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1.
Nature ; 560(7716): E1, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29875404

RESUMO

In this Brief Communications Arising Reply, the affiliation for author P. H. Templer was incorrectly listed as 'Department of Ecology & Evolutionary Biology, University of California Irvine, Irvine, California 92697, USA' instead of 'Department of Biology, Boston University, Boston, Massachusetts 02215, USA'. This has been corrected online.

2.
Nature ; 540(7631): 104-108, 2016 11 30.
Artigo em Inglês | MEDLINE | ID: mdl-27905442

RESUMO

The majority of the Earth's terrestrial carbon is stored in the soil. If anthropogenic warming stimulates the loss of this carbon to the atmosphere, it could drive further planetary warming. Despite evidence that warming enhances carbon fluxes to and from the soil, the net global balance between these responses remains uncertain. Here we present a comprehensive analysis of warming-induced changes in soil carbon stocks by assembling data from 49 field experiments located across North America, Europe and Asia. We find that the effects of warming are contingent on the size of the initial soil carbon stock, with considerable losses occurring in high-latitude areas. By extrapolating this empirical relationship to the global scale, we provide estimates of soil carbon sensitivity to warming that may help to constrain Earth system model projections. Our empirical relationship suggests that global soil carbon stocks in the upper soil horizons will fall by 30 ± 30 petagrams of carbon to 203 ± 161 petagrams of carbon under one degree of warming, depending on the rate at which the effects of warming are realized. Under the conservative assumption that the response of soil carbon to warming occurs within a year, a business-as-usual climate scenario would drive the loss of 55 ± 50 petagrams of carbon from the upper soil horizons by 2050. This value is around 12-17 per cent of the expected anthropogenic emissions over this period. Despite the considerable uncertainty in our estimates, the direction of the global soil carbon response is consistent across all scenarios. This provides strong empirical support for the idea that rising temperatures will stimulate the net loss of soil carbon to the atmosphere, driving a positive land carbon-climate feedback that could accelerate climate change.


Assuntos
Atmosfera/química , Ciclo do Carbono , Carbono/análise , Geografia , Aquecimento Global , Solo/química , Bases de Dados Factuais , Ecossistema , Retroalimentação , Modelos Estatísticos , Reprodutibilidade dos Testes , Temperatura
4.
Nat Genet ; 14(4): 392-9, 1996 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-8944018

RESUMO

Rieger syndrome (RIEG) is an autosomal-dominant human disorder that includes anomalies of the anterior chamber of the eye, dental hypoplasia and a protuberant umbilicus. We report the human cDNA and genomic characterization of a new homeobox gene, RIEG, causing this disorder. Six mutations in RIEG were found in individuals with the disorder. The cDNA sequence of Rieg, the murine homologue of RIEG, has also been isolated and shows strong homology with the human sequence. In mouse embryos Rieg mRNA localized in the periocular mesenchyme, maxillary and mandibular epithelia, and umbilicus, all consistent with RIEG abnormalities. The gene is also expressed in Rathke's pouch, vitelline vessels and the limb mesenchyme. RIEG characterization provides opportunities for understanding ocular, dental and umbilical development and the pleiotropic interactions of pituitary and limb morphogenesis.


Assuntos
Anormalidades Múltiplas/genética , Proteínas de Homeodomínio/genética , Proteínas Nucleares , Fatores de Transcrição/genética , Sequência de Aminoácidos , Animais , Câmara Anterior/anormalidades , Sequência de Bases , Clonagem Molecular , Análise Mutacional de DNA , DNA Complementar , Desenvolvimento Embrionário e Fetal/genética , Éxons , Proteínas de Homeodomínio/metabolismo , Humanos , Camundongos , Dados de Sequência Molecular , Fatores de Transcrição Box Pareados , Homologia de Sequência de Aminoácidos , Síndrome , Anormalidades Dentárias , Fatores de Transcrição/metabolismo , Umbigo/anormalidades , Proteína Homeobox PITX2
5.
Nat Genet ; 13(4): 492-4, 1996 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8696350

RESUMO

Beare-Stevenson cutis gyrata syndrome (MIM 123790) is an autosomal dominant condition characterized by the furrowed skin disorder of cutis gyrata, acanthosis nigricans, craniosynostosis, craniofacial dysmorphism, digital anomalies, umbilical and anogenital abnormalities and early death. Many of these features are characteristic of some of the autosomal dominant craniosynostotic syndromes. Mutations in Crouzon, Jackson-Weiss, Pfeiffer and Apert syndromes have been reported in the FGFR2 extracellular domain. In Crouzon syndrome patients with acanthosis nigricans, a recurrent mutation occurs in the transmembrane domain of FGFR3. We now describe the detection of FGFR2 mutations in the Beare-Stevenson cutis gyrata syndrome. In three sporatic cases, a novel missense mutation was found causing an amino acid to be replaced by a cysteine; two had the identical Ty375Cys mutation in the transmembrane domain and one had a Ser372Cys mutation in the carboxyl-terminal end of the linker region between the immunoglobulin III-like (Iglll) and transmembrane domains. In two patients, neither of these mutations were found suggesting further genetic heterogeneity.


Assuntos
Anormalidades Múltiplas/genética , Receptores Proteína Tirosina Quinases/genética , Receptores de Fatores de Crescimento de Fibroblastos/genética , Anormalidades da Pele , Acantose Nigricans/genética , Sequência de Aminoácidos , Sequência de Bases , Craniossinostoses/genética , Primers do DNA/química , Éxons , Feminino , Genes Dominantes , Humanos , Masculino , Glicoproteínas de Membrana/genética , Dados de Sequência Molecular , Linhagem , Mutação Puntual , Receptor Tipo 2 de Fator de Crescimento de Fibroblastos , Síndrome
6.
Clin Genet ; 80(6): 566-73, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21204800

RESUMO

Disorders of the Ras/mitogen-activated protein kinase (MAPK) pathway have an overlapping skeletal phenotype (e.g. scoliosis, osteopenia). The Ras proteins regulate cell proliferation and differentiation and neurofibromatosis type 1 (NF1) individuals have osteoclast hyperactivity and increased bone resorption as measured by urine pyridinium crosslinks [pyridinoline (Pyd) and deoxypyridinoline (Dpd)]. Pyd and Dpd are hydroxylysine-derived crosslinks of collagen found in bone and cartilage and excreted in the urine. Dpd is most abundant in bone. The aim of this study was to evaluate if other syndromes of the Ras/MAPK pathway have increased bone resorption, which may impact the skeletal phenotype. Participants were individuals with Noonan syndrome (n = 14), Costello syndrome (n = 21), and cardiofaciocutaneous (CFC) syndrome (n = 14). Pyridinium crosslinks from two consecutive first morning urines were extracted after acid hydrolysis and analyzed by high performance liquid chromatography. Three separate analyses of covariance were performed to compare Pyd, Dpd, and Dpd/Pyd ratio of each group to controls after controlling for age. Data were compared to 99 healthy controls. The Dpd and the Dpd/Pyd ratio were elevated (p < 0.0001) in all three conditions compared to controls suggesting that collagen degradation was predominantly from bone. The data suggest that the Ras/MAPK signal transduction pathway is important in bone homeostasis.


Assuntos
Reabsorção Óssea/patologia , Sistema de Sinalização das MAP Quinases , Proteínas Proto-Oncogênicas p21(ras)/genética , Transdução de Sinais , Absorciometria de Fóton , Adolescente , Adulto , Aminoácidos/urina , Biomarcadores/urina , Densidade Óssea , Reabsorção Óssea/genética , Reabsorção Óssea/urina , Estudos de Casos e Controles , Criança , Pré-Escolar , Cromatografia Líquida de Alta Pressão , Estudos de Coortes , Colágeno/urina , Síndrome de Costello/genética , Síndrome de Costello/patologia , Síndrome de Costello/urina , Análise Mutacional de DNA , Displasia Ectodérmica/genética , Displasia Ectodérmica/patologia , Displasia Ectodérmica/urina , Fácies , Insuficiência de Crescimento/genética , Insuficiência de Crescimento/patologia , Insuficiência de Crescimento/urina , Feminino , Testes Genéticos , Cardiopatias Congênitas/genética , Cardiopatias Congênitas/patologia , Cardiopatias Congênitas/urina , Humanos , Hidrólise , Masculino , Síndrome de Noonan/genética , Síndrome de Noonan/patologia , Síndrome de Noonan/urina , Proteína Tirosina Fosfatase não Receptora Tipo 11/genética , Adulto Jovem
7.
J Med Genet ; 46(6): 389-98, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19346217

RESUMO

BACKGROUND: Holoprosencephaly (HPE) is the most common structural malformation of the human forebrain. There are several important HPE mutational target genes, including the transcription factor SIX3, which encodes an early regulator of Shh, Wnt, Bmp and Nodal signalling expressed in the developing forebrain and eyes of all vertebrates. OBJECTIVE: To characterise genetic and clinical findings in patients with SIX3 mutations. METHODS: Patients with HPE and their family members were tested for mutations in HPE-associated genes and the genetic and clinical findings, including those for additional cases found in the literature, were analysed. The results were correlated with a mutation-specific functional assay in zebrafish. RESULTS: In a cohort of patients (n = 800) with HPE, SIX3 mutations were found in 4.7% of probands and additional cases were found through testing of relatives. In total, 138 cases of HPE were identified, 59 of whom had not previously been clinically presented. Mutations in SIX3 result in more severe HPE than in other cases of non-chromosomal, non-syndromic HPE. An over-representation of severe HPE was found in patients whose mutations confer greater loss of function, as measured by the functional zebrafish assay. The gender ratio in this combined set of patients was 1.5:1 (F:M) and maternal inheritance was almost twice as common as paternal. About 14% of SIX3 mutations in probands occur de novo. There is a wide intrafamilial clinical range of features and classical penetrance is estimated to be at least 62%. CONCLUSIONS: Our data suggest that SIX3 mutations result in relatively severe HPE and that there is a genotype-phenotype correlation, as shown by functional studies using animal models.


Assuntos
Proteínas do Olho/genética , Holoprosencefalia/genética , Proteínas de Homeodomínio/genética , Proteínas do Tecido Nervoso/genética , Distribuição de Qui-Quadrado , Estudos de Coortes , Análise Mutacional de DNA , Feminino , Holoprosencefalia/diagnóstico , Holoprosencefalia/fisiopatologia , Humanos , Masculino , Mutação , Penetrância , Fenótipo , Fatores Sexuais , Proteína Homeobox SIX3
8.
Science ; 191(4227): 578-9, 1976 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-943127

RESUMO

Behavioral deficits in adult rats exposed perinatally to thiouracil were substantially reduced or elimated by a 5-week period of "superenriched" postweaning rearing conditions before testing. This treatment resulted in remediation of hypothyroid rats' deficits in maze learning, maze retention, and resistance to extinction of bar-pressing; the facilitative effect persisted for more than 4 months. These behavioral results were consistent with neurohistological findings from studies of early thyroid deficiency and postweaning environmental stimulation in rats.


Assuntos
Hipotireoidismo Congênito/terapia , Modelos Animais de Doenças , Meio Ambiente , Fatores Etários , Animais , Hipotireoidismo Congênito/induzido quimicamente , Hipotireoidismo Congênito/fisiopatologia , Extinção Psicológica/fisiologia , Feminino , Hipotireoidismo/induzido quimicamente , Hipotireoidismo/fisiopatologia , Aprendizagem/fisiologia , Gravidez , Ratos , Retenção Psicológica/fisiologia , Tiouracila
9.
Estuaries Coast ; 40(3): 651-661, 2017 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-30008626

RESUMO

Northeastern US salt marshes face multiple co-stressors, including accelerating rates of relative sea level rise (RSLR), elevated nutrient inputs, and low sediment supplies. In order to evaluate how marsh surface elevations respond to such factors, we used surface elevation tables (SETs) and surface elevation pins to measure changes in marsh surface elevation in two eastern Long Island Sound salt marshes, Barn Island and Mamacoke Marsh. We compare marsh elevation change at these two systems with recent rates of RSLR and find evidence of differences between the two sites; Barn Island is maintaining its historic rate of elevation gain (2.3± 0.24 mm yr-1 from 2003 to 2013) and is no longer keeping pace with RSLR, while Mamacoke shows evidence of a recent increase in rates (4.2 ± 0.52 mm yr-1 from 1994 to 2014) to maintain its elevation relative to sea level. In addition to data on short-term elevation responses at these marshes, both sites have unusually long and detailed data on historic vegetation species composition extending back more than half a century. Over this study period, vegetation patterns track elevation change relative to sea levels, with the Barn Island plant community shifting towards those plants that are found at lower elevations and the Mamacoke vegetation patterns showing little change in plant composition. We hypothesize that the apparent contrasting trend in marsh elevation at the sites is due to differences in sediment availability, salinity, and elevation capital. Together these two systems provide critical insight into the relationships between marsh elevation, high marsh plant community, and changing hydroperiods. Our results highlight that not all marshes in southern New England may be responding to accelerated rates of RSLR in the same manner.

10.
Estuaries Coast ; 40(3): 617-625, 2017 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-30271312

RESUMO

In southern New England, salt marshes are exceptionally vulnerable to the impacts of accelerated sea level rise. Regional rates of sea level rise have been as much as 50% greater than the global average over past decades: a more than four-fold increase over late-Holocene background values. In addition, coastal development blocks many potential marsh migration routes, and compensatory mechanisms relying on positive feedbacks between inundation and sediment deposition are insufficient to counter inundation increases in extreme low turbidity tidal waters. Accordingly, multiple lines of evidence suggest marsh submergence is occurring in southern New England. A combination of monitoring data, field re-surveys, radiometric dating, and analysis of peat composition have established that, beginning in the early and mid-twentieth century, the dominant low marsh plant, Spartina alterniflora, has encroached upwards in tidal marshes, and typical high marsh plants, including Juncus gerardii and Spartina patens have declined, providing strong evidence that vegetation changes are being driven, at least in part, by higher water levels. Additionally, aerial and satellite imagery show shoreline retreat, widening and headward extension of channels, and new and expanded interior depressions. Papers in this special section highlight changes in marsh-building processes, patterns of vegetation loss, and shifts in species composition. The final papers turn to strategies for minimizing and coping with marsh loss by managing adaptively and planning for landward marsh migration. It is hoped that this collection offers lessons that will be of use to researchers and managers on coasts where relative sea level is not yet rising as fast as in southern New England.

11.
J Musculoskelet Neuronal Interact ; 5(2): 145-9, 2005 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15951630

RESUMO

Skeletal anomalies are observed in neurofibromatosis type 1 (NF1), but the pathogenesis is unknown. Given that muscle mass is important in the development of the strength of bone, peripheral quantitative computed tomography (pQCT) was utilized to compare measurements of muscle compartments between NF1 individuals and controls. Forty individuals with NF1 (age 5-18 years) were evaluated. Cross-sectional measurements, at the 66% tibial site, were obtained using pQCT (XCT-2000, Stratec) and variables were compared to controls without NF1 ((age 5-18 years, N=380) using analysis-of-covariance controlling for age, height, Tanner stage, and gender. The NF1 cohort showed decreased total cross-sectional area [p<0.001], decreased muscle plus bone cross-sectional area [p<0.001], decreased muscle cross-sectional area [p<0.001], and decreased Stress Strain Index [p=0.010]. These data indicate that NF1 individuals have decreased muscle cross-sectional area and decreased bone strength than individuals without NF1.


Assuntos
Osso e Ossos/fisiopatologia , Músculo Esquelético/fisiopatologia , Neurofibromatose 1/fisiopatologia , Adolescente , Estudos de Casos e Controles , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Tomografia Computadorizada por Raios X
12.
Pediatrics ; 85(4): 526-30, 1990 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-2314965

RESUMO

The velocardiofacial syndrome is an autosomal dominant disorder characterized by cleft palate, cardiac anomalies, characteristic facies, and learning disabilities. The Di George anomaly involves developmental defects of the third and fourth pharyngeal pouches, resulting in thymic and parathyroid hypoplasia and cardiac defects. The cases of individuals in two families help substantiate the notion that the Di George anomaly occurs as a feature of the velocardiofacial syndrome. The proband in family 1 was a male infant with persistent hypocalcemia and cardiac defects consisting of truncus arteriosus, atrial septal defect, ventricular septal defect, and abnormal aortic arch vessels. Autopsy revealed absence of thymic and parathyroid tissue, and the Di George anomaly was diagnosed. His father had a submucous cleft palate, T cell dysfunction, and facial features consistent with the velocardiofacial syndrome. This is the third case of male-to-male transmission of velocardiofacial syndrome. The proband of family 2 was a 4-year-old girl with developmental delay, persistent neonatal hypocalcemia, ventricular septal defect, T cell dysfunction, and facial features of the velocardiofacial syndrome. The Di George anomaly has been reported to occur in at least 18 different disorders. The observation that the Di George anomaly is a component manifestation of the velocardiofacial syndrome in these two families provides further evidence that the Di George anomaly is not a distinct syndrome of a single origin but rather a heterogeneous developmental field defect. It is proposed that all previously reported cases of autosomal dominant Di George anomaly are examples of the velocardiofacial syndrome.


Assuntos
Fissura Palatina , Síndrome de DiGeorge/genética , Cardiopatias Congênitas , Síndromes de Imunodeficiência/genética , Insuficiência Velofaríngea/genética , Adulto , Pré-Escolar , Fissura Palatina/genética , Face/anormalidades , Feminino , Genes Dominantes , Cardiopatias Congênitas/genética , Humanos , Hipocalcemia/complicações , Linfócitos/imunologia , Masculino , Síndrome , Insuficiência Velofaríngea/imunologia
13.
Pediatrics ; 71(2): 219-23, 1983 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-6823423

RESUMO

Two patients with the Marshall-Smith syndrome are described. Both had significant and fatal respiratory distress attributable to this condition. Congenital, functional, and acquired abnormalities of the respiratory tract are described in nine of the 11 case reports in the literature and are characteristic of this syndrome as well as a primary cause of failure to thrive and death in these patients. Unusual immunologic findings in one of our two patients are the first to be reported in the Marshall-Smith syndrome. Quantitation of immune function in other patients with this condition will be helpful in determining the significance of these results. It is hoped that the etiology of the syndrome will be discovered as more cases are recognized and reported by pediatricians caring for infants with failure to thrive, advanced bone age, and chronic respiratory symptomatology.


Assuntos
Anormalidades Múltiplas/diagnóstico , Doenças do Desenvolvimento Ósseo/diagnóstico , Transtornos Respiratórios/diagnóstico , Face , Feminino , Crescimento , Humanos , Lactente , Recém-Nascido , Masculino , Anormalidades do Sistema Respiratório , Síndrome
14.
Pediatrics ; 73(5): 670-5, 1984 May.
Artigo em Inglês | MEDLINE | ID: mdl-6718125

RESUMO

Nine children with a partial deletion of the short arm of the number 10 chromosome have been described in the medical literature. In two new cases of 10p-, the children have several features in common with those previously reported; these features include down-slanting short palpebral fissures, ear anomalies, anteverted nostrils, a short neck, and psychomotor delay. At this stage in the delineation of this condition, the phenotypic expression is variable. However, the craniofacial features of the two children with recently reported 10p- and others display a constellation of individually nonspecific but consistent findings that together form a recognizable gestalt. Pediatric practitioners should consider performing karyotypes in children with developmental disabilities accompanied by multiple structural defects and/or multiple physical variations not part of the family background.


Assuntos
Deleção Cromossômica , Cromossomos Humanos 6-12 e X/ultraestrutura , Face/anormalidades , Anormalidades Múltiplas/genética , Humanos , Lactente , Masculino , Transtornos Psicomotores/genética , Síndrome
15.
Pediatrics ; 103(4 Pt 1): 830-6, 1999 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10103318

RESUMO

Wolf-Hirschhorn syndrome (WHS) is a well-known chromosomal disorder attributable to partial deletion of the short arm of chromosome 4 (4p-). Although about 120 cases have been reported so far, there is still very little data on its natural history. Information given to parents at the time of diagnosis tends to be skewed to the extreme negative. To help delineate more thoroughly the natural history of WHS, and to obtain better information to answer parents' questions in a clinical setting, we evaluated 15 patients (12 females, 3 males) in three centers with the 4p- syndrome. Four of the cases had a follow-up spanning 16 years. Thirteen cases were detected by standard cytogenetics (regular G-banding 10, high-resolution banding 3), while the remaining 2 required fluorescence in situ hybridization. A total of 5/15 (33.3%) had heart lesions; 7/15 (46. 6%) had oral facial clefts; 13/15 (86.6%) had a seizure disorder, that tended to disappear with age; and 100% had severe/profound developmental retardation. One Italian patient had sensorineural deafness and 1 Utah patient had a right split hand defect. Of note, 2 Utah patients were able to walk with support (at 4 and 12 years of age, respectively), whereas 3 Italian patients and 1 Utah patient were able to walk unassisted (at 4, 5, 5 years 9 months, and 7 years of age, respectively). Two of the 3 Italian patients also achieved sphincter control (by day). The 8 patients receiving serial electroencephalogram studies showed fairly distinctive abnormalities, usually outlasting seizures. A slow, but constant progress in development was observed in all cases, during the follow-up period. In conclusion, the combined cases of the three centers represent considerable experience, providing new information on several aspects of this important deletion syndrome.


Assuntos
Desenvolvimento Infantil , Anormalidades do Olho , Microcefalia , Anormalidades da Boca , Adolescente , Criança , Pré-Escolar , Deleção Cromossômica , Cromossomos Humanos Par 4 , Orelha Externa/anormalidades , Feminino , Humanos , Lactente , Deficiência Intelectual , Masculino , Convulsões
16.
Am J Med Genet ; 49(2): 170-4, 1994 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-8116664

RESUMO

Prenatal diagnosis of trisomy 18 by amniocentesis in the latter half of pregnancy is now a common event. Accurate prognostic information is crucial for families making decisions about delivery management. Three recently published studies showed much shorter survival for trisomy 18 than was reported by earlier papers. For this reason, we studied trisomy 18 survival. We examined chromosome laboratory records to find all trisomy 18 diagnoses made in Utah between 1979 and 1988. Death certificates and hospital records were used to determine survival. We found 64 liveborn cases with trisomy 18 out of 388,563 total births over the 10-year period, a prevalence of 1/6071. Our results show a median survival of 4 days and a 1 week survival of 45%, similar to that reported in the 3 recent studies. However, we had a significantly greater survival at 6 months (9% in Utah versus 3% in Denmark) and 1 year (5% versus 0 in the 3 studies). In contrast to recent studies, earlier investigations showed 80% survival at 2 weeks and 8% at 1 year. It is not surprising that recent studies show shorter survival, since in the 1960s the diagnosis was typically not made until age 2 months. With prenatal and neonatal diagnosis many cases which would have died prior to detection in earlier times are now diagnosed. The longer survival discrepancies are more difficult to explain, but may simply be due to small numbers.


Assuntos
Anormalidades Múltiplas/mortalidade , Aberrações Cromossômicas/mortalidade , Cromossomos Humanos Par 18 , Trissomia/fisiopatologia , Criança , Pré-Escolar , Transtornos Cromossômicos , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Prevalência , Fatores Sexuais , Taxa de Sobrevida , Utah/epidemiologia
17.
Am J Med Genet ; 31(1): 17-23, 1988 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-3223497

RESUMO

We describe findings in four children, three of whom are sibs, who appear to have the same, previously undescribed multiple congenital anomaly (MCA) syndrome. The main manifestations include agenesis of the corpus callosum, telecanthus, short palpebral fissures, small nose with anteverted nares, Robin sequence, abnormal ears, redundant neck skin, laryngeal anomalies, cardiac defect, short hands, and hypotonia. The presence of this condition in sibs of each sex suggests that autosomal recessive inheritance is the most likely cause.


Assuntos
Anormalidades Múltiplas/genética , Agenesia do Corpo Caloso , Genes Recessivos , Doenças em Gêmeos , Feminino , Humanos , Recém-Nascido , Sistemas de Informação , Masculino , Síndrome , Gêmeos Monozigóticos
18.
Am J Med Genet ; 89(1): 7-13, 1999 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-10469431

RESUMO

Neurofibromatosis type 1 (NF1) is a pleiotropic autosomal dominant disorder with marked variability of clinical expression. As in other heritable disorders, the mapping and cloning of the gene responsible for NF1 have increased our understanding of the pathogenesis of the condition. In particular, the phenotypic variability and variable expressivity can be studied using molecular techniques. In this article we summarize the current knowledge of genotype/phenotype correlation in NF1 and examine the potential molecular basis for variable expressivity. Am. J. Med. Genet. (Semin. Med. Genet.) 89:7-13, 1999.


Assuntos
Neurofibromatose 1/genética , Mapeamento Cromossômico , Genes Dominantes , Humanos , Modelos Genéticos , Neurofibromatose 1/classificação , Neurofibromatose 1/fisiopatologia
19.
Am J Med Genet ; 89(2): 111-5, 1999 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-10559766

RESUMO

Wolf-Hirschhorn syndrome (WHS) is a well-known malformation syndrome due to microdeletion of the short arm of chromosome 4 (4p-). Almost 120 cases have been reported so far, yet there is still limited information on its natural history. It is generally thought that these children have severe developmental disabilities and tend to be mere survivors devoid of personality. It is evident to us [Battaglia et al., 1999a, 1999b], however, that individuals with WHS are capable of greater psychomotor development than previously suggested [Guthrie et al., 1971]. Thus, it is even more important to establish guidelines for health supervision and anticipatory guidance of such patients. This would help professionals and families in developing the most appropriate individualized plan for each child, in order to allow the maximum achievement possible. In the present article we propose guidelines for health supervision and anticipatory guidance of individuals with WHS. These guidelines derive from our experience with the natural history of several children, adolescents, and adults with WHS, gained through the literature, personal observation, and contacts with the national support groups in North America and Italy.


Assuntos
Aberrações Cromossômicas , Transtornos Cromossômicos , Cromossomos Humanos Par 4/genética , Atenção à Saúde , Anormalidades Múltiplas/fisiopatologia , Aberrações Cromossômicas/diagnóstico , Aberrações Cromossômicas/genética , Aberrações Cromossômicas/fisiopatologia , Deleção Cromossômica , Surdez/fisiopatologia , Deficiências do Desenvolvimento/fisiopatologia , Ingestão de Alimentos , Humanos , Nefropatias/fisiopatologia , Guias de Prática Clínica como Assunto , Convulsões/fisiopatologia , Síndrome
20.
Am J Med Genet ; 71(1): 97-105, 1997 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-9215777

RESUMO

The term "Limb Body Wall Defect" (LBWD) refers to a variable group of congenital defects having in common abdomino- or thoraco-schisis and limb deficiency. Three general pathogenic mechanisms have been proposed for this disorder: amnion rupture, vascular disruption, and embryonic malformation. We hypothesize that there are subsets of "Limb Body Wall Defect," which have similar structural abnormalities and a common pathogenesis. We report on five cases of LBWD that were selected by using more restrictive criteria. An infant or fetus was included if it had abdominoschisis with a broad attachment of skin to amnion at the site of the abdominal wall defect, limb defects, and umbilical cord agenesis. Autopsy detected additional common structural defects. All had evisceration of the gastrointestinal structures into the extra-embryonic coelomic space with structural abnormalities of the intestines. All had scoliosis, thoracic deformities, pulmonary hypoplasia, and structural abnormalities of the cloaca and urogenital ridge. Four of five had meningomyelocele. Three had exstrophy of the cloaca. The four females all had ovarian agenesis and incomplete Mullerian fusion. None had normal development of the external genitalia. We propose that the pathogenesis was a primary malformation of body wall closure, with abnormal fusion of the amnion, which had occurred in the first month of development.


Assuntos
Músculos Abdominais/anormalidades , Tórax/anormalidades , Cordão Umbilical/anormalidades , Aborto Terapêutico , Adulto , Âmnio/anormalidades , Âmnio/patologia , Autopsia , Feminino , Feto/anormalidades , Feto/patologia , Idade Gestacional , Humanos , Deformidades Congênitas dos Membros , Modelos Biológicos , Gravidez
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