Congenital heart defects (CHDs) constitute a major proportion of clinically significant birth defects and are an important component of pediatric cardiovascular disease. Atrioventricular septal defects (AVSDs) include a range of anomalies characterized by atrial, ventricular, and atrioventricular (AV) valve defects. AVSDs commonly occur in the presence of a syndrome, most frequently Down syndrome; they also occur in isolation and are referred to as non-syndromic AVSDs (NSAVSDs). These studies were performed to evaluate for presence of an intermediate phenotype in parents and siblings of a child with a NSAVSD, risk factors associated with NSAVSDs, and prognostic risk factors for left AV valve replacement following primary repair of an AVSD. It was shown that the mean body surface area-standardized AV septal length (AVSL) was significantly shorter in the NSAVSD parents and siblings than in parents and siblings of syndromic AVSD case and control children. Using age- and gender-adjusted body surface area-standardized AVSL, it was determined that there was evidence for two component distributions in parents and siblings of NSAVSD children, suggesting the presence of an intermediate. Broadening the definition of AVSD to include those with a shortened AVSL may increase the power of genetic association and mapping studies to identify susceptibility genes. Risk factors associated with NSAVSD were examined using the 1997-2005 National Birth Defects Prevention Study database. Mothers who actively smoked or were exposed to passive smoke anytime from one month prior to pregnancy through the end of the first trimester were more likely to have an infant with a NSAVSD. There was a suggestive association between AVSDs and use of antibacterial, antifungal, and antiviral medications. Additional investigations are warranted to investigate associations with specific medications as well as to uncover possible gene-environment interaction effects that may modify these risks in order to develop improved primary prevention strategies. Using the Pediatric Cardiac Care Consortium database, factors associated with time to first reoperation and time to replacement following primary AVSD repair were evaluated. Type of AVSD repair, closure of the mitral valve cleft, moderate to severe postoperative left AV valve regurgitation, and presence of postoperative complete heart block were associated with earlier time to reoperation after adjusting for age and weight at AVSD repair. Down syndrome and presence of postoperative mitral stenosis were associated with earlier time to replacement. Prognostic risk factors following left AV valve replacement in children who had previously undergone AVSD repair were also identified. A prosthetic valve size to body weight ratio of greater than 3 and the presence of Down syndrome were identified as predictors of in-hospital death following left AV valve replacement. By adding to our knowledge of the AVSD familial and environmental risk factors from these studies, we will be able to (1) improve genetic counseling, (2) identify other family members for genetic testing, (3) begin to devise primary prevention strategies, and (4) improve treatment modalities. By recognizing prognostic factors which influence survival, optimal patient care can be devised which will not only improve treatment modalities, but also long-term survival.

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Member of the genus Sicista rank among the rarest and the least known European mammals. They exhibit a number of outstanding specificities (hibernation, aestivation etc.) and extreme capability of a rare range dynamics. Their fossil record is fragmentary and associated with numerous controversies. The present thesis summarizes results of a detailed revision of the fossil record of Sicista from Czech Republic, Slovakia and some other countries. It comprises of about 150 items of the Holocene and Vistualian age as well as from the Middle and Early Pleistocene including earliest records from MN17/Q1 boundary and type material of S. praeloriger from Q1 Betfia. Compared to a sample of extant population, variation dynamics of both metrical and nonmetrical dental traits was examined in details with particular attention to phenotype patterns of particular fossil samples. The results demonstrated extensive amount of both within- and between-population variation and rather limited validity of commonly used discrimination criteria of extant clades. Nevertheless, we succeeded in species identification of considerable part of numerous Holocene and Vistulian records which revealed (i) a range expansion of S. subtilis s.l. during MIS 3 with persistent distribution in lowland regions of Central Europe in the Late...

<p>This thesis outlined a novel operationalization and extension of the thrifty phenotype and fetal overnutrition hypotheses, two evolutionary developmental hypotheses stemming from the developmental origins of health and disease perspective, for developmental pathways from prenatal risk through child growth to early puberty. Support has accumulated for both, but previous studies have not clearly determined which hypothesis better predicts early puberty. Using the Fragile Families and Child Wellbeing Study (<i>n</i>=4898), the thrifty phenotype and fetal overnutrition pathways were tested against each other, separately by sex, and race/ethnicity for adrenal, and gonadal pubertal markers. Results indicated that in general, both hypotheses were supported. Contrary to hypotheses, the thrifty phenotype pathway did not predict perceived pubertal timing better in boys and the fetal overnutrition pathway did not predict perceived pubertal timing best in girls. Instead, both pathways predicted puberty equally well between girls and boys and the fetal overnutrition pathway stemming from maternal gestational weight gain was stronger than the pre-pregnancy BMI pathway. Individual paths of the hypothesized pathways were generally supported when analyzed by race/ethnicity group separately, but support for the entire pathways were sparse. Implications of this work are that pubertal timing may be similarly programmed by restrictive and overnutrition prenatal risks, both should be prioritized, and that interventions for maternal gestational weight should be prioritized over interventions for pre-pregnancy BMI for reducing rates of early puberty. </p>

Notre relation avec nos apparentés forme une grande partie de notre monde social; et la façon dont nous reconnaissons et traitons nos apparentés a donné lieu à une importante somme de recherche. Lorsqu'il s'agit de reconnaître un apparenté direct, la similarité faciale est considérée comme un indice d'apparentement. Dans cette thèse, j'étudie si elle joue un rôle comparable lorsqu'il s'agit de reconnaître un apparentement entre des tiers, en menant deux lignes de recherche: les prédictions de comportement népotistiques et les prédictions de préférences de couple, par des tiers, en présence de stimuli faciaux. La catégorisation devant servir l'action, la similarité faciale doit avoir un effet dépendant du contexte sur ces prédictions, susceptible à des changements de valence et de domaine. En l'absence de contexte, les individus semblent pouvoir détecter la similarité faciale et la mettre en relation avec l'apparentement. Nos deux séries d'expériences offrent une conclusion différente. Quand la valence du contexte change et que nous analysons les prédictions des participants en terme de kin selection, leurs choix ne semblent pas mettre en relation similarité faciale et apparentement. / Our relation to our kin shapes much of our social world. It's no surprise then, that how we recognize and react to our own kin has been a widely investigated topic. In particular, when tackling direct kin recognition, facial similarity has emerged as a putative cue of relatedness. In this thesis, I investigate whether or not the same can be said for third party kin recognition. Split between two lines of research, we explore individuals' predictions of nepotistic and mating behavior} in third party scenarios using facial stimuli. These two domains provide the backbone of our research. Categorization must serve action. So, what would strengthen the notion of a presence of third-party kin recognition in humans? Facial similarity \emph{must have} a context-dependent effect on participants predictions, susceptible to valence changes in scenarios and switches from the prosocial and mate choice domains. This is precisely what we set out to do with our two lines of research. Though our literature review revealed that when context is starved participants seem to be able to detect similarity and seemingly connect it to relatedness. Our nepotism and mating series of experiments, by re-inserting context, offers us a different conclusion altogether. Within scenarios in which valence is modified and our participants analysis is bounded by predictions made by kin selection, their choices do no reflect a connection between similarity and relatedness.

Chronic Granulomatous Disease (CGD), a disorder of the NADPH oxidase system, results in phagocyte functional defects and subsequent infections with bacterial and fungal pathogens (such as Aspergillus species and Candida albicans). Deletions and missense, frameshift, or nonsense mutations in the gp91 phox gene (also termed CYBB), located in the Xp21.1 region of the X chromosome, are associated with the most common form of CGD. When larger X-chromosomal deletions occur, including the XK gene deletion, a so-called "Contiguous Gene Deletion Syndrome" may result. The contiguous gene deletion syndrome is known to associate the Kell phenotype/McLeod syndrome with diseases such as X-linked chronic granulomatous disease, Duchenne muscular dystrophy, and X-linked retinitis pigmentosa. These patients are often complicated and management requires special attention to the various facets of the syndrome. © 2011 Watkins et al; licensee BioMed Central Ltd.

Chronic Granulomatous Disease (CGD), a disorder of the NADPH oxidase system, results in phagocyte functional defects and subsequent infections with bacterial and fungal pathogens (such as Aspergillus species and Candida albicans). Deletions and missense, frameshift, or nonsense mutations in the gp91 phox gene (also termed CYBB), located in the Xp21.1 region of the X chromosome, are associated with the most common form of CGD. When larger X-chromosomal deletions occur, including the XK gene deletion, a so-called "Contiguous Gene Deletion Syndrome" may result. The contiguous gene deletion syndrome is known to associate the Kell phenotype/McLeod syndrome with diseases such as X-linked chronic granulomatous disease, Duchenne muscular dystrophy, and X-linked retinitis pigmentosa. These patients are often complicated and management requires special attention to the various facets of the syndrome.

La déficience intellectuelle (DI) est souvent associée à d’autres signes cliniques morphologiques et psychiatriques mais cette comorbidité est peu caractérisée pour la DI associée à un gène donné. Ainsi les mutations du gène p21-activated kinase 3 (PAK3) sont responsable d’un large spectre clinique, allant de la DI légère à des DI sévères associées parfois à des malformations du cerveau. Nous avançons l’hypothèse que les différentes mutations d’un même gène peuvent affecter divers paramètres biochimiques et affecter de manière différentielle les voies de signalisation impliquées dans la plasticité synaptique et dans le développement du cerveau. Pour valider notre hypothèse, nous avons caractérisé une nouvelle mutation responsable d’une déficience intellectuelle sévère associée à une agénésie du corps calleux et une microcéphalie. Cette mutation supprime l’activité kinase, n’affecte pas la stabilité de la protéine et augmente l’interaction avec un GEF de la famille PIX. Ces derniers résultats identifient une nouvelle voie de signalisation impactée par certaines mutations de PAK3. L’expression de ce variant modifie la morphologie cellulaire et la dynamique des adhésions focales, ainsi que les propriétés migratoires des cellules, ce qui pourraient relier les défauts biochimiques aux défauts de certaines fonctions cellulaires. De manière intéressante, ces caractéristiques sont aussi retrouvées pour un autre variant responsable d’une clinique également très sévère. Nous avons également caractérisé d’autres mutations associées à des phénotypes moins sévères. La synthèse de nos résultats nous permet ici de proposer un modèle explicatif de la relation génotype-phénotype pour les mutations de déficience intellectuelle liées au gène PAK3, intégrant des défauts neurodéveloppementaux et de plasticité synaptique. / Intellectual Disability (ID) is often associated with other morphological and psychiatric clinical signs, but this comorbidity is poorly characterized for ID associated with a given gene. Thus mutations of the p21-activated kinase 3 (PAK3) gene are responsible for a broad clinical spectrum, ranging from mild ID to severe ID, sometimes associated with brain malformations. We hypothesize that different mutations of the same gene may affect various biochemical parameters and differentially affect the signaling pathways involved in synaptic plasticity and brain development. To validate our hypothesis, we characterized a new mutation responsible for a severe intellectual disability associated with agenesis of the corpus callosum and microcephaly. This mutation suppresses kinase activity, does not affect protein stability and increases the interaction with a GEF of the PIX family. These latest results identify a new signaling pathway impacted by certain PAK3 mutations. The expression of this variant modifies the cellular morphology and the dynamics of the focal adhesions, as well as cell migratory properties, which could link the biochemical defects to those of certain cell functions. Interestingly, these features are also found for another variant responsible for a very similar severe clinical spectrum. We have also characterized other mutations associated with less severe phenotypes. The synthesis of our results allows us to propose an explanatory model of the genotype-phenotype relationship integrating neurodevelopmental and synaptic plasticity defects for intellectual disability and other clinical traits associated to the PAK3 gene mutations.

In vitro models are often used both to characterize and test therapeutics for neurodevelopmental disorders (‘NDDs’). While in vitro models have extraordinary potential to develop therapies for patients, they have historically been confounded by absence of robust phenotypes and/or in vitro phenotypes that fail to translate from laboratory bench to bedside. Within this thesis work, we attempt to address three areas in which in vitro models may be improved – gene selection, model validation and identification of disease-relevant functional assays suited for therapeutic testing. Publicly available databases aggregating identified and annotated disease-causing variants for Mendelian diseases have rapidly expanded over the past two decades. Elucidating mechanisms of disease and developing therapies using in vivo model systems often is both time and cost intensive. Thus, determining which subsets of genes are more likely to generate addressable signals in a dish may lead to more effective drug development. In chapter 1, we identify a set of genes ideally suited for therapeutic inhibition. Specifically, we leverage the aforementioned large genetic databases to identify a set of genes likely to act through a gain-of-function mechanism that are both tolerant to loss-of-function mutations and in the druggable genome. In chapter 2, we aim to characterize the degree of conservation of transcriptomic dysregulation between a human in vitro cortical organoid (‘hCOs’) model, and two mouse models of a severe neurodevelopmental disorder resulting from HNRNPU deficiency. Human model systems may improve upon animal models when human pathogenesis and patient phenotypes are divergent from animal models due to species-specific etiology. However, human model systems often lack the heterogeneity and cell-type specificity and maturity seen in primary fetal samples. Importantly, some mouse models of HNRNPU deficiency have muted phenotypes compared with human patients. We hypothesized that while there are distinctions between humans and mice with HNRNPU deficiency, there will be overlap in transcriptomic dysregulation between human and mouse models. In fact, we find 45-day-old HNRNPU+/- hCOs have consistent transcriptomic dysregulation to embryonic mouse models, but not to perinatal mice. Our findings suggest hCOs are a viable model for characterizing HNRNPU deficiency; however, such models may only be appropriate for elucidating a transcriptomic disease state at a specific developmental time period. Functional assays for neurodevelopmental disorders can aid in understanding whether transcriptomic dysregulation is relevant to patient symptoms, as genomic findings may not always correlate to disease-relevant phenotypes. Further, relevant functional phenotypes can then be utilized for testing potential therapeutics. Importantly, seizures are commonly present in a significant subset of neurodevelopmental disorders and seizure phenotypes have been described as driven by aberrant synchrony in neuronal networks. Using a multielectrode array platform, investigators can use a variety of computational methods to quantify aspects of synchrony in vitro. In chapter 3a, we introduce topological approaches capable of identifying novel synchrony phenotypes in primary neuronal networks from mouse models of neurodevelopmental disorders. Certain mouse models will be confounded by species-specific pathogenesis and/or vastly different developmental timelines and fail to generalize to human patients, motivating the need for functionally active and physiologically relevant human in vitro models. In chapter 3b, we attempt to generate human networks with balanced levels of excitation and inhibition and find confounding lack of functional maturation of inhibitory neuronal subtypes in 90-day-old stem cell-derived neuronal networks. Future work generating in vitro human neuronal networks with functionally mature inhibitory neurons would complement the findings in chapters 1 and 2 and allow for more efficient therapeutic development strategies that may lead to improved patient outcomes.

Anelosimus studiosus is a socially polyphenic spider. Individuals can be classified as social/tolerant or solitary/aggressive. These behavioral differences are associated with considerable variation in social structure. Here, we begin to examine the physiological differences that may underlie the behavioral dimorphism in this species and possible implications for the evolution of sociality. Octopamine is a neurotransmitter that has been found to elevate aggression in invertebrates. Serotonin has been shown, in some cases, to interact antagonistically with octopamine. We used High Pressure Liquid Chromatography with Electrochemical Detection to quantify levels of these neurochemicals among adult females from social (multi-female) and solitary (single-female) webs in east Tennessee. A subset of spiders was scored for individual social tendency. We found that higher octopamine levels are associated with a greater degree of aggression and intolerance, both at the individual level and the population level, while higher levels of serotonin are found in multi-female colonies and social individuals.