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1.
Sci Data ; 11(1): 202, 2024 Feb 14.
Artículo en Inglés | MEDLINE | ID: mdl-38355698

RESUMEN

The study of the functioning and responses of Antarctica to the current climate change scenario is a priority and a challenge for the scientific community aiming to predict and mitigate impacts at a regional and global scale. Due to the difficulty of obtaining aerial data in such extreme, remote, and difficult-to-reach region of the planet, the development of remote sensing techniques with Unmanned Aerial Vehicles (UAVs) has revolutionized polar research. ShetlandsUAVmetry comprises original datasets collected by UAVs during the Spanish Antarctic Campaign 2021-2022 (January to March 2022), along with the photogrammetric products resulting from their processing. It includes data recorded during twenty-eight distinct UAV flights at various study sites on Deception and Livingston islands (South Shetland Islands, Antarctica) and consists of a total of 15,691 high-resolution optical RGB captures. In addition, this dataset is accompanied by additional associated files that facilitate its use and accessibility. It is publicly accessible and can be downloaded from the figshare data repository.

2.
Int J Mol Sci ; 25(2)2024 Jan 13.
Artículo en Inglés | MEDLINE | ID: mdl-38256083

RESUMEN

Modern advances in disease genetics have uncovered numerous modifier genes that play a role in the severity of disease expression. One such class of genetic conditions is known as inherited retinal degenerations (IRDs), a collection of retinal degenerative disorders caused by mutations in over 300 genes. A single missense mutation (K42E) in the gene encoding the enzyme dehydrodolichyl diphosphate synthase (DHDDS), which is required for protein N-glycosylation in all cells and tissues, causes DHDDS-IRD (retinitis pigmentosa type 59 (RP59; OMIM #613861)). Apart from a retinal phenotype, however, DHDDS-IRD is surprisingly non-syndromic (i.e., without any systemic manifestations). To explore disease pathology, we selected five glycosylation-related genes for analysis that are suggested to have disease modifier variants. These genes encode glycosyltransferases (ALG6, ALG8), an ER resident protein (DDOST), a high-mannose oligosaccharyl transferase (MPDU1), and a protein N-glycosylation regulatory protein (TNKS). DNA samples from 11 confirmed DHDDS (K42E)-IRD patients were sequenced at the site of each candidate genetic modifier. Quantitative measures of retinal structure and function were performed across five decades of life by evaluating foveal photoreceptor thickness, visual acuity, foveal sensitivity, macular and extramacular rod sensitivity, and kinetic visual field extent. The ALG6 variant, (F304S), was correlated with greater macular cone disease severity and less peripheral rod disease severity. Thus, modifier gene polymorphisms may account for a significant portion of phenotypic variation observed in human genetic disease. However, the consequences of the polymorphisms may be counterintuitively complex in terms of rod and cone populations affected in different regions of the retina.


Asunto(s)
Transferasas Alquil y Aril , Glucosiltransferasas , Proteínas de la Membrana , Degeneración Retiniana , Humanos , Genes Modificadores , Glucosiltransferasas/genética , Proteínas de la Membrana/genética , Mutación , Retina , Degeneración Retiniana/genética
3.
Invest Ophthalmol Vis Sci ; 64(15): 33, 2023 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-38133503

RESUMEN

Purpose: Genome editing is an emerging group of technologies with the potential to ameliorate dominant, monogenic human diseases such as late-onset retinal degeneration (L-ORD). The goal of this study was to identify disease stages and retinal locations optimal for evaluating the efficacy of a future genome editing trial. Methods: Twenty five L-ORD patients (age range, 33-77 years; median age, 59 years) harboring the founder variant S163R in C1QTNF5 were enrolled from three centers in the United Kingdom and United States. Patients were examined with widefield optical coherence tomography (OCT) and chromatic perimetry under dark-adapted and light-adapted conditions to derive phenomaps of retinal disease. Results were analyzed with a model of a shared natural history of a single delayed exponential across all subjects and all retinal locations. Results: Critical age for the initiation of photoreceptor loss ranged from 48 years at the temporal paramacular retina to 74 years at the inferior midperipheral retina. Subretinal deposits (sRET-Ds) became more prevalent as critical age was approached. Subretinal pigment epithelial deposits (sRPE-Ds) were detectable in the youngest patients showing no other structural or functional abnormalities at the retina. The sRPE-D thickness continuously increased, reaching 25 µm in the extrafoveal retina and 19 µm in the fovea at critical age. Loss of light sensitivity preceded shortening of outer segments and loss of photoreceptors by more than a decade. Conclusions: Retinal regions providing an ideal treatment window exist across all severity stages of L-ORD.


Asunto(s)
Terapia Genética , Degeneración Retiniana , Humanos , Adulto , Persona de Mediana Edad , Anciano , Enfermedades de Inicio Tardío/genética , Enfermedades de Inicio Tardío/patología , Enfermedades de Inicio Tardío/terapia , Degeneración Retiniana/genética , Degeneración Retiniana/patología , Degeneración Retiniana/terapia , Colágeno/genética , Masculino , Femenino , Fóvea Central/patología , Tomografía de Coherencia Óptica , Terapia Genética/métodos , Edición Génica
4.
Am J Ophthalmol Case Rep ; 32: 101873, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37388818

RESUMEN

Purpose: An intravitreally injected antisense oligonucleotide, sepofarsen, was designed to modulate splicing within retinas of patients with severe vision loss due to deep intronic c.2991 + 1655A > G variant in the CEP290 gene. A previous report showed vision improvements following a single injection in one eye with unexpected durability lasting at least 15 months. The current study evaluated durability of efficacy beyond 15 months in the previously treated left eye. In addition, peak efficacy and durability were evaluated in the treatment-naive right eye, and re-injection of the left eye 4 years after the first injection. Observations: Visual function was evaluated with best corrected standard and low-luminance visual acuities, microperimetry, dark-adapted chromatic perimetry, and full-field sensitivity testing. Retinal structure was evaluated with OCT imaging. At the fovea, all visual function measures and IS/OS intensity of the OCT showed transient improvements peaking at 3-6 months, remaining better than baseline at ∼2 years, and returning to baseline by 3-4 years after each single injection. Conclusions and Importance: These results suggest that sepofarsen reinjection intervals may need to be longer than 2 years.

5.
Transl Vis Sci Technol ; 12(1): 25, 2023 01 03.
Artículo en Inglés | MEDLINE | ID: mdl-36692456

RESUMEN

Purpose: Blue cone monochromacy (BCM) is an X-linked retinopathy due to mutations in the OPN1LW/OPN1MW gene cluster. Symptoms include reduced visual acuity and disturbed color vision. We studied BCM color vision to determine outcome measures for future clinical trials. Methods: Patients with BCM and normal-vision participants were examined with Farnsworth-Munsell (FM) arrangement tests and the Color Assessment and Diagnosis (CAD) test. A retrospective case series in 36 patients with BCM (ages 6-70) was performed with the FM D-15 test. A subset of six patients also had Roth-28 Hue and CAD tests. Results: All patients with BCM had abnormal results for D-15, Roth-28, and CAD tests. With D-15, there was protan-deutan confusion and no bimodal tendency. Roth-28 results reinforced that finding. There was symmetry in color vision metrics between the two eyes and coherence between sessions with the arrangement tests and CAD. Severe abnormalities in red-green sensitivity with CAD were expected. Unexpected were different levels of yellow-blue results with two patterns of abnormal thresholds: moderate elevation in two younger patients and severe elevation in four patients ≥35 years. Coefficients of repeatability and intersession means were tabulated for all test modalities. Conclusions: Given understanding of advantages, disadvantages, and complexities of interpretation of results, both an arrangement test and CAD should be useful monitors of color vision through a clinical trial in BCM. Translational Relevance: Our pilot studies in BCM of arrangement and CAD tests indicated both were clinically feasible and interpretable in the context of this cone gene disease.


Asunto(s)
Defectos de la Visión Cromática , Visión de Colores , Humanos , Niño , Adolescente , Adulto Joven , Adulto , Persona de Mediana Edad , Anciano , Estudios Retrospectivos , Defectos de la Visión Cromática/diagnóstico , Defectos de la Visión Cromática/genética , Evaluación de Resultado en la Atención de Salud
6.
Ophthalmol Sci ; 2(2): 100133, 2022 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-36249682

RESUMEN

Purpose: To understand consequences of reconstituting cone photoreceptor function in congenital binocular blindness resulting from mutations in the centrosomal protein 290 (CEP290) gene. Design: Phase 1b/2 open-label, multicenter, multiple-dose, dose-escalation trial. Participants: A homogeneous subgroup of 5 participants with light perception (LP) vision at the time of enrollment (age range, 15-41 years) selected for detailed analyses. Medical histories of 4 participants were consistent with congenital binocular blindness, whereas 1 participant showed evidence of spatial vision in early life that was later lost. Intervention: Participants received a single intravitreal injection of sepofarsen (160 or 320 µg) into the study eye. Main Outcome Measures: Full-field stimulus testing (FST), visual acuity (VA), and transient pupillary light reflex (TPLR) were measured at baseline and for 3 months after the injection. Results: All 5 participants with LP vision demonstrated severely abnormal FST and TPLR findings. At baseline, FST threshold estimates were 0.81 and 1.0 log cd/m2 for control and study eyes, respectively. At 3 months, study eyes showed a large mean improvement of -1.75 log versus baseline (P < 0.001), whereas untreated control eyes were comparable with baseline. Blue minus red FST values were not different than 0 (P = 0.59), compatible with cone mediation of remnant vision. At baseline, TPLR response amplitude and latency estimates were 0.39 mm and 0.72 seconds, respectively, for control eyes, and 0.28 mm and 0.78 seconds, respectively, for study eyes. At 3 months, study eyes showed a mean improvement of 0.44 mm in amplitude and a mean acceleration of 0.29 seconds in latency versus baseline (P < 0.001), whereas control eyes showed no significant change versus baseline. Specialized tests performed in 1 participant confirmed and extended the standardized results from all 5 participants. Conclusions: By subjective and objective evidence, intravitreal sepofarsen provides improvement of light sensitivity for individuals with LP vision. However, translation of increased light sensitivity to improved spatial vision may occur preferentially in those with a history of visual experience during early neurodevelopment. Interventions for congenital lack of spatial vision in CEP290-associated Leber congenital amaurosis may lead to better results if performed before visual cortex maturity.

7.
iScience ; 25(10): 105274, 2022 Oct 21.
Artículo en Inglés | MEDLINE | ID: mdl-36274938

RESUMEN

Signaling of vision to the brain starts with the retinal phototransduction cascade which converts visible light from the environment into chemical changes. Vision impairment results when mutations inactivate proteins of the phototransduction cascade. A severe monogenically inherited blindness, Leber congenital amaurosis (LCA), is caused by mutations in the GUCY2D gene, leading to a molecular defect in the production of cyclic GMP, the second messenger of phototransduction. We studied two patients with GUCY2D-LCA who were undergoing gene augmentation therapy. Both patients had large deficits in rod photoreceptor-based night vision before intervention. Within days of therapy, rod vision in both patients changed dramatically; improvements in visual function and functional vision in these hyper-responding patients reached more than 3 log10 units (1000-fold), nearing healthy rod vision. Quick activation of the complex molecular pathways from retinal photoreceptor to visual cortex and behavior is thus possible in patients even after being disabled and dormant for decades.

8.
Foods ; 11(12)2022 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-35741955

RESUMEN

This study investigated the continuous and pulsed backflush cleaning of woven fabrics that act as filter media in the food and beverage industry. Especially in breweries, they are commonly used in mash filters to separate solid spent grains from liquid wort. After filtration, the removal of such cereal residues via self-discharge is necessary. However, this filter cake discharge is typically incomplete, and various spots remain contaminated. In addition to the reduced filter performance of subsequent batches, cross-contamination risk increases significantly. A reproducible contamination method focusing on the use case of a mash filter was developed for this study. Additionally, a residue analysis based on microscopical image processing helped to assess cleaning efficiency. The experimental part compared two backflushing procedures for mash filters and demonstrated fluid dynamical, procedural, and economic differences in cleaning. Specifically, pulsed jets show higher efficiency in reaching cleanliness faster, with fewer cleaning agents and less time. According to the experimental results, the fluid flow conditions depended highly on cloth geometry and mesh sizes. Larger mesh sizes significantly favored the cloth's cleanability as a larger backflush volume can reach contamination. With these results, cloth cleaning can be improved, enabling the realization of demand-oriented cleaning concepts.

9.
BMC Ophthalmol ; 22(1): 266, 2022 Jun 14.
Artículo en Inglés | MEDLINE | ID: mdl-35701753

RESUMEN

BACKGROUND: Inherited retinal degenerations (IRDs) affect daylight and night vision to different degrees. In the current work, we devise a method to quantify mobility under dark-adapted conditions in patients with severe childhood blindness due to Leber congenital amaurosis (LCA). Mobility thresholds from two different LCA genotypes are compared to dark-adapted vision measurements using the full-field stimulus test (FST), a conventional desktop outcome measure of rod vision. METHODS: A device consisting of vertical LED strips on a plane resembling a beaded curtain was programmed to produce a rectangular pattern target defining a 'door' of varying luminance that could appear at one of three positions. Mobility performance was evaluated by letting the subject walk from a fixed starting position ~ 4 m away from the device with instructions to touch the door. Success was defined as the subject touching within the 'door' area. Ten runs were performed and the process was repeated for different levels of luminance. Tests were performed monocularly in dark-adapted and dilated eyes. Results from LCA patients with the GUCY2D and CEP290 genotypes and normal subjects were analyzed using logistic regression to estimate the mobility threshold for successful navigation. The relation of thresholds for mobility, FST and visual acuity were quantified using linear regression. RESULTS: Normal subjects had mobility thresholds near limits of dark-adapted rod vision. GUCY2D-LCA patients had a wide range of mobility thresholds from within 1 log of normal to greater than 8 log abnormal. CEP290-LCA patients had abnormal mobility thresholds that were between 5 and 6 log from normal. Sensitivity loss estimates using FST related linearly to the mobility thresholds which were not correlated with visual acuity. CONCLUSIONS: The mobility task we developed can quantify functional vision in severely disabled patients with LCA. Taken together with other outcome measures of rod and cone photoreceptor-mediated vision, dark-adapted functional vision should provide a more complete understanding of the natural history and effects of treatment in patients with LCA.


Asunto(s)
Amaurosis Congénita de Leber , Degeneración Retiniana , Antígenos de Neoplasias/genética , Proteínas de Ciclo Celular/genética , Niño , Proteínas del Citoesqueleto/genética , Adaptación a la Oscuridad , Humanos , Amaurosis Congénita de Leber/diagnóstico , Amaurosis Congénita de Leber/genética , Mutación , Células Fotorreceptoras Retinianas Conos , Visión Ocular
10.
Nat Med ; 28(5): 1014-1021, 2022 05.
Artículo en Inglés | MEDLINE | ID: mdl-35379979

RESUMEN

CEP290-associated Leber congenital amaurosis type 10 (LCA10) is a retinal disease resulting in childhood blindness. Sepofarsen is an RNA antisense oligonucleotide targeting the c.2991+1655A>G variant in the CEP290 gene to treat LCA10. In this open-label, phase 1b/2 ( NCT03140969 ), 12-month, multicenter, multiple-dose, dose-escalation trial, six adult patients and five pediatric patients received ≤4 doses of intravitreal sepofarsen into the worse-seeing eye. The primary objective was to evaluate sepofarsen safety and tolerability via the frequency and severity of ocular adverse events (AEs); secondary objectives were to evaluate pharmacokinetics and efficacy via changes in functional outcomes. Six patients received sepofarsen 160 µg/80 µg, and five patients received sepofarsen 320 µg/160 µg. Ten of 11 (90.9%) patients developed ocular AEs in the treated eye (5/6 with 160 µg/80 µg; 5/5 with 320 µg/160 µg) versus one of 11 (9.1%) in the untreated eye; most were mild in severity and dose dependent. Eight patients developed cataracts, of which six (75.0%) were categorized as serious (2/3 with 160 µg/80 µg; 4/5 with 320 µg/160 µg), as lens replacement was required. As the 160-µg/80-µg group showed a better benefit-risk profile, higher doses were discontinued or not initiated. Statistically significant improvements in visual acuity and retinal sensitivity were reported (post hoc analysis). The manageable safety profile and improvements reported in this trial support the continuation of sepofarsen development.


Asunto(s)
Amaurosis Congénita de Leber , Adulto , Antígenos de Neoplasias/genética , Ceguera/genética , Proteínas de Ciclo Celular/genética , Niño , Proteínas del Citoesqueleto/metabolismo , Humanos , Amaurosis Congénita de Leber/tratamiento farmacológico , Amaurosis Congénita de Leber/genética , Oligonucleótidos Antisentido/efectos adversos , Visión Ocular
11.
Sci Total Environ ; 822: 153433, 2022 May 20.
Artículo en Inglés | MEDLINE | ID: mdl-35093350

RESUMEN

In this study, seawater quality was monitored with high-resolution satellite imagery during the 2021 volcanic eruption (September-December) on La Palma Island (Spain), the longest recorded in the history of the island, and the most destructive in the last century in Europe. The Sentinel-2A/B twin satellites and Landsat-8 satellite were jointly used as an optical constellation, which allowed us to successfully characterize the short- and medium-term evolution of the new lava delta and subsequent impact on the seawater. Robust atmospheric and sunglint correction approaches were applied to thoroughly quantify the environmental changes caused on the adjacent coastal waters. The cloud and volcanic ash coverage remained very high over the coast during the event, so restricted information with 14 images (45% of the total scenes) was retrieved from the multi-sensor approach. Nevertheless, the availability of pre-, syn-, and post-eruption satellite products allowed us to map and detect the main water quality variations in the marine environment. On the one hand, during the eruption, a change in the properties of the water quality was observed, with a markedly increased turbidity on the western side of the island near the new lava delta due to the deposition of volcanic ash and material. On the other hand, chlorophyll-a concentration did not significantly increase, algal blooms were not observed, and oligotrophic conditions were not swiftly altered towards eutrophic conditions. This information offered an excellent opportunity to characterize the emplacement of the new lava delta and its impact on the marine environment in La Palma. The present multi-sensor strategy is an excellent opportunity to highlight the potential of remote sensing technology as a relevant and powerful tool for future hazard monitoring and assessment during catastrophes and for a better interpretation of their impact on the marine environment.


Asunto(s)
Erupciones Volcánicas , Calidad del Agua , Monitoreo del Ambiente , Eutrofización , Imágenes Satelitales , España
12.
Prog Retin Eye Res ; 87: 101000, 2022 03.
Artículo en Inglés | MEDLINE | ID: mdl-34464742

RESUMEN

Disease mechanisms have become better understood in previously incurable forms of early-onset severe retinal dystrophy, such as Leber congenital amaurosis (LCA). This has led to novel treatments and clinical trials that have shown some success. Standard methods to measure vision were difficult if not impossible to perform in severely affected patients with low vision and nystagmus. To meet the need for visual assays, we devised a psychophysical method, which we named full-field stimulus testing (FST). From early versions based on an automated perimeter, we advanced FST to a more available light-emitting diode platform. The journey from invention to use of such a technique in our inherited retinal degeneration clinic is reviewed and many of the lessons learned over the 15 years of application of FST are explained. Although the original purpose and application of FST was to quantify visual thresholds in LCA, there are rare opportunities for FST also to be used beyond LCA to measure aspects of vision in other inherited retinal degenerations; examples are given. The main goal of the current review, however, remains to enable investigators studying and treating LCA to understand how to best use FST and how to reduce artefact and confounding complexities so the test results become more valuable to the understanding of LCA diseases and results of novel interventions.


Asunto(s)
Enfermedades Hereditarias del Ojo , Amaurosis Congénita de Leber , Distrofias Retinianas , Niño , Humanos , Amaurosis Congénita de Leber/diagnóstico , Amaurosis Congénita de Leber/genética , Amaurosis Congénita de Leber/terapia , Mutación , Evaluación de Resultado en la Atención de Salud , Retina
13.
Sci Rep ; 11(1): 21717, 2021 11 05.
Artículo en Inglés | MEDLINE | ID: mdl-34741078

RESUMEN

Antarctica plays a fundamental role in the Earth's climate, oceanic circulation and global ecosystem. It is a priority and a scientific challenge to understand its functioning and responses under different scenarios of global warming. However, extreme environmental conditions, seasonality and isolation hampers the efforts to achieve a comprehensive understanding of the physical, biological, chemical and geological processes taking place in Antarctica. Here we present unmanned aerial vehicles (UAVs) as feasible, rapid and accurate tools for environmental and wildlife research in Antarctica. UAV surveys were carried out on Deception Island (South Shetland Islands) using visible, multispectral and thermal sensors, and a water sampling device to develop precise thematic ecological maps, detect anomalous thermal zones, identify and census wildlife, build 3D images of geometrically complex geological formations, and sample dissolved chemicals (< 0.22 µm) waters from inaccessible or protected areas.

14.
PLoS One ; 16(9): e0257686, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34555076

RESUMEN

Transfer Entropy was applied to analyze the correlations and flow of information between 200,500 tweets and 23 of the largest capitalized companies during 6 years along the period 2013-2018. The set of tweets were obtained applying a text mining algorithm and classified according to daily date and company mentioned. We proposed the construction of a Sentiment Index applying a Natural Processing Language algorithm and structuring the sentiment polarity for each data set. Bootstrapped Simulations of Transfer Entropy were performed between stock prices and Sentiment Indexes. The results of the Transfer Entropy simulations show a clear information flux between general public opinion and companies' stock prices. There is a considerable amount of information flowing from general opinion to stock prices, even between different Sentiment Indexes. Our results suggest a deep relationship between general public opinion and stock prices. This is important for trading strategies and the information release policies for each company.


Asunto(s)
Minería de Datos/métodos , Sector Privado/economía , Medios de Comunicación Sociales , Comercio , Entropía , Humanos , Procesamiento de Lenguaje Natural
15.
Front Cell Dev Biol ; 9: 720782, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34485303

RESUMEN

Despite major progress in the discovery of causative genes, many individuals and families with inherited retinal degenerations (IRDs) remain without a molecular diagnosis. We applied whole exome sequencing to identify the genetic cause in a family with an autosomal dominant IRD. Eye examinations were performed and affected patients were studied with electroretinography and kinetic and chromatic static perimetry. Sequence variants were analyzed in genes (n = 271) associated with IRDs listed on the RetNet database. We applied a stepwise filtering process involving the allele frequency in the control population, in silico prediction tools for pathogenicity, and evolutionary conservation to prioritize the potential causal variant(s). Sanger sequencing and segregation analysis were performed on the proband and other family members. The IRD in this family is expressed as a widespread progressive retinal degeneration with maculopathy. A novel heterozygous variant (c.200A > T) was identified in the ARL3 gene, leading to the substitution of aspartic acid to valine at position 67. The Asp67 residue is evolutionary conserved, and the change p.Asp67Val is predicted to be pathogenic. This variant was segregated in affected members of the family and was absent from an unaffected individual. Two previous reports of a de novo missense mutation in the ARL3 gene, each describing a family with two affected generations, are the only examples to date of autosomal dominant IRD associated with this photoreceptor gene. Our results, identifying a novel pathogenic variant in ARL3 in a four-generation family with a dominant IRD, augment the evidence that the ARL3 gene is another cause of non-syndromic retinal degeneration.

16.
Transl Vis Sci Technol ; 10(11): 3, 2021 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-34473224

RESUMEN

Purpose: To investigate the validity and reliability of macular rod photoreceptor function measurement with a microperimeter. Methods: Macular sensitivity in dark-adapted retinitis pigmentosa (RP) patients (22 eyes; 9-67 years of age) and controls (five eyes; 22-55 years of age) was assessed with a modified Humphrey field analyzer (mHFA), as well as a scotopic microperimeter (Nidek MP-1S). Sensitivity loss (SL) was estimated at rod-mediated locations. All RP eyes were re-evaluated at a second visit 6 months later. The dynamic range of the MP-1S was expanded with a range of neutral-density filters (NDFs). Results: In controls, a 4 NDF was used at all macular locations tested. In patients with RP, 0 to 3 NDFs were used, depending on the local disease severity. At rod-mediated locations (n = 281), SL estimates obtained with the MP-1S were highly correlated (r = 0.80) with those of the mHFA. The inter-perimeter difference of SL averaged less than 3 decibels (dB) with all NDFs, except those with most severe locations evaluated with a 0 NDF, where the difference averaged more than 6 dB. The results were similar on the second visit. Conclusions: The MP-1S estimates of SL are highly correlated with those of the mHFA over a wide range of disease severity replicated at two visits; however, there was an unexplained bias in the magnitude of SL estimated by the MP-1S especially at loci with severe disease. Translational Relevance: MP-1S scotopic microperimetry can be used to evaluate changes to macular rod function, but evaluation of treatment potential by quantitative comparison of SL to retinal structure will be more challenging.


Asunto(s)
Retinitis Pigmentosa , Pruebas del Campo Visual , Humanos , Reproducibilidad de los Resultados , Retina , Retinitis Pigmentosa/diagnóstico
17.
Annu Rev Vis Sci ; 7: 747-772, 2021 09 15.
Artículo en Inglés | MEDLINE | ID: mdl-34255540

RESUMEN

Inherited retinal diseases (IRDs) are at the forefront of innovative gene-specific treatments because of the causation by single genes, the availability of microsurgical access for treatment delivery, and the relative ease of quantitative imaging and vision measurement. However, it is not always easy to choose a priori, from scores of potential measures, an appropriate subset to evaluate efficacy outcomes considering the wide range of disease stages with different phenotypic features. This article reviews measurements of visual function and retinal structure that our group has used over the past three decades to understand the natural history of IRDs. We include measures of light sensitivity, retinal structure, mapping of natural fluorophores, evaluation of pupillary light reflex, and oculomotor control. We provide historical context and examples of applicability. We also review treatment trial outcomes using these measures of function and structure.


Asunto(s)
Retina , Enfermedades de la Retina , Humanos , Enfermedades de la Retina/terapia , Resultado del Tratamiento , Visión Ocular
18.
iScience ; 24(5): 102409, 2021 May 21.
Artículo en Inglés | MEDLINE | ID: mdl-33997691

RESUMEN

A first-in-human clinical trial of gene therapy in Leber congenital amaurosis due to mutations in the GUCY2D gene is underway, and early results are summarized. A recombinant adeno-associated virus serotype 5 (rAAV5) vector carrying the human GUCY2D gene was delivered by subretinal injection to one eye in three adult patients with severe visual loss, nystagmus, but preserved retinal structure. Safety and efficacy parameters were monitored for 9 months post-operatively. No systemic toxicity was detected; there were no serious adverse events, and ocular adverse events resolved. P1 and P2 showed statistically significant rod photoreceptor vision improvement by full-field stimulus testing in the treated eye. P1 also showed improvement in pupillary responses. Visual acuity remained stable from baseline in P1 and P2. P3, however, showed a gain of 0.3 logMAR in the treated eye, indicating greater cone-photoreceptor function. The results show safety and both rod- and cone-mediated efficacy of this therapy.

19.
Nat Med ; 27(5): 785-789, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33795869

RESUMEN

Leber congenital amaurosis due to CEP290 ciliopathy is being explored by treatment with the antisense oligonucleotide (AON) sepofarsen. One patient who was part of a larger cohort (ClinicalTrials.gov NCT03140969 ) was studied for 15 months after a single intravitreal sepofarsen injection. Concordant measures of visual function and retinal structure reached a substantial efficacy peak near 3 months after injection. At 15 months, there was sustained efficacy, even though there was evidence of reduction from peak response. Efficacy kinetics can be explained by the balance of AON-driven new CEP290 protein synthesis and a slow natural rate of CEP290 protein degradation in human foveal cone photoreceptors.


Asunto(s)
Antígenos de Neoplasias/genética , Proteínas de Ciclo Celular/genética , Ciliopatías/terapia , Proteínas del Citoesqueleto/genética , Terapia Genética/métodos , Amaurosis Congénita de Leber/terapia , Oligonucleótidos Antisentido/uso terapéutico , Antígenos de Neoplasias/metabolismo , Proteínas de Ciclo Celular/metabolismo , Ciliopatías/genética , Proteínas del Citoesqueleto/metabolismo , Humanos , Amaurosis Congénita de Leber/genética , Amaurosis Congénita de Leber/fisiopatología , Células Fotorreceptoras/metabolismo , Visión Ocular/fisiología , Campos Visuales/fisiología
20.
Viruses ; 13(2)2021 02 22.
Artículo en Inglés | MEDLINE | ID: mdl-33671828

RESUMEN

Influenza A virus (IAV) is the most common infectious agent in humans, and infects approximately 10-20% of the world's population, resulting in 3-5 million hospitalizations per year. A scientific literature search was performed using the PubMed database and the Medical Subject Headings (MeSH) "Influenza A H1N1" and "Genetic susceptibility". Due to the amount of information and evidence about genetic susceptibility generated from the studies carried out in the last influenza A H1N1 pandemic, studies published between January 2009 to May 2020 were considered; 119 papers were found. Several pathways are involved in the host defense against IAV infection (innate immune response, pro-inflammatory cytokines, chemokines, complement activation, and HLA molecules participating in viral antigen presentation). On the other hand, single nucleotide polymorphisms (SNPs) are a type of variation involving the change of a single base pair that can mean that encoded proteins do not carry out their functions properly, allowing higher viral replication and abnormal host response to infection, such as a cytokine storm. Some of the most studied SNPs associated with IAV infection genetic susceptibility are located in the FCGR2A, C1QBP, CD55, and RPAIN genes, affecting host immune responses through abnormal complement activation. Also, SNPs in IFITM3 (which participates in endosomes and lysosomes fusion) represent some of the most critical polymorphisms associated with IAV infection, suggesting an ineffective virus clearance. Regarding inflammatory response genes, single nucleotide variants in IL1B, TNF, LTA IL17A, IL8, IL6, IRAK2, PIK3CG, and HLA complex are associated with altered phenotype in pro-inflammatory molecules, participating in IAV infection and the severest form of the disease.


Asunto(s)
Predisposición Genética a la Enfermedad , Subtipo H1N1 del Virus de la Influenza A/fisiología , Gripe Humana/genética , Animales , Humanos , Inmunidad Innata , Subtipo H1N1 del Virus de la Influenza A/genética , Gripe Humana/inmunología , Gripe Humana/virología , Replicación Viral
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