a phenotype of recessive multiple epiphyseal dysplasia (rMED). The authors report a 9-yr old Korean girl with the rMED phenotype having novel compound heterozygous mutations in the DTDST gene, which were inherited from both parents. This is the first Korean rMED case attributed to DTDST mutations, and expands the spectrum of diseases caused by DTDST mutations.


Asunto(s)
Proteínas de Transporte de Anión/genética , Genes Recesivos , Heterocigoto , Mutación , Osteocondrodisplasias/genética , Animales , Pueblo Asiatico/genética , Niño , Análisis Mutacional de ADN , Femenino , Genotipo , Humanos , Corea (Geográfico) , Fenotipo , Transportadores de Sulfato
14.
J Biomed Opt ; 14(2): 020501, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19405707

RESUMEN

Kidneys normally filter the blood of excess salts and metabolic products, such as urea, while retaining plasma proteins. In diseases such as multiple myeloma and diabetes mellitus, the renal function is compromised and protein escapes into the urine. In this study, we present the use of fluorescence lifetime imaging (FLI) to image excess serum protein in urine (proteinuria). The near-infrared fluorescent dye LS-288 has distinct lifetimes when bound to protein versus free in solution, providing contrast between the protein-rich viscera and the mostly protein-free bladder. FLI with LS-288 in mice revealed that fluorescence lifetime (FLT) differences in the bladder relative to surrounding tissues was due to the fractional contributions of the bound and unbound dye molecules. The FLT of LS-288 decreased in the case of proteinuria while fluorescence intensity was unchanged. The results show that FLI can be useful for the dynamic imaging of protein-losing nephropathy due to diabetes mellitus and other renal diseases and suggest the potential use of the FLI to distinguish tumors from fluid-filled cysts in the body.


Asunto(s)
Enfermedades Renales/patología , Pruebas de Función Renal/métodos , Microscopía Fluorescente/métodos , Proteinuria/patología , Espectrometría de Fluorescencia/métodos , Vejiga Urinaria/patología , Animales , Enfermedades Renales/complicaciones , Masculino , Ratones , Ratones Desnudos , Proteinuria/complicaciones
15.
J Biomed Opt ; 13(5): 054042, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-19021422

RESUMEN

Fluorescence lifetime (FLT) information is complementary to intensity measurement and can be used to improve signal-to-background contrast and provide environment sensing capability. In this study, we evaluate the FLTs of eight near-infrared fluorescent molecular probes in vitro in various solvent mediums and in vivo to establish the correlation between the in vitro and in vivo results. Compared with other mediums, two exponential fittings of the fluorescence decays of dyes dissolved in aqueous albumin solutions accurately predict the range of FLTs observed in vivo. We further demonstrate that the diffusion of a near-infrared (NIR) reporter from a dye-loaded gel can be detected by FLT change in mice as a model of controlled drug release. The mean FLT of the NIR probe increases as the dye diffuses from the highly polar gel interior to the more lipophilic tissue environment. The two-point analysis demonstrates an efficient in vitro method for screening new NIR fluorescent reporters for use as FLT probes in vivo, thereby minimizing the use of animals for FLT screening studies.


Asunto(s)
Medios de Contraste , Colorantes Fluorescentes , Aumento de la Imagen/métodos , Interpretación de Imagen Asistida por Computador/métodos , Microscopía de Fluorescencia por Excitación Multifotónica/métodos , Espectroscopía Infrarroja Corta/métodos , Imagen de Cuerpo Entero/métodos , Algoritmos , Animales , Simulación por Computador , Masculino , Ratones , Ratones Desnudos , Modelos Biológicos , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
16.
J Photochem Photobiol A Chem ; 200(2-3): 438-444, 2008 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-20016664

RESUMEN

Structurally diverse near-infrared (NIR) absorbing polymethine dyes were prepared and their fluorescence lifetimes (FLT) were evaluated in relation to their structural features. Comparative FLT analysis based on the modification of methine chain length and heterocyclic system showed that indolium or benz[e]indolium heptamethine dyes exhibited longer FLT than the benz[c,d]indolium trimethine dye. Modification of heterocyclic system alone with an intact chain length showed that indolium-based heptamethine dyes showed approximately 30% longer FLT than the benz[e]indolium-based dyes. In general, the FLT of polymethine dyes increased from polar to non-polar solvents. In addition, correlation study between the theoretical and the experimental FLT for indocyanine green (ICG) suggests that the lack of structural rigidity for these cyanine dyes is primarily responsible for the loss of the excited state energy via non-radiative pathway.

17.
Photochem Photobiol ; 83(6): 1371-8, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-18028211

RESUMEN

A number of diseases have been linked to abnormal conformation of albumin, a major extracellular protein in blood. Current protein structural analysis requires pure isolated samples, thereby limiting their use for albumin analysis in blood. In this study, we report a new approach for high-throughput structure-related analysis of albumin by using the fluorescence lifetime properties of near-infrared (NIR) polymethine dyes. Based on molecular modeling, polymethine dyes are bound to two binding sites with different polarities on albumin. As a result, an NIR molecular probe exhibits two distinct lifetimes with two corresponding fluorescent fractional contributions. The distribution of fractional contributions along with individual fluorescence lifetimes represents unique parameters for characterizing albumin architecture by ratiometric analysis. After screening a small library of NIR polymethine dyes, we identified and used a polymethine dye with optimal fluorescence lifetime properties to assess structure-related differences in commercially available bovine serum albumin as model systems. The results show that changes in the lifetime of NIR dyes reflect the perturbation of the tertiary structures of albumin and that albumin prepared by different methods has slightly altered tertiary structures. Because of the reduced absorption of light by blood in the NIR region, the method developed can be used to determine structural changes in albumin in whole blood without prior isolation of the pure protein.


Asunto(s)
Colorantes Fluorescentes/análisis , Albúmina Sérica Bovina/análisis , Animales , Sitios de Unión , Bovinos , Colorantes Fluorescentes/química , Modelos Moleculares , Estructura Molecular , Pliegue de Proteína , Albúmina Sérica Bovina/química , Albúmina Sérica Bovina/metabolismo , Espectrometría de Fluorescencia , Espectroscopía Infrarroja Corta , Factores de Tiempo
18.
Eur J Med Genet ; 60(8): 411-415, 2017 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-28528193

RESUMEN

Osteogenesis imperfecta (OI) is a heritable skeletal disorder characterized by bone fragility and low bone mass. Recently, loss-of-function mutations of WNT1 have been reported to be causative in OI or osteoporosis. We report an OI patient with novel compound heterozygous WNT1 missense mutations, p.Glu123Asp and p.Cys153Gly. Both mutations are found in the exon 3, and the p.Glu123Asp is the most proximal N-terminus missense mutation among the reported WNT1 missense mutations in OI patients. In vitro functional analysis reveals that while expression of wildtype WNT1 stimulates canonical WNT1-mediated ß-catenin signaling, that of individual WNT1 mutant fails to do so, indicative of the pathogenic nature of the WNT1 variants. Although the pathogenic mechanism of WNT1 defects in OI has yet to be uncovered, these findings further contribute to the implications and importance of functional relevance of WNT1 in skeletal disorders.


Asunto(s)
Mutación Missense , Osteogénesis Imperfecta/genética , Proteína Wnt1/genética , Adulto , Femenino , Genes Recesivos , Células HEK293 , Heterocigoto , Humanos , Masculino , Persona de Mediana Edad , Osteogénesis Imperfecta/diagnóstico , Linaje , Proteína Wnt1/metabolismo , beta Catenina/genética , beta Catenina/metabolismo
19.
J Child Neurol ; 32(2): 237-242, 2017 02.
Artículo en Inglés | MEDLINE | ID: mdl-27777327

RESUMEN

Wiedemann-Steiner syndrome is a rare genetic disorder characterized by short stature, hairy elbows, facial dysmorphism, and developmental delay. It can also be accompanied by musculoskeletal anomalies such as muscular hypotonia and small hands and feet. Mutations in the KMT2A gene have only recently been identified as the cause of Wiedemann-Steiner syndrome; therefore, only 16 patients from 15 families have been described, and new phenotypic features continue to be added. In this report, we describe 2 newly identified patients with Wiedemann-Steiner syndrome who presented with variable severity. One girl exhibited developmental dysplasia of the hip and fibromatosis colli accompanied by other clinical features, including facial dysmorphism, hypertrichosis, patent ductus arteriosus, growth retardation, and borderline intellectual disability. The other patient, a boy, showed severe developmental retardation with automatic self-mutilation, facial dysmorphism, and hypertrichosis at a later age. Exome sequencing analysis of these patients and their parents revealed a de novo nonsense mutation, p.Gln1978*, of KMT2A in the former, and a missense mutation, p.Gly1168Asp, in the latter, which molecularly confirmed the diagnosis of Wiedemann-Steiner syndrome.


Asunto(s)
Anomalías Múltiples/genética , Discapacidades del Desarrollo/genética , Luxación Congénita de la Cadera/genética , N-Metiltransferasa de Histona-Lisina/genética , Anomalías Musculoesqueléticas/genética , Mutación , Proteína de la Leucemia Mieloide-Linfoide/genética , Niño , Preescolar , Cara/anomalías , Femenino , Antebrazo/anomalías , Deformidades Congénitas de la Mano/genética , Humanos , Hipertricosis/genética , Masculino , Síndrome
20.
Stud Health Technol Inform ; 122: 976-7, 2006.
Artículo en Inglés | MEDLINE | ID: mdl-17102496

RESUMEN

There are several crucial obstacles to change such as user resistance and the time it takes to type data. So there is a significant need for an easy and user-friendly migration tool toward EMR. The purpose of this study was to develop a digital pen solution to support electronic medical recording. A digital pen is not only good for saving images quickly but also useful in digitalizing text by applying a text recognition engine. Therefore, we expect the digital pen solution to be the most helpful and easiest migration tool in the successful adaptation of EMR.


Asunto(s)
Difusión de Innovaciones , Sistemas de Registros Médicos Computarizados/instrumentación , Humanos , Corea (Geográfico)
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