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1.
Langenbecks Arch Surg ; 408(1): 243, 2023 Jun 22.
Article in English | MEDLINE | ID: mdl-37349572

ABSTRACT

PURPOSE: The main objective of this study was to assess the impact on quality of life after rubber band ligation (RBL) in patients with symptomatic grade II-III haemorrhoids who did not improve after 6 months of conservative treatment, using quality of life scores. METHODS: This was a prospective cohort observational study where patients with haemorrhoidal disease and indication for RBL were included between December 2019 and December 2020. RBL was offered as first-line treatment in this group. Patient´s quality of life was assessed by scores: HDSS (Hemorrhoidal Disease Symptom Score) and SHS (Short Health Scale).Secondary objectives were: to evaluate the rate of patients requiring one or more RBL procedures, to establish the overall success rate of RBL and to analyse complications. RESULTS: A total of 100 patients were finally included. Regarding the impact on quality of life after RBL, a significant reduction was found in the HDSS and SHS scores (p < 0.001). The main improvement was found in the first month and it was maintained until the sixth month. A high degree of satisfaction with the procedure was reported by 76% of patients. The overall success rate of banding was 89%. A 12% complication rate was detected, the most frequent complication was severe anal pain (58.3%) and self-limiting bleeding (41.7%). CONCLUSION: Rubber band ligation, as a treatment for symptomatic grade II-III haemorrhoids that do not respond to medical treatment, leads to a significant improvement in patients' symptoms and quality of life. It also has a high degree of satisfaction between patients.


Subject(s)
Hemorrhoids , Humans , Hemorrhoids/surgery , Quality of Life , Prospective Studies , Neoplasm Recurrence, Local , Ligation/methods , Pain/etiology
2.
PLoS Biol ; 16(10): e2006247, 2018 10.
Article in English | MEDLINE | ID: mdl-30346946

ABSTRACT

Different microRNAs (miRNAs), including miR-29 family, may play a role in the development of heart failure (HF), but the underlying molecular mechanisms in HF pathogenesis remain unclear. We aimed at characterizing mice deficient in miR-29 in order to address the functional relevance of this family of miRNAs in the cardiovascular system and its contribution to heart disease. In this work, we show that mice deficient in miR-29a/b1 develop vascular remodeling and systemic hypertension, as well as HF with preserved ejection fraction (HFpEF) characterized by myocardial fibrosis, diastolic dysfunction, and pulmonary congestion, and die prematurely. We also found evidence that the absence of miR-29 triggers the up-regulation of its target, the master metabolic regulator PGC1α, which in turn generates profound alterations in mitochondrial biogenesis, leading to a pathological accumulation of small mitochondria in mutant animals that contribute to cardiac disease. Notably, we demonstrate that systemic hypertension and HFpEF caused by miR-29 deficiency can be rescued by PGC1α haploinsufficiency, which reduces cardiac mitochondrial accumulation and extends longevity of miR-29-mutant mice. In addition, PGC1α is overexpressed in hearts from patients with HF. Collectively, our findings demonstrate the in vivo role of miR-29 in cardiovascular homeostasis and unveil a novel miR-29/PGC1α regulatory circuitry of functional relevance for cell metabolism under normal and pathological conditions.


Subject(s)
Heart Failure/genetics , MicroRNAs/genetics , MicroRNAs/physiology , Animals , Fibrosis , Heart/physiology , Humans , Hypertension/genetics , Mice , Mice, Inbred C57BL , Mitochondria , Myocardium/metabolism , Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha/physiology , Up-Regulation , Vascular Remodeling/genetics
3.
Circ Res ; 123(7): 905-924, 2018 09 14.
Article in English | MEDLINE | ID: mdl-30355076

ABSTRACT

Model organisms have provided fundamental evidence that aging can be delayed and longevity extended. These findings gave rise to a new era in aging research aimed at elucidating the pathways and networks controlling this complex biological process. The identification of 9 hallmarks of aging has established a framework to evaluate the relative contribution of each hallmark and the interconnections among them. In this review, we revisit these hallmarks with the information obtained exclusively through the generation of genetically modified mouse models that have a significant impact on the aging process. We discuss within each hallmark those interventions that accelerate aging or that have been successful at increasing lifespan, with the final goal of identifying the most promising antiaging avenues based on the current knowledge provided by in vivo models.


Subject(s)
Aging/genetics , Cell Nucleus/genetics , Mitochondria/genetics , Age Factors , Aging/metabolism , Aging/pathology , Animals , Cell Communication , Cell Nucleus/metabolism , Cell Nucleus/pathology , DNA, Mitochondrial , Energy Metabolism , Epigenesis, Genetic , Genomic Instability , Genotype , Humans , Longevity/genetics , Mice, Transgenic , Mitochondria/metabolism , Mitochondria/pathology , Models, Animal , Phenotype , Proteostasis , Signal Transduction , Stem Cells/metabolism , Stem Cells/pathology , Telomere/genetics , Telomere/metabolism , Telomere Shortening
4.
J Med Genet ; 55(12): 837-846, 2018 12.
Article in English | MEDLINE | ID: mdl-30323018

ABSTRACT

BACKGROUND: Wiedemann-Rautenstrauch syndrome (WRS) is a form of segmental progeria presenting neonatally, characterised by growth retardation, sparse scalp hair, generalised lipodystrophy with characteristic local fatty tissue accumulations and unusual face. We aimed to understand its molecular cause. METHODS: We performed exome sequencing in two families, targeted sequencing in 10 other families and performed in silico modelling studies and transcript processing analyses to explore the structural and functional consequences of the identified variants. RESULTS: Biallelic POLR3A variants were identified in eight affected individuals and monoallelic variants of the same gene in four other individuals. In the latter, lack of genetic material precluded further analyses. Multiple variants were found to affect POLR3A transcript processing and were mostly located in deep intronic regions, making clinical suspicion fundamental to detection. While biallelic POLR3A variants have been previously reported in 4H syndrome and adolescent-onset progressive spastic ataxia, recurrent haplotypes specifically occurring in individuals with WRS were detected. All WRS-associated POLR3A amino acid changes were predicted to perturb substantially POLR3A structure/function. CONCLUSION: Biallelic mutations in POLR3A, which encodes for the largest subunit of the DNA-dependent RNA polymerase III, underlie WRS. No isolated functional sites in POLR3A explain the phenotype variability in POLR3A-related disorders. We suggest that specific combinations of compound heterozygous variants must be present to cause the WRS phenotype. Our findings expand the molecular mechanisms contributing to progeroid disorders.


Subject(s)
Alleles , Fetal Growth Retardation/diagnosis , Fetal Growth Retardation/genetics , Genetic Association Studies , Genetic Predisposition to Disease , Genetic Variation/genetics , Progeria/diagnosis , Progeria/genetics , RNA Polymerase III/genetics , Adult , Amino Acid Sequence , Base Sequence , Computational Biology , Consanguinity , Female , Genotype , Haplotypes , Humans , Male , Models, Molecular , Mutation , Pedigree , Protein Conformation , RNA Polymerase III/chemistry , Reproducibility of Results , Sequence Analysis, DNA , Structure-Activity Relationship , Exome Sequencing
5.
Cell Biol Int ; 42(3): 273-280, 2018 Mar.
Article in English | MEDLINE | ID: mdl-28762604

ABSTRACT

TMEFF2 is a type I transmembrane protein with two follistatin (FS) and one EGF-like domain over-expressed in prostate cancer; however its biological role in prostate cancer development and progression remains unclear, which may, at least in part, be explained by its proteolytic processing. The extracellular part of TMEFF2 (TMEFF2-ECD) is cleaved by ADAM17 and the membrane-retained fragment is further processed by the gamma-secretase complex. TMEFF2 shedding is increased with cell crowding, a condition associated with the tumour microenvironment, which was mediated by oxidative stress signalling, requiring jun-kinase (JNK) activation. Moreover, we have identified that TMEFF2 is also a novel substrate for other proteases implicated in prostate cancer, including two ADAMs (ADAM9 and ADAM12) and the type II transmembrane serine proteinases (TTSPs) matriptase-1 and hepsin. Whereas cleavage by ADAM9 and ADAM12 generates previously identified TMEFF2-ECD, proteolytic processing by matriptase-1 and hepsin produced TMEFF2 fragments, composed of TMEFF2-ECD or FS and/or EGF-like domains as well as novel membrane retained fragments. Differential TMEFF2 processing from a single transmembrane protein may be a general mechanism to modulate transmembrane protein levels and domains, dependent on the repertoire of ADAMs or TTSPs expressed by the target cell.


Subject(s)
ADAM Proteins/metabolism , Membrane Proteins/metabolism , Neoplasm Proteins/metabolism , Oxidative Stress/physiology , Prostatic Neoplasms/metabolism , ADAM12 Protein/metabolism , ADAM17 Protein/metabolism , Amino Acid Sequence , Cell Membrane/metabolism , HEK293 Cells , Humans , Male , Prostatic Neoplasms/enzymology , Prostatic Neoplasms/pathology , Reactive Oxygen Species/metabolism , Serine Endopeptidases/metabolism
6.
Nucleic Acids Res ; 44(D1): D351-5, 2016 Jan 04.
Article in English | MEDLINE | ID: mdl-26553809

ABSTRACT

Since the definition of the degradome as the complete repertoire of proteases in a given organism, the combined effort of numerous laboratories has greatly expanded our knowledge of its roles in biology and pathology. Once the genomic sequences of several important model organisms were made available, we presented the Degradome database containing the curated sets of known protease genes in human, chimpanzee, mouse and rat. Here, we describe the updated Degradome database, featuring 81 new protease genes and 7 new protease families. Notably, in this short time span, the number of known hereditary diseases caused by mutations in protease genes has increased from 77 to 119. This increase reflects the growing interest on the roles of the degradome in multiple diseases, including cancer and ageing. Finally, we have leveraged the widespread adoption of new webtools to provide interactive graphic views that show information about proteases in the global context of the degradome. The Degradome database can be accessed through its web interface at http://degradome.uniovi.es.


Subject(s)
Databases, Protein , Peptide Hydrolases/genetics , Animals , Genetic Diseases, Inborn/genetics , Humans , Mice , Molecular Sequence Annotation , Mutation , Rats
7.
Nature ; 475(7354): 101-5, 2011 Jun 05.
Article in English | MEDLINE | ID: mdl-21642962

ABSTRACT

Chronic lymphocytic leukaemia (CLL), the most frequent leukaemia in adults in Western countries, is a heterogeneous disease with variable clinical presentation and evolution. Two major molecular subtypes can be distinguished, characterized respectively by a high or low number of somatic hypermutations in the variable region of immunoglobulin genes. The molecular changes leading to the pathogenesis of the disease are still poorly understood. Here we performed whole-genome sequencing of four cases of CLL and identified 46 somatic mutations that potentially affect gene function. Further analysis of these mutations in 363 patients with CLL identified four genes that are recurrently mutated: notch 1 (NOTCH1), exportin 1 (XPO1), myeloid differentiation primary response gene 88 (MYD88) and kelch-like 6 (KLHL6). Mutations in MYD88 and KLHL6 are predominant in cases of CLL with mutated immunoglobulin genes, whereas NOTCH1 and XPO1 mutations are mainly detected in patients with unmutated immunoglobulins. The patterns of somatic mutation, supported by functional and clinical analyses, strongly indicate that the recurrent NOTCH1, MYD88 and XPO1 mutations are oncogenic changes that contribute to the clinical evolution of the disease. To our knowledge, this is the first comprehensive analysis of CLL combining whole-genome sequencing with clinical characteristics and clinical outcomes. It highlights the usefulness of this approach for the identification of clinically relevant mutations in cancer.


Subject(s)
Genome, Human/genetics , Leukemia, Lymphocytic, Chronic, B-Cell/genetics , Mutation/genetics , Amino Acid Sequence , Animals , Carrier Proteins/genetics , DNA Mutational Analysis , Humans , Karyopherins/genetics , Molecular Sequence Data , Myeloid Differentiation Factor 88/chemistry , Myeloid Differentiation Factor 88/genetics , Receptor, Notch1/genetics , Receptors, Cytoplasmic and Nuclear/genetics , Reproducibility of Results , Exportin 1 Protein
8.
J Med Genet ; 53(11): 776-785, 2016 Nov.
Article in English | MEDLINE | ID: mdl-27334370

ABSTRACT

BACKGROUND: Progeroid syndromes are genetic disorders that recapitulate some phenotypes of physiological ageing. Classical progerias, such as Hutchinson-Gilford progeria syndrome (HGPS), are generally caused by mutations in LMNA leading to accumulation of the toxic protein progerin and consequently, to nuclear envelope alterations. In this work, we describe a novel phenotypic feature of the progeria spectrum affecting three unrelated newborns and identify its genetic cause. METHODS AND RESULTS: Patients reported herein present an extremely homogeneous phenotype that somewhat recapitulates those of patients with HGPS and mandibuloacral dysplasia. However, pathological signs appear earlier, are more aggressive and present distinctive features including episodes of severe upper airway obstruction. Exome and Sanger sequencing allowed the identification of heterozygous de novo c.163G>A, p.E55K and c.164A>G, p.E55G mutations in LMNA as the alterations responsible for this disorder. Functional analyses demonstrated that fibroblasts from these patients suffer important dysfunctions in nuclear lamina, which generate profound nuclear envelope abnormalities but without progerin accumulation. These nuclear alterations found in patients' dermal fibroblasts were also induced by ectopic expression of the corresponding site-specific LMNA mutants in control human fibroblasts. CONCLUSIONS: Our results demonstrate the causal role of p.E55K and p.E55G lamin A mutations in a disorder which manifests novel phenotypic features of the progeria spectrum characterised by neonatal presentation and aggressive clinical evolution, despite being caused by lamin A/C missense mutations with effective prelamin A processing.

9.
J Bone Miner Metab ; 34(6): 655-661, 2016 Nov.
Article in English | MEDLINE | ID: mdl-26438320

ABSTRACT

Metabolic bone disease may appear as a complication of obesity surgery. Because an imbalance in the osteoprotegerin and receptor-activator of nuclear factor-κB ligand system may underlie osteoporosis, we aimed to study this system in humans in the metabolic bone disease occurring after obesity surgery. In this study we included sixty women with a mean age of 47 ± 10 years studied 7 ± 2 years after bariatric surgery. The variables studied were bone mineral density, ß-isomer of C-terminal telopeptide of type I collagen cross-links (a bone resorption marker), the bone formation markers osteocalcin and N-terminal propeptide of procollagen 1, serum osteoprotegerin and receptor-activator of nuclear factor-κB ligand. Serum osteoprotegerin inversely correlated with the bone remodeling markers osteocalcin, ß-isomer of C-terminal telopeptide of type I collagen cross-links and N-terminal propeptide of procollagen 1. The osteoprotegerin and receptor-activator of nuclear factor-κB ligand ratio also correlated inversely with serum parathormone and osteocalcin. Bone mineral density at the lumbar spine was associated with age (ß = -0.235, P = 0.046), percentage of weight loss (ß = 0.421, P = 0.001) and osteoprotegerin and receptor-activator of nuclear factor-κB ligand ratio (ß = 0.259, P = 0.029) in stepwise multivariate analysis (R 2 = 0.29, F = 7.49, P < 0.001). Bone mineral density at the hip site was associated only with percentage of weight loss (ß = 0.464, P < 0.001) in stepwise multivariate regression (R 2 = 0.21, F = 15.1, P < 0.001). These data show that the osteoprotegerin and receptor-activator of nuclear factor-κB ligand system is associated with bone markers and bone mineral density at the lumbar spine after obesity surgery.


Subject(s)
Bariatric Surgery/adverse effects , Bone Density , Bone Diseases, Metabolic , Obesity , Osteoprotegerin/blood , Postoperative Complications/blood , RANK Ligand/blood , Adult , Aged , Biomarkers/blood , Bone Diseases, Metabolic/blood , Bone Diseases, Metabolic/etiology , Female , Humans , Middle Aged , Obesity/blood , Obesity/surgery , Osteocalcin/blood , Parathyroid Hormone/blood , Pelvic Bones/metabolism , Spine/metabolism
10.
Nature ; 464(7289): 757-62, 2010 Apr 01.
Article in English | MEDLINE | ID: mdl-20360741

ABSTRACT

The zebra finch is an important model organism in several fields with unique relevance to human neuroscience. Like other songbirds, the zebra finch communicates through learned vocalizations, an ability otherwise documented only in humans and a few other animals and lacking in the chicken-the only bird with a sequenced genome until now. Here we present a structural, functional and comparative analysis of the genome sequence of the zebra finch (Taeniopygia guttata), which is a songbird belonging to the large avian order Passeriformes. We find that the overall structures of the genomes are similar in zebra finch and chicken, but they differ in many intrachromosomal rearrangements, lineage-specific gene family expansions, the number of long-terminal-repeat-based retrotransposons, and mechanisms of sex chromosome dosage compensation. We show that song behaviour engages gene regulatory networks in the zebra finch brain, altering the expression of long non-coding RNAs, microRNAs, transcription factors and their targets. We also show evidence for rapid molecular evolution in the songbird lineage of genes that are regulated during song experience. These results indicate an active involvement of the genome in neural processes underlying vocal communication and identify potential genetic substrates for the evolution and regulation of this behaviour.


Subject(s)
Finches/genetics , Genome/genetics , 3' Untranslated Regions/genetics , Animals , Auditory Perception/genetics , Brain/physiology , Chickens/genetics , Evolution, Molecular , Female , Finches/physiology , Gene Duplication , Gene Regulatory Networks/genetics , Male , MicroRNAs/genetics , Models, Animal , Multigene Family/genetics , Retroelements/genetics , Sex Chromosomes/genetics , Terminal Repeat Sequences/genetics , Transcription, Genetic/genetics , Vocalization, Animal/physiology
11.
Rev Esp Enferm Dig ; 108(1): 8-14, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26765229

ABSTRACT

INTRODUCTION: Leiomyomas are the most common benign tumors of the esophagus. Although classically surgical enucleation through thoracotomy or laparotomy has been widely accepted as treatment of choice, development of endoscopic and minimally invasive procedures has completely changed the surgical management of these tumors. MATERIAL AND METHODS: We performed a retrospective review of all esophageal leiomyoma operated at Hospital Universitario Ramón y Cajal (Madrid, Spain) between January 1986 and December 2014, analyzing patients' demographic data, symptomatology, tumor size and location, diagnostic tests, surgical data, complications and postoperative stay. RESULTS: Thirteen patients were found within that period, 8 men and 5 women, with a mean age of 53.62 years (range 35-70 years). Surgical enucleation was achieved in all patients. In 8 cases (61.54%) a thoracic approach was performed (4 thoracotomies and 4 thoracoscopies), and in 5 cases (38.56%) an abdominal approach was performed (3 laparotomies and 2 laparoscopies); enucleation was carried out through a minimally invasive approach in 6 patients (46.15%). There were no cases of endoscopic resection alone. Surgery mean length was 174.38 minutes (range 70-270 minutes) and median postoperative stay was 6.5 days (range 2-27 days). There was neither mortality nor cases of intraoperative complications were described. No postoperative major complications were reported; however one patient presented important pain in his right hemithorax that required management and long term follow-up by the Pain Management Unit. With a mean follow-up of 165.57 months (median 170; range 29-336 months) no recurrences were reported. CONCLUSION: Enucleation is the treatment of choice for the majority of esophageal leiomyomas. In our experience, duration of the surgical procedure through minimally invasive approach was longer than surgery through open approach; however, postoperative stay was shorter in the first group. Paradoxically, incision pain after surgery (thoracic neuralgia) was found to be higher in the minimally invasive approach group. Nevertheless, none of the results obtained in the study reached statistical significance, probably due to the small simple size.


Subject(s)
Digestive System Surgical Procedures/methods , Esophageal Neoplasms/surgery , Leiomyoma/surgery , Minimally Invasive Surgical Procedures/methods , Adult , Aged , Female , Humans , Laparotomy , Length of Stay , Male , Middle Aged , Postoperative Care , Retrospective Studies , Thoracoscopy/methods , Treatment Outcome
12.
Am J Physiol Cell Physiol ; 308(7): C539-47, 2015 Apr 01.
Article in English | MEDLINE | ID: mdl-25588876

ABSTRACT

Mutations in the TMPRSS6 gene are associated with severe iron-refractory iron deficiency anemia resulting from an overexpression of hepcidin, the key regulator of iron homeostasis. The matriptase (MT)-2 protein (encoded by the TMPRSS6 gene) regulates hepcidin expression by cleaving hemojuvelin [HJV/hemochromatosis type 2 (HFE2)], a bone morphogenetic protein (BMP) coreceptor in the hepcidin regulatory pathway. We investigated the functional consequences of five clinically associated TMPRSS6 variants and the role of MT-2 protein domains by generating epitope-tagged mutant and domain-swapped MT-2-MT-1 (encoded by the ST14 gene) chimeric constructs and expressing them in HepG2/C3A cells. We developed a novel cell culture immunofluorescence assay to assess the effect of MT-2 on cell surface HJV expression levels, compatible with HJV cleavage. The TMPRSS6 variants Y141C, I212T, G442R, and C510S were retained intracellularly and were unable to inhibit BMP6 induction of hepcidin. The R271Q variant, although it has been associated with iron-refractory iron deficiency anemia, appears to remain functional. Analysis of the chimeric constructs showed that replacement of sperm protein, enterokinase, and agrin (SEA), low-density-lipoprotein receptor class A (LDLRA), and protease (PROT) domains from MT-2 with those from MT-1 resulted in limited cell surface localization, while the complement C1r/C1s, Uegf, Bmp1 (CUB) domain chimera retained localization at the cell surface. The SEA domain chimera was able to reduce cell surface HJV expression, while the CUB, LDLRA, and PROT domain chimeras were not. These studies suggest that the SEA and LDLRA domains of MT-2 are important for trafficking to the cell surface and that the CUB, LDLRA, and PROT domains are required for cleavage of HJV.


Subject(s)
Anemia, Iron-Deficiency/enzymology , Anemia, Iron-Deficiency/genetics , Membrane Proteins/genetics , Mutation/genetics , Serine Endopeptidases/genetics , GPI-Linked Proteins/genetics , GPI-Linked Proteins/metabolism , Hemochromatosis Protein , Hep G2 Cells , Humans , Membrane Proteins/physiology , Protein Structure, Tertiary/genetics , Protein Transport/physiology , Serine Endopeptidases/physiology , Single-Blind Method
14.
Br J Haematol ; 168(6): 891-901, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25403101

ABSTRACT

Effective erythropoiesis requires an appropriate supply of iron and mechanisms regulating iron homeostasis and erythropoiesis are intrinsically linked. Iron dysregulation, typified by iron-deficiency anaemia and iron overload, is common in many clinical conditions and impacts the health of up to 30% of the world's population. The proteins transmembrane protease, serine 6 (TMPRSS6; also termed matriptase-2), HFE and transferrin receptor 2 (TFR2) play important and opposing roles in systemic iron homeostasis, by regulating expression of the iron regulatory hormone hepcidin. We have performed a systematic analysis of mice deficient in these three proteins and show that TMPRSS6 predominates over HFE and TFR2 in hepcidin regulation. The phenotype of mice lacking TMPRSS6 and TFR2 is characterized by severe anaemia and extramedullary haematopoiesis in the spleen. Stress erythropoiesis in these mice results in increased expression of the newly identified erythroid iron regulator erythroferrone, which does not appear to overcome the hepcidin overproduction mediated by loss of TMPRSS6. Extended analysis reveals that TFR2 plays an important role in erythroid cells, where it is involved in terminal erythroblast differentiation and the regulation of erythropoietin. In conclusion, we have identified an essential role for TFR2 in erythropoiesis that may provide new targets for the treatment of anaemia.


Subject(s)
Anemia, Iron-Deficiency/blood , Erythropoiesis/physiology , Receptors, Transferrin/physiology , Anemia, Iron-Deficiency/metabolism , Animals , Cell Differentiation/physiology , Erythroid Cells/pathology , Erythropoietin/biosynthesis , Hematopoiesis, Extramedullary/physiology , Hemochromatosis Protein , Hepcidins/metabolism , Histocompatibility Antigens Class I/blood , Histocompatibility Antigens Class I/physiology , Kidney/metabolism , Liver/metabolism , Male , Membrane Proteins/blood , Membrane Proteins/deficiency , Membrane Proteins/physiology , Mice , Mice, Knockout , Receptors, Erythropoietin/metabolism , Receptors, Transferrin/blood , Receptors, Transferrin/deficiency , Serine Endopeptidases/blood , Serine Endopeptidases/deficiency , Serine Endopeptidases/physiology , Splenomegaly/blood
15.
BMC Med Genet ; 15: 51, 2014 May 02.
Article in English | MEDLINE | ID: mdl-24886349

ABSTRACT

BACKGROUND: SHORT syndrome is a rare autosomal dominant condition whose name is the acronym of short stature, hyperextensibility of joints, ocular depression, Rieger anomaly and teething delay (MIM 269880). Additionally, the patients usually present a low birth weight and height, lipodystrophy, delayed bone age, hernias, low body mass index and a progeroid appearance. CASE PRESENTATION: In this study, we used whole-exome sequencing approaches in two patients with clinical features of SHORT syndrome. We report the finding of a novel mutation in PIK3R1 (c.1929_1933delTGGCA; p.Asp643Aspfs*8), as well as a recurrent mutation c.1945C > T (p.Arg649Trp) in this gene. CONCLUSIONS: We found a novel frameshift mutation in PIK3R1 (c.1929_1933delTGGCA; p.Asp643Aspfs*8) which consists of a deletion right before the site of substrate recognition. As a consequence, the protein lacks the position that interacts with the phosphotyrosine residue of the substrate, resulting in the development of SHORT syndrome.


Subject(s)
Growth Disorders/diagnosis , Growth Disorders/genetics , Hypercalcemia/diagnosis , Hypercalcemia/genetics , Metabolic Diseases/diagnosis , Metabolic Diseases/genetics , Mutation , Nephrocalcinosis/diagnosis , Nephrocalcinosis/genetics , Phosphatidylinositol 3-Kinases/genetics , Amino Acid Substitution , Child, Preschool , Class Ia Phosphatidylinositol 3-Kinase , DNA Mutational Analysis , Exome , Facies , High-Throughput Nucleotide Sequencing , Humans , Infant , Male , Models, Molecular , Phenotype , Phosphatidylinositol 3-Kinases/chemistry , Protein Conformation
16.
Int J Cancer ; 133(10): 2334-40, 2013 Nov 15.
Article in English | MEDLINE | ID: mdl-23649491

ABSTRACT

Matriptase-2 (TMPRSS6) has been identified as a breast cancer risk factor. Here, we examined relationships between TMPRSS6 genetic variations and breast cancer risk and survival, and determined the gene and protein expressions in breast tumors and assessed their clinical importance. Thirteen TMPRSS6 polymorphisms were genotyped in 462 invasive breast cancer cases and 458 controls. Gene expression was analyzed from 83 tumors and protein expression from 370 tumors. We then assessed the statistical significance of associations among genotypes, clinicopathological characteristics and survival. The TMPRSS6 variant rs2543519 was associated with breast cancer risk (p = 0.032). Multivariate analysis showed that four variants had effects on survival-rs2543519 (p = 0.017), rs2235324 (p = 0.038), rs14213212 (p = 0.044) and rs733655 (p = 0.021)-which were used to create a group variable that was associated with poorer prognosis correlating with more alleles related to reduced survival (p = 0.006; risk ratio, 2.375; 95% confidence interval, 1.287-4.382). Low gene expression was related to triple-negative breast cancer (p = 0.0001), and lower protein expression was detected in undifferentiated (p = 0.019), large (p = 0.014) and ductal or lobular tumors (p = 0.036). These results confirm the association of TMRRSS6 variants with breast cancer risk and survival. Matriptase-2 levels decrease with tumor progression, and lower gene expression is seen in poor-prognosis-related triple-negative breast cancers. Our study is the first to show that matriptase-2 gene variants are related to breast cancer prognosis, supporting matriptase-2 involvement in tumor development.


Subject(s)
Breast Neoplasms/enzymology , Breast Neoplasms/genetics , Membrane Proteins/genetics , Serine Endopeptidases/genetics , Triple Negative Breast Neoplasms/enzymology , Triple Negative Breast Neoplasms/genetics , Alleles , Disease Progression , Female , Gene Expression/genetics , Genotype , Humans , Middle Aged , Polymorphism, Single Nucleotide , Prognosis , Risk , Survival Rate
17.
Article in English | MEDLINE | ID: mdl-35193100

ABSTRACT

An analytical method of ultra-high performance liquid chromatography coupled to tandem mass spectrometry detection was developed and validated for the simultaneous quantification in plasma of four selective serotonin reuptake inhibitor antidepressants: sertraline, escitalopram, paroxetine, fluoxetine, and its metabolite norfluoxetine. A simple protein precipitation was performed with acetonitrile containing 100 ng/mL of indomethacin, which was used as internal standard. Chromatographic separation was carried out on an Acquity BEH C18 column with isocratic elution of the mobile phase consisting of 5 mmol/L ammonium acetate with 0.1% formic acid (A) and acetonitrile (B) at a 60:40 proportion, respectively. The flow rate was 0.4 mL/min with a run time of 5 min. A positive electrospray ionization source was used for detection. The method was linear in a range of 5-800 ng/mL, with determination coefficients greater than 0.991. The accuracy ranged from 91% to 112% for intra-assay and from 89% to 112% for inter-assay. The variation coefficients ranged from 3.1% to 14.88% for intra-assay and from 3.60% to 14.74% for inter-assay precision. The method was successfully applied for the analysis of 73 samples from patients under treatment with these antidepressants; 36.9% of the samples had concentrations outside therapeutic ranges. This method can be applied for routine analysis in clinical practice, simplifying sample processing, reducing analysis time and consequently the costs associated with it.

18.
Hum Mol Genet ; 18(19): 3673-83, 2009 Oct 01.
Article in English | MEDLINE | ID: mdl-19592582

ABSTRACT

Mutations leading to abrogation of matriptase-2 proteolytic activity in humans are associated with an iron-refractory iron deficiency anemia (IRIDA) due to elevated hepcidin levels. Here we describe two novel heterozygous mutations within the matriptase-2 (TMPRSS6) gene of monozygotic twin girls exhibiting an IRIDA phenotype. The first is the frameshift mutation (P686fs) caused by the insertion of the four nucleotides CCCC in exon 16 (2172_2173insCCCC) that is predicted to terminate translation before the catalytic serine. The second mutation is the di-nucleotide substitution c.467C>A and c.468C>T in exon 3 that causes the missense mutation A118D in the SEA domain of the extracellular stem region of matriptase-2. Functional analysis of both variant matriptase-2 proteases has revealed that they lead to ineffective suppression of hepcidin transcription. We also demonstrate that the A118D SEA domain mutation causes an intra-molecular structural imbalance that impairs matriptase-2 activation. Collectively, these results extend the pattern of TMPRSS6 mutations associated with IRIDA and functionally demonstrate that mutations affecting protease regions other than the catalytic domain may have a profound impact in the regulatory role of matriptase-2 during iron deficiency.


Subject(s)
Anemia, Iron-Deficiency/enzymology , Anemia, Iron-Deficiency/genetics , Membrane Proteins/genetics , Membrane Proteins/metabolism , Mutation , Serine Endopeptidases/genetics , Serine Endopeptidases/metabolism , Adolescent , Amino Acid Sequence , Base Sequence , Enzyme Activation , Exons , Female , Frameshift Mutation , Humans , Male , Membrane Proteins/chemistry , Middle Aged , Molecular Sequence Data , Mutation, Missense , Pedigree , Protein Structure, Tertiary , Sequence Alignment , Serine Endopeptidases/chemistry
19.
Blood Cells Mol Dis ; 47(2): 133-7, 2011 Aug 15.
Article in English | MEDLINE | ID: mdl-21612955

ABSTRACT

Mutations of the TMPRSS6 gene, encoding the serine protease matriptase-2, lead to iron-refractory iron deficiency anemia. Matriptase-2 is a potent negative regulator of hepcidin. Based on in vitro data, it has recently been proposed that matriptase-2 decreases hepcidin synthesis by cleaving membrane hemojuvelin, a key protein of the hepcidin-regulatory pathway. However, in vivo evidence for this mechanism of action of matriptase-2 is lacking. To investigate the hemojuvelin-matriptase-2 interaction in vivo, an immunoblot assay for liver membrane hemojuvelin was optimized using hemojuvelin-mutant mice as a negative control. In wild-type mice, two hemojuvelin-specific bands of 35kDa and 20kDa were detected in mouse liver membrane fraction under reducing conditions; under non-reducing conditions, a single band of approximately 50kDa was seen. Phosphatidylinositol-specific phospholipase C treatment confirmed binding of the detected protein to the cell membrane by a glycosylphosphatidylinositol anchor, indicating that the major form of mouse liver membrane hemojuvelin is a glycosylphosphatidylinositol-bound heterodimer. Unexpectedly, comparison of liver homogenates from Tmprss6+/+ and Tmprss6-/- mice revealed significantly decreased, rather than increased, hemojuvelin heterodimer content in Tmprss6-/- mice. These data do not provide direct support for the concept that matriptase-2 cleaves membrane hemojuvelin and may indicate that, in vivo, the role of matriptase-2 in the regulation of hepcidin gene expression is more complex.


Subject(s)
Anemia, Iron-Deficiency/genetics , Antimicrobial Cationic Peptides/metabolism , Iron/metabolism , Liver/metabolism , Membrane Proteins/genetics , Serine Endopeptidases/genetics , Signal Transduction/genetics , Anemia, Iron-Deficiency/metabolism , Animals , Antimicrobial Cationic Peptides/genetics , Cell Membrane/genetics , Cell Membrane/metabolism , Dimerization , Electrophoresis, Polyacrylamide Gel , GPI-Linked Proteins , Gene Expression Regulation , Glycosylphosphatidylinositols/chemistry , Glycosylphosphatidylinositols/metabolism , Hemochromatosis Protein , Hepcidins , Liver/pathology , Male , Membrane Proteins/deficiency , Membrane Proteins/metabolism , Mice , Mice, Knockout , Phosphoinositide Phospholipase C/metabolism , Polymerase Chain Reaction , Serine Endopeptidases/deficiency , Tissue Extracts/chemistry
20.
BMC Genomics ; 11: 220, 2010 Apr 01.
Article in English | MEDLINE | ID: mdl-20359326

ABSTRACT

BACKGROUND: The degradome -the complete repertoire of proteases in an organism- is involved in multiple key biological and pathological processes. Previous studies in several organisms have yielded sets of curated protease sequences which may be used to characterize the degradome in a novel genome by similarity. Differences between degradomes can then be related to physiological traits of the species under study. Therefore, the sequencing of the zebra finch genome allows the comparison between the degradomes of mammals and birds and may help to understand the biological peculiarities of the zebra finch. RESULTS: A set of curated protease sequences from humans and chicken was used to predict the sequences of 460 protease and protease-like genes in the zebra finch genome. This analysis revealed important differences in the evolution of mammalian and bird degradomes, including genomic expansions and deletions of caspases, cytotoxic proteases, kallikreins, matrix metalloproteases, and trypsin-like proteases. Furthermore, we found several zebra finch-specific features, such as duplications in CASP3 and BACE, and a large genomic expansion of acrosin. CONCLUSIONS: We have compared the degradomes of zebra finch, chicken and several mammalian species, with the finding of multiple differences which illustrate the evolution of the protease complement of these organisms. Detailed analysis of these changes in zebra finch proteases has shown that they are mainly related to immunological, developmental, reproductive and neural functions.


Subject(s)
Avian Proteins/genetics , Evolution, Molecular , Finches/genetics , Finches/metabolism , Peptide Hydrolases/genetics , Animals , Avian Proteins/analysis , Peptide Hydrolases/analysis , Phylogeny
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