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Framtidens ledarskap inom offentligsektor. : Universalgeni, trollkonstnär eller bara en helt vanlig människaBolmgren, Eva, Linnberg, Lis January 2010 (has links)
<p>Syftet med detta arbete är att försöka ta reda på vilka egenskaper som framtidens ledare kommer att behöva inom den kommunala sektorn, men också om det finns eventuella förutsättningar som måste förändras för framtidens ledare. Tio intervjuer genomfördes med personer på ledande positioner inom fyra kommuner i Mellansverige. Utifrån detta sammanställdes intervjumaterialet, och ur detta framkom tre övergripande huvudområden organisation, egenskaper och framtid som sen utmynnade i ett antal ledord. Mot dessa tolkades teorier i ett försök att koppla de till det framtida ledarskapet. Slutsatsen är att det inte finns bara en teori att förhålla sig till, utan det gäller att kunna hantera kontexten och förutsättningarna, och utifrån den kunna anpassa sig. Ett transformativt synsätt kring ledarskap kan vara ett sätt att lyckas i framtiden.</p>
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The Genetics of Speciation and Colouration in Carrion and Hooded CrowsPoelstra, Jelmer January 2013 (has links)
A fundamental goal in biological research is to gain an understanding of the evolutionary processes and genetic elements that drive speciation. Genes responsible for reproductive isolation in young divergent lineages are particularly poorly known. In this thesis, the speciation genetics of carrion (Corvus (corone) corone) and hooded (C. (corone) cornix) crows were studied. These taxa differ strikingly in colouration and meet in a narrow hybrid zone in Europe, yet appear to be very similar genetically. A major component of reproductive isolation is social selection on colour differences. First, we investigated the genetic basis of plumage divergence between carrion and hooded crows using a candidate gene approach. Nucleotide divergence was confirmed to be low, while there was no evidence for any of the sequenced genes to be associated with colour differences. Second, we performed a simulation study to assess the performance of RNA-seq, a relatively novel approach that we later employed ourselves. We asked how variation in transcriptome complexity and bioinformatic workflow affected the accuracy of gene expression profiling. We generally found reassuring robustness and made a number of specific recommendations. Third, we compared the corticosterone stress response of carrion and hooded crows. In accordance with the hypothesis that the degree of melanization and physiological traits are correlated due to pleiotropy, we found a higher stress response in hooded crows, and detected possibly associated gene expression in pituitary. Fourth, we investigated genomic divergence by assembling a hooded crow reference genome followed by whole-genome resequencing of four European population samples. Northern European carrion crows were more similar to hooded crows than to Spanish carrion crows, pointing towards rampant introgression far beyond the hybrid zone. Nevertheless, several narrow genomic regions harboured high between-taxon divergence and were potentially associated with phenotypic traits. Fifth, we compared whole-transcriptome gene expression profiles between crows, focusing on skin with developing feathers. We used a design that allowed to differentiate between taxon-specific, colour-specific and body patterning effects. Widespread underexpression of genes in the melanogenesis pathway was associated with grey colour, and we detected several genes that may contribute to colour divergence in this system.
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Syndrome de Usher : outils innovants pour une exploration moléculaire exhaustive / Usher syndrome : advanced tools for a comprehensive molecular explorationBesnard, Thomas 05 December 2012 (has links)
Le syndrome de Usher est une maladie génétique associant surdité congénitale et rétinopathie pigmentaire (RP), auxquelles peuvent s'ajouter des troubles vestibulaires. Les différences phénotypiques, distinguées en 3 types cliniques, s'accompagnent d'une hétérogénéité génétique impliquant au moins 10 gènes. Identifier et caractériser les causes moléculaires grâce aux outils d'analyses génétiques disponibles permet d'améliorer la compréhension des mécanismes physiopathologiques à l'origine des symptômes du syndrome de Usher. Dans ce cadre, nous nous sommes inscrits dans une recherche d'exhaustivité des études moléculaires. Dans un premier temps, nous avons ainsi mis en place l'analyse et défini le spectre mutationnel des gènes minoritairement impliqués dans le type II (GPR98 et DFNB31). Nous avons également développé différents outils, notamment pour l'analyse de variants altérant le mécanisme d'épissage ou touchant les régions promotrices des gènes USH2.Ces travaux permettent d'obtenir un taux de détection des altérations conduisant au syndrome de Usher type 2 de 90 %. Ce taux est maintenant similaire à celui observé pour le type 1, qui constituait jusqu'ici la référence.Nous avons, dans un second temps, développé le séquençage nouvelle génération (NGS) appliqué à l'exome Usher. L'objectif de cette analyse était de tester la faisabilité et l'efficacité de cette approche, en vue de son éventuelle utilisation en diagnostic moléculaire. La définition des critères de qualité et la mise en place de la priorisation des variants ont été réalisées sur un groupe contrôle. L'étude a ensuite été étendue sur une cohorte de patients. Les résultats obtenus montrent qu'une utilisation en diagnostic est possible mais restera dépendante de l'amélioration de la technique du séquençage, de son analyse et des outils bioinformatiques pour interpréter le volume de données ainsi généré. / Usher syndrome is a genetic disorder combining sensorineural hearing loss (HL) and retinitis pigmentosa (RP). Some patients will also exhibit vestibular areflexia (VA). Clinical and genetic heterogeneity is recognized as the 3 clinical subgroups, defined mainly on the degree of HL and VA, can be caused by mutations in one of the 10 known genes. It is important to use all accessible genetic tools to identify and characterize molecular origin in order to improve the knowledge of the physiopathological mechanisms causing Usher Syndrome.In this context, we have developed an exhaustive approach. In a first step, we have implemented the analysis and established the mutational spectrum of the 2 minor USH2 genes (GPR98 and DFNB31). In addition, we have developed several tools, in particular to study variants susceptible to alter splicing or lying in the promoter regions of the USH2 genes.Thanks to this work, the USH2 mutation detection rate has now been raised to 90%, similar to that of USH1.We have then designed a targeted exome of the Usher genes to be sequenced using the GS Junior system (Roche 454). The aim of the study was to test the feasibility of this new technics for a possible transfer to diagnostic facilities. Quality criteria and variant priorization were set up on a control cohort (previously studied in one of the USH gene). The study has then been extended on a patient cohort. Our results indicate that NGS Usher-exome can be used in molecular diagnostics but improvement of the reliability of the sequencing technology, bioinformatics tools and dedicated databases is essential.
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A design comparison between IPv4 and IPv6 in the context of MYSEA, and implementation of an IPv6 MYSEA prototypeO'Neal, Matthew R. 06 1900 (has links)
Approved for public release, distribution is unlimited / Internet Protocol version six (IPv6), the next generation Internet Protocol, exists sparsely in today's world. However, as it gains popularity, it will grow into a vital part of the Internet and communications technology in general. Many large organizations, including the Department of Defense, are working toward deploying IPv6 in many varied applications. This thesis focuses on the design and implementation issues that accompany a migration from Internet Protocol version four (IPv4) to IPv6 in the Monterey Security Enhanced Architecture (MYSEA). The research for this thesis consists of two major parts: a functional comparison between the IPv6 and IPv4 designs, and a prototype implementation of MYSEA with IPv6. The current MYSEA prototype relies on a subset of Network Address Translation (NAT) functionality to support the network's operation; and, due to the fact that IPv6 has no native support for NAT, this work also requires the creation of a similar mechanism for IPv6. This thesis provides a preliminary examination of IPv6 in MYSEA, which is a necessary step in determining whether the new protocol will assist with or detract from the enforcement of MYSEA policies. / Ensign, United States Navy
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Computational Pipeline for Human Transcriptome Quantification Using RNA-seq DataXu, Guorong 04 August 2011 (has links)
The main theme of this thesis research is concerned with developing a computational pipeline for processing Next-generation RNA sequencing (RNA-seq) data. RNA-seq experiments generate tens of millions of short reads for each DNA/RNA sample. The alignment of a large volume of short reads to a reference genome is a key step in NGS data analysis. Although storing alignment information in the Sequence Alignment/Map (SAM) or Binary SAM (BAM) format is now standard, biomedical researchers still have difficulty accessing useful information. In order to assist biomedical researchers to conveniently access essential information from NGS data files in SAM/BAM format, we have developed a Graphical User Interface (GUI) software tool named SAMMate to pipeline human transcriptome quantification. SAMMate allows researchers to easily process NGS data files in SAM/BAM format and is compatible with both single-end and paired-end sequencing technologies. It also allows researchers to accurately calculate gene expression abundance scores.
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Avaliação das causas genéticas em pacientes com neuropatia hereditária utilizando técnicas de sequenciamento de nova geração (NGS) / Next generation sequencing in patients with hereditary neuropathyTomaselli, Pedro José 03 September 2018 (has links)
As neuropatias periféricas hereditárias são um grupo heterogêneo de doenças relacionadas que afetam o sistema nervoso periférico. Elas podem ser classificadas de acordo com a velocidade de condução motora nos membros superiores (tipo 1 - CMT1, tipo 2 - CMT2 ou intermediário - iCMT), de acordo com o padrão de herança (autossômicas dominantes, autossômicas recessivas ou ligadas ao X) e quanto ao fenótipo de apresentação (neuropatias hereditária sensitivo e motora - CMT, neuropatia hereditária sensitiva - HSN ou neuropatia motora hereditária distal - dHMN). O uso das tecnologias de sequenciamento de nova geração (NGS) para diagnóstico de pacientes com neuropatia hereditária é particularmente eficiente uma vez que representa uma doença Mendeliana com mais de 90 genes diferentes relacionados. Foram avaliados 30 pacientes com diferentes subtipos de neuropatia hereditária (3 CMT1, 12 CMT2, 8 iCMT, 4 dHMN e 3 HSN). Foram identificadas 6 mutações (SH3TC2, GDAP1, MME, IGHMBP2, 2 AARS) e 7 variantes provavelmente patogênicas (KIF1A, DRP2, MME, MPZ, VRK1, SIGMAR1, FLVCR1). Com uma taxa de positividade de 43.3%. As variantes provavelmente patogênicas foram consideradas como a causa da apresentação fenotípica apresentada pelos pacientes baseado na frequência de variantes nos bancos de população normal, no efeito bioquímico das variantes sobre a estrutura proteica e pela análise in silico. No entanto, essas variantes necessitam de evidências adicionais que confirmem sua patogenicidade. Foram identificadas variantes novas nos genes MPZ, KIF1A, DRP2, IGHMBP2, VRK1, SIGMAR1 e FLVCR1 ampliando a variabilidade genotípica desses genes. A associação das mutações identificadas nos genes VRK1, KIF1A, IGHMBP2 e FLVRC1 permitiu a expansão dos fenótipos relacionados a esses genes. Mutações no gene VRK1 podem causar uma dHMN com sinais de liberação piramidal e envolviemento preferencial do compartimento posterior da perna. Transtorno do espectro autista pode ser observado em associação a mutações no gene KIF1A e mutações no gene FLVRC1 podem causar um fenótipo grave caracterizado por insensibilidade congénita a dor e acromutilações. Mutações no gene IGHMBP2 podem causar uma sobreposição entre os fenótipos SMARD1/CMT2S com disautonomia restrita ao trato gastro intestinal. Esse estudo demonstra que o uso de WES para o diagnóstico molecular de doenças geneticamente heterogêneas como as neuropatias hereditárias é uma ferramenta útil. / The hereditary peripheral neuropathies are a heterogeneous group of genetic disorders in which peripheral nervous system degeneration leads to weakness, atrophy and loss of sensation. It can be classified according motor conduction velocities in the upper limbs (type 1 - CMT1, type 2 - CMT2 or intermediate - iCMT), according to inheritance pattern (autosomal dominant, autosomal recessive or X linked) and according to the mainly group of fibres clinically involved (hereditary sensory and motor neuropathy - CMT, hereditary sensory neuropathy - HSN or distal hereditary motor neuropathy - dHMN). The use of next generation sequencing technologies (NGS) for the diagnosis of patients with genetic diseases is well established, as CMT is a Mendelian disease with more than 90 different related genes already reported. We evaluated 30 patients with all subtypes of hereditary neuropathy (3 CMT1, 12 CMT2, 8 iCMT, 4 dHMN and 3 HSN). Six mutations (SH3TC2, GDAP1, MME, IGHMBP2, 2 AARS) and 7 likely pathogenic variants (KIF1A, DRP2, MME, MPZ, VRK1, SIGMAR1, FLVCR1) were detected, leading to a positive rate of 43.3%. Likely pathogenic variants were considered based on their frequency in normal population, in silico analysis and segregation with phenotype. Despite they have strong evidences to support their causative status further evidence of their pathogenicity is required. New variants were identified in the genes MPZ, KIF1A, DRP2, IGHMBP2, VRK1, SIGMAR1 and FLVCR1 amplifying their genotypic variability. The mutations identified in VRK1, KIF1A, IGHMBP2 and FLVRC1 expanded their phenotype spectrum. Mutations in the VRK1 gene may cause dHMN with upper motor neuron signs. Autistic spectrum disorder may be observed in association with mutations in the KIF1A gene and mutations in the FLVRC1 gene may cause a severe phenotype characterized by congenital insensitivity to pain and acromutilations. Mutations in the IGHMBP2 gene may cause an overlap between SMARD1 and CMT2S phenotypes with organ specific dysautonomia. This study demonstrates that WES is a powerful tool for molecular diagnosis of hereditary neuropathies. Additionally, this study provides new information on the mutations in the VRK1, KIF1A and FLVRC1 genes by adding new mutations and increasing the phenotypic variability of the neuropathies associated with these genes.This study demonstrates WES is a powerful tool for molecular diagnosis of hereditary neuropathies.
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Developing NGSS-Aligned Assessments to Measure Crosscutting Concepts in Student Reasoning of Earth Structures and SystemsWeiser, Gary January 2019 (has links)
The past two decades of research on how students develop their science understandings as they make sense of phenomena that occur in the natural world has culminated in a movement to redefine science educational standards. The so-called Next Generation Science Standards (or NGSS) codify this new definition into a set of distinct performance expectations, which outline how students might reveal to what extent they have sufficient understanding of disciplinary core ideas (DCIs), science practices (SEPs), and crosscutting concepts (CCCs). The latter of these three dimensions is unique both in being the most recent to the field and in being the least supported by prior science education research. More crucially, as a policy document, the NGSS alone does not provide the supports teachers need to bring reforms to their classrooms, particularly not summative assessments. This dissertation addresses both of these gaps using a combination of quantitative and qualitative techniques. First, I analyze differential categorization of problems that require respondents to engage with their CCC understandings via confirmatory factor analysis inference. Second, I use a set of Rasch models to measure preliminary learning progressions for CCCs evident in student activity within a computer-assisted assessment experience. Third, I analyze student artifacts, think-aloud interviews, and post-task reflective interviews via activity theory to adapt the progression into a task model in which students explain and predict aspects of Earth systems. The culmination of these three endeavors not only sets forth a methodology for researching CCCs in a way that is more integrative to the other dimensions of the NGSS, but also provides a framework for developing assessments that are aligned to the goals of these new standards.
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Biodiversité du microbiome cutané des organismes marins : variabilité, déterminants et importance dans l’écosystème / Skin microbiome of marine vertebrates : variability, drivers and role in the ecosystemChiarello, Marlène 29 November 2017 (has links)
Les milliers d’espèces de microorganismes présentes dans les océans sont essentiellement connus pour être planctoniques ou benthiques. Moins décrits, de nombreux micro-organismes colonisent également la surface et le tube digestif des macro-organismes marins, formant des communautés appelées microbiomes. Ces microbiomes ont des conséquences cruciales sur la fitness de leur hôte. Les récents progrès en biologie moléculaire ont ouvert la voie à une caractérisation des différentes facettes de sa biodiversité, à la fois taxonomique, phylogénétique, et fonctionnelle. L’objectif de cette thèse est donc de caractériser la biodiversité des microbiomes cutanés des organismes marins, d’identifier ses échelles de variabilité, ses déterminants, et son importance à l’échelle de l’écosystème. Dans un premier temps j’ai mesuré l’efficacité d’indices de biodiversité à détecter des signaux écologiques dans le cas spécifique de communautés microbiennes. Puis, j’ai décrit le microbiome cutané des principaux grands clades d’animaux marins (poissons téléostéens, cétacés et invertébrés de plusieurs classes). J’ai démontré que le microbiome cutané était très différent des communautés présentes dans l’eau environnante. J’ai aussi montré qu’il était variable, à la fois entre individus et entre espèces, mais ne présentait pas de patron de phylosymbiose. Enfin, j’ai évalué la contribution de la diversité des microbiomes cutanés à la diversité de la communauté microbienne globale d’un écosystème corallien. J’ai ainsi démontré que les animaux marins hébergent collectivement une richesse microbienne presque vingt fois supérieure à celle de l’eau les environnant, et 75% de la richesse phylogénétique à l’échelle de l’écosystème. Dans un contexte d’érosion massive de la diversité des macro-organismes marins, ces résultats soulignent la nécessité d’évaluer plus exhaustivement la biodiversité microbienne marine et sa vulnérabilité face aux pressions anthropiques. / Oceans contain thousands of microbial species playing crucial roles for the functioning of the marine ecosystem. These microorganisms are present everywhere in the water column. Some microorganisms also colonize the surface and the digestive tract of marine macro-organisms, forming communities called microbiomes. These microbiomes have positive effects for their host’s fitness. The diversity of these marine animal surface microbiome is still largely understudied, despite recent progress in molecular biology that now permits to fully assess its different facets of biodiversity, i.e. taxonomic, phylogenetic and functional. The goal of this thesis is therefore to describe the diversity of the surface microbiome of marine animals, to assess its variability at different levels, as well as its determinants, and the significance of such diversity at the ecosystem’s scale. Firstly, I have assessed the efficiency of various diversity indices to detect ecological signals in the specific case of microbial communities. Secondly, I have described the surface microbiome of major marine animal clades (teleostean fishes, cetaceans and several classes of invertebrates). I found that these microbiomes are highly distinct from the surrounding planktonic communities. I demonstrated that these microbiomes are variable both between individuals from the same species and between species, but do not show a phylosymbiosis pattern. Last, I assessed the contribution of surface microbiomes to the global microbial community at the scale of a coral reef ecosystem. I demonstrated that marine animal surfaces host almost twenty times more microbial species than the water column, and 75% of the phylogenetic richness present in the ecosystem. In a context of massive erosion of marine macroscopic organisms, it is therefore urgent to exhaustively assess marine microbial biodiversity and its vulnerability facing anthropic pressures.
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Sequenciamento e análise da variabilidade genética de vírus transmitidos por ácaros do gênero Brevipalpus no Brasil / Sequencing and analysis of the genetic variability of viruses transmitted by Brevipalpus mites in BrazilJesus, Camila Chabí de 20 January 2016 (has links)
Acredita-se que o Brasil é o centro de diversidade de vírus transmitidos por ácaros do gênero Brevipalpus (VTB). Alguns desses VTB infectam culturas fundamentais para o agronegócio brasileiro como citros e café, além de maracujá e de várias plantas ornamentais. Na última década os genomas de dois deles, Citrus leprosis virus C (CiLV-C) e Coffee ringspot virus (CoRSV) foram sequenciados, mas ainda é escasso o conhecimento sobre a diversidade genética e processos evolutivos envolvidos na população dessas espécies. Neste contexto, o objetivo deste trabalho foi caracterizar molecularmente novas estirpes de CiLV-C e CoRSV que infectam citros e café, respectivamente. E revelar as relações filogenéticas com espécies de VTB conhecidas, assim como avaliar a variabilidade genética da população de CiLVC no Brasil. Para o estudo de CiLV-C, 47 amostras de Citrus sinensis apresentando sintomas típicos da leprose dos citros foram coletadas em diferentes regiões do Brasil no período de 2011-2015. A presença de CiLV-C foi detectada por RT-PCR em todas as amostras coletadas e, posteriormente, foi realizado o sequenciamento de quatro regiões do genoma viral (p29, p15, RI e MP) de cada isolado. As sequências obtidas foram utilizadas no estudo de filogenia e variabilidade da população de CiLV-C no Brasil. Foi demonstrado que a população de CiLV-C apresenta uma variabilidade relativamente baixa; entretanto, foi identificada a existência de duas linhagens dentro da espécie, nomeadas Cor e SJRP. Os genomas completos de CiLV-C SJRP e também do dicorhavirus tentativo CoRSV identificado em Limeira, SP, foram obtidos mediante o sequenciamento de RNA de pequeno tamanho (siRNA). Cada sequência foi validada mediante o sequenciamento de fragmentos gerados por RT-PCR ao longo do genoma. CiLV-C SJRP apresenta cerca de 85% de identidade de nucleotídeo com o membro-tipo do gênero Cilevirus e exibe evidências de recombinação com isolados da linhagem Cor, a prevalente no território brasileiro. Globalmente, o genoma de CoRSV Limeira apresenta mais de 90% de identidade de nucleotídeo com isolado CoRSV Lavras, o que indica que ambos os isolados são membros da mesma espécie tentativa de dichorhavirus. / South America is most likely the center of diversity of Brevipalpus transmitted viruses (BTV). Some of these BTV infect major crops of the Brazilian agribusiness such as citrus and coffee. Passion fruit and several other ornamental plants are affected as well. The genome of two of these viruses, Citrus leprosis virus C (CiLV-C) and Coffee ringspot virus (CoRSV) were sequenced, but the knowledge about several molecular characteristics and processes involved in the evolution of their populations are still scarce. Thus, the objective of this study was to molecularly characterize new isolates of BTV infecting citrus and coffee, reveal the phylogenetic relationships with known species of BTV, and assess the genetic variability of the population of CiLV-C in Brazil. For CiLV-C studies, 47 samples of Citrus sinensis showing typical symptoms of leprosis were collected in different Brazilian regions during 2011-2015. The presence of CiLV-C was detected by RT-PCR in all the collected samples and four regions of the viral genome (p29, p15, IR and MP) of each isample were sequenced. It has been shown that the CiLV-C population has relatively low variability; although the existence of two lineages named Cor and SJRP were identified in this work. The complete genomes of one isolate of the lineage SJRP (CiLV-C SJRP) and that of the tentative dicorhavirus CoRSV found in Limeira, SP, were obtained by small RNA (siRNA) Sequencing. Validation was performed by sequencing fragments generated by RT-PCR using specific primers throughout the genome. CiLV-C SJRP has about 85% nucleotide identity with the genome of the type-member of the Cilevirus genus and shows evidence of recombination with isolates of the lineage Cor, which are prevalent in Brazil. CoRSV isolate Limeira has more than 90% of nucleotide identity with CoRSV Lavras, indicating that both isolates are members of the same tentative species of dichorhavirus.
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Determinação da Base Molecular da Síndrome Ablefaria Macrostomia / Determining the Molecular Basis of Ablepharon Macrostomia SyndromeSilva, Eduarda Morgana da 18 June 2015 (has links)
A Síndrome Ablefaria Macrostomia (SAM) é uma condição rara, onde os pacientes apresentam características clínicas marcantes como o encurtamento ou ausência das pálpebras superiores e inferiores, ausência de sobrancelhas e cílios, macrostomia por defeitos na fusão dos lábios, entre outros. O padrão de herança da síndrome não está elucidado, tendo a herança autossômica dominante com expressividade variável sido sugerida. SAM possui sobreposição fenotípica com a Síndrome de Barber-Say e com a Síndrome de Fraser, porém nenhum gene já descrito apresentou mutação nos pacientes portadores da SAM. A abordagem genômica no estudo de doenças raras tem sido amplamente utilizada, devido principalmente ao surgimento da Nova Geração de Sequenciamento, que possui alto poder de descriminar as seqüencias nucleotídicas com grande cobertura, em um curto período de tempo. No presente estudo o sequenciamento completo do exoma foi realizado, com cinco indivíduos de uma mesma família, três membros afetados e dois não, e permitiu a análise das regiões codificantes nestes indivíduos. A base molecular da Síndrome Ablefaria Macrostomia é aqui sugerida como autossômica dominante, e decorrente da mutação nova não sinônima c.223G>A (p.E75K) no gene TWIST2. Essa mutação patogênica ocasiona a troca de um aminoácido pequeno de carga negativa, o ácido glutâmico, para um aminoácido de cadeia maior carregado positivamente, a lisina. A modelagem in silico da proteína Twist2 mostrou que a estrutura geral tridimensional da proteína não foi alterada, mas a troca do aminoácido ocorre na posição 75 dentro do domínio básico HLH, e pode impedir a formação de dímeros, ou a própria ligação ao DNA. Sugere-se ainda que a heterogeneidade de fenótipos associados a mutações no gene TWIST2, pode ser atribuída às interações que essa proteína é capaz de formar, e a ampla ação regulatória que ela desempenha em diversos genes do desenvolvimento. / Ablepharon-Macrostomia Syndrome (AMS) is a rare condition characterised by absent or hypoplastic eyelids, absent eyebrows and eyelashes, macrostomia caused by fusion defects of the mouth with unfused lateral commissures, as well as other clinical features. The inheritance pattern has not been confirmed and while autosomal dominant inheritance with variable expressivity has been suggested, recessive inheritance has not been ruled out. The phenotype of AMS overlaps that of Barber-Say and Fraser Syndrome, but any reported gene for these syndromes is mutated on AMS patients. The genomic approach for rare disease studies has been widely used mainly due to the emergence of Next Generation Sequencing, which is very effective at determining nucleotide sequences with large coverage in a short period of time. The whole exome sequencing of five family members was undertaken, with three affected and two unaffected, and the coding regions of the individuals were subsequently analysed. The molecular basis of AMS is suggested here as autosomal dominant, and due to a novel non-synonymous mutation c.223G>A (p.E75K), in TWIST2 gene. This pathogenic mutation causes glutamic acid, a small negatively charged amino acid, to be substituted for a larger and positively charged lysine. The in silico protein modeling of Twist2 shows that the general 3D-structure of the protein is not affected, but the amino acid change is located inside the basic Helix-Loop-Helix domain which could disrupt dimerization and DNA binding. It has also been suggested that the phenotype heterogeneity associated with mutations on TWIST2 gene can be attributed to the interactions that this protein is capable of, and the role that it plays in the regulation of several developmental genes.
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