abstract: Obesity and its underlying insulin resistance are caused by environmental and genetic factors. DNA methylation provides a mechanism by which environmental factors can regulate transcriptional activity. The overall goal of the work herein was to (1) identify alterations in DNA methylation in human skeletal muscle with obesity and its underlying insulin resistance, (2) to determine if these changes in methylation can be altered through weight-loss induced by bariatric surgery, and (3) to identify DNA methylation biomarkers in whole blood that can be used as a surrogate for skeletal muscle. Assessment of DNA methylation was performed on human skeletal muscle and blood using reduced representation bisulfite sequencing (RRBS) for high-throughput identification and pyrosequencing for site-specific confirmation. Sorbin and SH3 homology domain 3 (SORBS3) was identified in skeletal muscle to be increased in methylation (+5.0 to +24.4 %) in the promoter and 5’untranslated region (UTR) in the obese participants (n= 10) compared to lean (n=12), and this finding corresponded with a decrease in gene expression (fold change: -1.9, P=0.0001). Furthermore, SORBS3 was demonstrated in a separate cohort of morbidly obese participants (n=7) undergoing weight-loss induced by surgery, to decrease in methylation (-5.6 to -24.2%) and increase in gene expression (fold change: +1.7; P=0.05) post-surgery. Moreover, SORBS3 promoter methylation was demonstrated in vitro to inhibit transcriptional activity (P=0.000003). The methylation and transcriptional changes for SORBS3 were significantly (P≤0.05) correlated with obesity measures and fasting insulin levels. SORBS3 was not identified in the blood methylation analysis of lean (n=10) and obese (n=10) participants suggesting that it is a muscle specific marker. However, solute carrier family 19 member 1 (SLC19A1) was identified in blood and skeletal muscle to have decreased 5’UTR methylation in obese participants, and this was significantly (P≤0.05) predicted by insulin sensitivity. These findings suggest SLC19A1 as a potential blood-based biomarker for obese, insulin resistant states. The collective findings of SORBS3 DNA methylation and gene expression present an exciting novel target in skeletal muscle for further understanding obesity and its underlying insulin resistance. Moreover, the dynamic changes to SORBS3 in response to metabolic improvements and weight-loss induced by surgery. / Dissertation/Thesis / Appendix A / Appendix B / Appendix C / Appendix D / Appendix G / Doctoral Dissertation Biology 2017

Sepsis is defined as a life-threatening organ dysfunction caused by a dysregulated host response system and can occur when the immune system over- or under- reacts to an infection. Klebsiella spp. has been found to be one of the leading causes of sepsis, and the increasing occurrence of antibiotic resistance observed has become a major concern in clinical care. To study the genome and increase knowledge of the biodiversity of K. pneumoniae, K. variicola, and K. oxytoca, bacterial isolates were collected from blood, urine, nasopharynx, and wounds of patients with suspected sepsis. Next-generation sequencing was performed, and the presence of antibiotic resistance genes and plasmids were studied. Furthermore, a prediction of traits for each phylogroup was performed and the results from whole-genome sequencing were compared to phenotypic results. Among the K. pneumoniae isolates obtained, almost half had been misidentified by standard phenotypic methods and were found to be K. variicola, K. quasipneumoniae, and K. quasivariicola. A significant difference in the number of antibiotic resistance genes were observed between K. pneumoniae and K. variicola compared to K. oxytoca, however no significant difference was observed between K. pneumoniae and K. variicola, suggesting the underestimated pathogenicity of K. variicola. A genetic agreement was observed between the type of beta-lactamase harboured and presence or absence of nitrogen-fixation genes to the phylogroup, providing a way of species identification. Further studies should be conducted on the pathogenicity and virulence of K. variicola and K. quasipneumoniae to avoid misidentification, find organism-specific treatments, and narrow down the antibiotic prescription. / Biodiversitet vid Sepsis

Submitted by Guilherme Batista do Nascimento null (guilhermebn@msn.com) on 2018-03-16T12:24:54Z No. of bitstreams: 1 Tese_Guilherme_Batista_do_Nascimento.pdf: 1770231 bytes, checksum: ad03948ecc7b09b89d46d26b7c9e3bf8 (MD5) / Approved for entry into archive by Alexandra Maria Donadon Lusser Segali null (alexmar@fcav.unesp.br) on 2018-03-16T19:03:02Z (GMT) No. of bitstreams: 1 nascimento_gb_dr_jabo.pdf: 1770231 bytes, checksum: ad03948ecc7b09b89d46d26b7c9e3bf8 (MD5) / Made available in DSpace on 2018-03-16T19:03:02Z (GMT). No. of bitstreams: 1 nascimento_gb_dr_jabo.pdf: 1770231 bytes, checksum: ad03948ecc7b09b89d46d26b7c9e3bf8 (MD5) Previous issue date: 2018-02-22 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / A implementação de dados de sequenciamento de nova geração - “next-generation sequence” (NGS) em programas de melhoramento genético animal representa a mais recente ferramenta na utilização de dados genotípicos nos modelos de associação genômica, tendo em vista que todo polimorfismo é considerado nas associações entre registros fenotípicos e dados de sequenciamento. Como em toda nova tecnologia, a prospecção das variantes ainda representa um desafio no sentido computacional e de viabilidade dos custos para sua implementação em larga escala. Diante desses desafios, neste trabalho buscou-se meios de explorar os benefícios na utilização da NGS nas predições genômicas e superar as limitações inerentes a esse processo. Registros fenotípicos e genotípicos (Illumina Bovine HD BeadChip) de 2.279 animais da raça Gir (Bos taurus indicus) foram disponibilizados pela Embrapa Gado de Leite (MG) e utilizados para as análises de associação genômica. Além disso, dados de sequenciamento de 53 animais do 1000 “Bulls Project” deram origem à população de referência de imputação. Visando verificar a eficiência de imputação, foram testados diferentes cenários quanto a sua acurácia de imputação por meio da análise “leave-one-out”, utilizando apenas os dados de sequenciamento, que apresentaram eficiências de até 84%, no cenário com todos os 51 animais disponíveis após o controle de qualidade. Também foram verificadas as influências das variantes em baixa frequência na acurácia de imputação em diferentes regiões do genoma. Com a escolha da melhor estrutura da população de referência de imputação e aplicação dos controles de qualidade nos dados de NGS e genômicos, foi possível imputar os 2.237 animais genotipados, que passaram pelo controle de qualidade para dados de sequenciamento e realizar análise de associação genômica para as características produção de leite (PL305), teor de gordura (PG305), proteína (PP305) e sólidos totais (PS305), mensuradas aos 305 dias em animais da raça Gir leiteiro. Para tal, foram utilizados os valores genéticos desregredidos (dEBV) como variável resposta no modelo de regressão múltipla. Regiões de 1Mb que contivessem 100 ou mais variantes com “False Discovery Rate” (FDR) inferior a 0,05, foram consideradas significativas e submetidas a análise de enriquecimento por meio dos termos MeSh (“Medical Subject Headings”). As três regiões significativas (FDR<0,05) para PS305 foram observadas nos cromossomos 11, 12 e 28 e a única região significativa em PG305 foi no cromossomo 6. Tais regiões apresentaram variantes associadas com vias metabólicas da produção de leite, ausentes nos painéis comerciais de genotipagem, podendo representar genes candidatos a seleção. / - Implementing "next-generation sequence" (NGS) data in animal breeding programs represents the latest tool in the use of genotypic data in genomic association models, since all polymorphisms are considered in the associations between phenotypic records and sequencing data. As with any new technology, variant prospecting still represents a computational and cost-effective challenge for large-scale implementation. Front to these challenges, this work sought ways to explore the benefits of using NGS in genomic predictions and overcome the inherent limitations of this process. Phenotypic and genotypic (Illumina Bovine HD BeadChip) records of 2,279 Gir animals (Bos taurus indicus) were made available by Embrapa Gado de Leite (MG) and used for genomic association analysis. In addition, sequence data of 53 animals from the 1000 Bulls Project gave rise to the imputation reference population. In order to verify the imputation efficiency, different scenarios were tested for their imputation accuracy through the leave-one-out analysis, using only the sequencing data, which presented efficiencies of up to 84%, in the scenario with all the 51 animals available after quality control. Influences from the low-frequency variants on the accuracy of imputation in different regions of the genome were also verified. After identifying the best reference population structure of imputation and applying the quality controls in the NGS and genomic data, it was possible to impute the 2 237 genotyped animals that passed in the quality control to sequencing data and perform genomic association analysis for (PL305), fat content (PG305), protein (PP305) and total solids (PS305), measured at 305 days in dairy Gir animals. For this, unregulated genetic values (dEBV) were used as response variable in the multiple regression model. Regions of 1Mb containing 100 or more variants with a False Discovery Rate (FDR) lower than 0.05 were considered statistically significant and submitted to pathways enrichment analysis using the MeSh (Medical Subject Headings) terms. The three significant regions (FDR <0.05) for PS305 were observed on chromosomes 11, 12 and 28 and only one significant region in PG305, was on chromosome 6. These regions presented variants associated with metabolic pathways of milk production, absent in the panels genotyping, and may represent genes that are candidates for selection / convênio Capes/Embrapa (edital 15/2014)

Submitted by RENATA ZUGAIB null (rzugaib@gmail.com) on 2017-01-20T15:02:38Z No. of bitstreams: 1 Dissertação Renata - Defesa.pdf: 1638667 bytes, checksum: f166690438b6f00c2e9fe2b0da55497d (MD5) / Approved for entry into archive by Juliano Benedito Ferreira (julianoferreira@reitoria.unesp.br) on 2017-01-24T18:09:13Z (GMT) No. of bitstreams: 1 zugaib_r_me_bot.pdf: 1638667 bytes, checksum: f166690438b6f00c2e9fe2b0da55497d (MD5) / Made available in DSpace on 2017-01-24T18:09:13Z (GMT). No. of bitstreams: 1 zugaib_r_me_bot.pdf: 1638667 bytes, checksum: f166690438b6f00c2e9fe2b0da55497d (MD5) Previous issue date: 2017-01-13 / O vírus da hepatite C (VHC) constitui a principal causa de doença hepática crônica, que representa um dos maiores problemas de saúde pública. O carcinoma hepatocelular (CHC), altamente associado a infecção crônica pelo vírus da hepatite C (VHC), é um dos tumores malignos mais comuns no mundo, com um alto índice de causa de óbito. Com o avanço das técnicas moleculares, tornou-se possível uma nova abordagem nos estudos gênicos para um melhor entendimento molecular de processos infecciosos e crônicos. Estudos evidenciando uma associação da transcrição gênica ao processo patológico e a importância de análises mais abrangentes. O sequenciamento de nova geração fornece uma maneira poderosa para a avaliação global do transcriptoma com alta resolução e um menor custo, possibilitando uma análise do perfil transcricional da doença. Assim, este estudo teve por objetivo avaliar o perfil de expressão gênica diferencial de pacientes infectados pelo VHC com CHC e comparar com amostras de tecidos não tumorais através do sequenciamento em larga escala do transcriptoma, a fim de identificar potenciais biomarcadores de diagnóstico e prognóstico de CHC. Foram analisados três fragmentos de tecido tumoral e três fragmentos de tecido hepático não tumoral como controle através do sequenciamento de RNAs (RNA-Seq). Os resultados obtidos demonstraram uma expressão diferencial de 4.792 genes. Avaliando os 10 genes mais e menos expressos, foi observada uma grande associação de variações nesses genes em diversos tipos de tumores. Também foram observados, entre os menos expressos, genes intimamente relacionados a função hepática ou relacionados a componentes produzidos pelo fígado. Esses achados sugerem que COL11A1, SFRP4, SFRP2, LRRC15, CCL18, ADAMDEC1, COL1A1, COL10A1, CTHRC1 e OLR1, superexpressos, possam atuar juntos no processo tumoral servindo como marcadores moleculares tumorais, e que a presença do tumor possa provocar uma desregulação nos genes associados ao fígado aqui encontrados, contudo, estudos mais específicos devem ser conduzidos para a confirmação dessa hipótese. / Hepatitis C virus (HCV) is the leading cause of chronic liver disease, one of the major public health problems. Hepatocellular carcinoma (HCC), highly associated with chronic hepatitis C virus (HCV) infection, is one of the most common malignant tumors in the world, with a high cause of death. With the advancement of molecular techniques, a new approach in gene studies has become possible for a better molecular understanding of infectious and chronic processes. Studies evidencing an association of the gene transcription to the pathological process and the importance of more comprehensive analyzes. Next generation sequencing provides a powerful way for the global evaluation of the transcriptome with high resolution and a lower cost, allowing an analysis of the transcriptional profile of the disease. Thus, this study aimed to evaluate the differential gene expression profile of HCV infected patients in their highest degree of chronicity (HCC) and to compare with non-tumor tissue samples through large-scale sequencing of the transcriptome in order to identify potential biomarkers for diagnosis and prognosis of HCC. Three fragments of tumor tissue and three fragments of non-tumor liver tissue were analyzed through the sequencing of RNAs (RNA-Seq). The results obtained demonstrated a differential expression of 4.792 genes. Evaluating the 10 over and down regulated genes, a high association of variations in these genes was observed in several types of tumors. Among the least expressed, genes closely related to liver function or related to components produced by the liver were also observed. These findings suggest that COL11A1, SFRP4, SFRP2, LRRC15, CCL18, ADAMDEC1, COL1A1, COL10A1, CTHRC1 and OLR1, overexpressed, may act together in the tumor process serving as molecular tumor markers, and that the presence of the tumor may lead to dysregulation in the genes associated with the liver found here, however, more specific studies should be conducted to confirm this hypothesis.

abstract: Photosynthesis is the primary source of energy for most living organisms. Light harvesting complexes (LHC) play a vital role in harvesting sunlight and passing it on to the protein complexes of the electron transfer chain which create the electrochemical potential across the membrane which drives ATP synthesis. phycobilisomes (PBS) are the most important LHCs in cyanobacteria. PBS is a complex of three light harvesting proteins: phycoerythrin (PE), phycocyanin (PC) and allophycocyanin (APC). This work has been done on a newly discovered cyanobacterium called Leptolyngbya Heron Island (L.HI). This study has three important goals: 1) Sequencing, assembly and annotation of the L.HI genome - Since this is a newly discovered cyanobacterium, its genome was not previously elucidated. Illumina sequencing, a type of next generation sequencing (NGS) technology was employed to sequence the genome. Unfortunately, the natural isolate contained other contaminating and potentially symbiotic bacterial populations. A novel bioinformatics strategy for separating DNA from contaminating bacterial populations from that of L.HI was devised which involves a combination of tetranucleotide frequency, %(G+C), BLAST analysis and gene annotation. 2) Structural elucidation of phycoerythrin - Phycoerythrin is the most important protein in the PBS assembly because it is one of the few light harvesting proteins which absorbs green light. The protein was crystallized and its structure solved to a resolution of 2Å. This protein contains two chemically distinct types of chromophores: phycourobilin and phycoerythrobilin. Energy transfer calculations indicate that there is unidirectional flow of energy from phycourobilin to phycoerythrobilin. Energy transfer time constants using Forster energy transfer theory have been found to be consistent with experimental data available in literature. 3) Effect of chromatic acclimation on photosystems - Chromatic acclimation is a phenomenon in which an organism modulates the ratio of PE/PC with change in light conditions. Our investigation in case of L.HI has revealed that the PE is expressed more in green light than PC in red light. This leads to unequal harvesting of light in these two states. Therefore, photosystem II expression is increased in red-light acclimatized cells coupled with an increase in number of PBS. / Dissertation/Thesis / Ph.D. Chemistry 2014

Deficiência intelectual (DI), associada ou não a outras alterações congênitas, é a razão mais frequente de procura por aconselhamento genético pelas famílias. Até alguns anos atrás, a realização de cariótipo, triagem para doenças metabólicas e fra(x) elucidavam apenas &sim;40% dos casos de pacientes com DI idiopática. Com o surgimento de arrays genômicos, as causas moleculares por trás de outros &sim;20% dos quadros de DI foram elucidadas; porém, mesmo com esse avanço, muitos pacientes ainda permanecem sem causa molecular clara que justifique o fenótipo. O sequenciamento do exoma (WES) é hoje um dos recursos disponíveis para o diagnóstico e possível elucidação das causas genéticas por trás da deficiência intelectual idiopática, abrindo caminho também à identificação de novos genes. O presente trabalho realizou o sequenciamento de exoma de 8 probandos que tinham em comum a deficiência intelectual esporádica, acompanhada ou não de outros sinais clínicos, e de seus genitores não afetados (trios). Esses pacientes foram previamente triados para a síndrome do X frágil, e submetidos a exame de array CGH para investigação de perdas e ganhos de segmentos cromossômicos, ambos com resultados negativos. O objetivo desse estudo foi detectar alterações e possivelmente novos genes associados com a DI, usando pipelines de padrões de herança mendeliano. Treze alterações em 9 genes foram detectadas por sequenciamento de exoma e confirmadas por sequenciamento Sanger: 8 mutações bialélicas em genes recessivos (TBC1D24, ADAMTSL2, NALCN, VPS13B), uma ligada ao X (MID1), e 4 alterações de novo (RYR2, GABBR2, CDK13, DDX3X); 5 dessas alterações ainda não haviam sido descritas nos bancos de dados consultados, caracterizando mutações novas. Dos 8 trios, em 5 identificamos alterações moleculares provavelmente responsáveis pelos quadros apresentados; dois desses casos foram em genes recessivos (mutações homozigotas ou em heterozigose composta) e potencialmente teriam sido detectados mesmo se apenas os probandos houvessem sido sequenciados. Para as alterações em heterozigose, porém, a avaliação dos genitores e constatação de status de novo da mutação foram importantes para avaliar o impacto da variante. Esse trabalho resultou em uma taxa de diagnóstico de 62,5%; mesmo considerando o pequeno tamanho da amostra, esse valor está bem acima dos 15-30% relatados na literatura quando essa metodologia é utilizada para o estudo de casos esporádicos de DI. Em dois casos, mutações foram identificadas em genes que só foram descritos como mutados recentemente e que ainda não são considerados genes de deficiência intelectual no OMIM: o gene CDK13 foi descrito como mutado em pacientes de uma única coorte com malformação cardíaca congênita (sindrômica ou não), porém sua contribuição para coortes de DI ainda não foi investigada. O gene GABBR2, identificado mutado em heterozigose em um dos nossos pacientes, já havia sido considerado um candidato potencial para DI, mas apenas 2 trabalhos detectaram mutações nesse gene entre pacientes com DI e epilepsia. Os resultados aqui apresentados substanciam o papel desses genes como implicados na DI sindrômica de herança autossômica dominante, e devem contribuir para serem considerados genes OMIM de deficiência intelectual / Intellectual disability (ID), associated or not with other congenital abnormalities, is the most frequent reason for families to seek genetic counseling. Until some years ago, karyotyping, metabolic disease and FRAXA screening elucidated only &sim;40% of patients with idiopathic ID. Importantly, with the introduction of genomic arrays, the molecular cause behind a further &sim;20% of ID cases was determined; however, despite this improvement, many patients are still not provided with a clear molecular explanation and cause for their phenotype. Nowadays, whole exome sequencing (WES) is one of the methods available for diagnosis and a further means of possible elucidation of the genetic causes of idiopathic intellectual disability; in many cases this method also allows identification of genes that have not been previously related to ID. In the present project, we sequenced the exome (WES) of 8 sporadic patients that all had ID, with or without other clinical signs, and their unaffected parents (trios); these patients had been previously screened for fragile X syndrome and for losses and gains of chromosomal segments by array CGH, both with negative results. The objective of this study was to detect mutations and possibly new genes associated with ID, using pipelines for Mendelian inheritance patterns. Thirteen mutations in 9candidate genes were detected by exome sequencing and confirmed by Sanger sequencing, among them 8 biallelic mutations in autossomal recessive genes (TBC1D24, ADAMTSL2, NALCN, VPS13B), one mutation in an X-linked gene (MID1), and 4 de novo alterations (RYR2, GABBR2, CDK13, DDX3X); 5 of these mutations had not been described in the databases consulted characterizing new variants. Of the 8 trios, we obtained a probable diagnosis of the molecular alteration responsible for the presented phenotypes in 5. Two of these cases were in recessive genes (homozygous mutations or compound heterozygous), and the mutations would probably have been detected even if only the probands had been sequenced. However, for the heterozygous mutations, the assessment of the parents and the confirmation of the de novo status of the mutation was important to evaluate the impact of the variant. This work resulted in a diagnosis rate of 62.5%; even considering the small sample size, this value is well above the average of 15-30% reported in the literature when the methodology used for the study of ID sporadic cases is considered. In two cases, mutations were detected in genes only recently described as mutated and which are not considered yet as OMIM ID genes. The CDK13 gene had already been described as mutated in a single cohort of patients with syndromic congenital heart defects, but its contribution to ID cohorts has not been established. The GABBR2 gene, where a heterozygous mutation was identified in the patient, had already been considered a potential candidate for ID; there are only 2 studies that detected mutations in this gene among patients with ID and epilepsy. This contribution may pave the way to establishing GABBR2 and CDK13 as causations of ID and acceptance by OMIM

A fisiopatologia das síndromes de falência da medula óssea (FMO) está relacionada a mecanismos adquiridos de destruição das células-tronco hematopoeiticas na medula ou a defeitos constitucionais em genes fundamentais para o reparo do DNA e manutenção dos telômeros. A anemia aplástica (AA), o protótipo das doenças de FMO, pode ter etiologia adquirida ou constitucional. A avaliação genética de pacientes com AA adquirida tem como objetivo a detecção de mutações somáticas que possam ser usadas como marcadores de resposta ao tratamento imunossupressor. Diferentemente, em pacientes com AA constitucional, a avaliação genética é fundamental para detecção de mutações etiológicas na doença do paciente, sendo essencial para o tratamento e seleção de doadores de medula óssea. Contudo, o papel das mutações constitucionais na fisiopatologia e modulação imunológica da AA adquirida ainda não é conhecido. Neste estudo, nós sequenciamos pacientes com AA de duas coortes independentes utilizando diferentes painéis de sequenciamento de genes alvos. A primeira coorte, composta por 13 pacientes com AA adquirida, foi sequenciada utilizando um painel com 165 genes relacionados à FMO, neoplasias hematológicas, reparo de DNA, manutenção dos telômeros e vias de resposta imune. A segunda coorte, composta por 59 pacientes investigados para doença constitucional, foi sequenciada com um painel de sequenciamento comercial com 49 genes relacionados à FMO hereditária. Foram identificadas alterações potencialmente patogênicas em três dos cinco pacientes com AA adquirida que não responderam à imunossupressão: dois pacientes com variantes em TERT e um com uma variante em DHX36. Não foram identificadas variantes funcionalmente relevantes nos pacientes que responderam ao tratamento imunossupressor. Em contraste, foram identificadas variantes potencialmente patogênicas em RTEL1 em 8 pacientes com AA constitucional. Variantes em RTEL1 foram associadas tanto ao encurtamento telomérico quanto à erosão excessiva do 3\' overhang, independentemente do comprimento dos telômeros. Desse modo, apenas a medida do comprimento dos telômeros não foi suficiente para identificar todos ospacientes com disfunções teloméricas. As plataformas de sequenciamento de nova geração diminuíram o custo e o tempo para a avaliação genética dos pacientes com FMO. Em nosso estudo, os pacientes com AA adquirida não apresentaram um padrão genético associado à sua resposta ao tratamento com imunossupressores, no entanto, o sequenciamento da coorte com suspeita de AA constitucional foi capaz de identificar o defeito genético associado à doença do paciente em 40% dos casos. O uso de dados clínicos, investigação familiar, análises in silico e testes funcionais foram essenciais para uma correta interpretação da patogenicidade de novas variantes identificadas por sequenciamento de nova geração. / The pathophysiology of bone marrow failure (BMF) can be immune, as in acquired aplastic anemia (AA), or constitutional, due to germline mutations in genes critical for DNA repair and telomere maintenance. The genetic screening of patients with constitutional AA is performed to detect germline mutations that are etiologic in patients\' disease. That is critical for treatment decisions and to identify a donor for a bone marrow transplant. In acquired AA, the genetic screening has been used to detect somatic mutations that can predict patients\' outcomes after treatment, as the role of germline mutations in this disease is yet not clear. To investigate the role of germline variants in AA, we screened two independent cohorts with two different targeting sequencing panels; a first cohort composed by 13 patients with acquired AA that was screened using a panel with 165 genes related to BMF, hematologic malignancies, DNA repair, telomere maintenance, and immune response pathways. A second cohort composed of 59 patients suspected to have a constitutional disease screened by a commercial Inherited Bone Marrow Failure Sequencing panel. In our first cohort, while patients without functional relevant germline variants responded to immunosuppression treatment (n=8), three out of 5 nonresponder patients were identified with variants in telomere biology genes. We found patients carrying TERT and DHX36 variants. In our constitutional AA cohort, we identified 8 patients carrying variants in the RTEL1 gene, a helicase critical to telomere maintenance. RTEL1 variants associated with both patients\' overall telomere shortening and single-stranded 3\' overhang erosion independent of telomere length. Also, 3\' overhang erosion was associated with patients\' predisposition to clonal evolution. In this context, the variants identified in the helicases genes DHX36 and RTEL1 were both associated with patients\' normal telomere length and poor outcomes. Also, telomere length measurement alone was insufficient to identify all primary telomere defects. The platforms of next-generation sequencing decreased the cost and time for the genetic screening of patients with BMF. In our study, acquired AA patients did not display a clear genetic pattern associated with their immunosuppressive treatment response. In contrast, the sequencing of the cohort selected based on their suspicion to have an inherited diseaseidentified a molecular defect that might be pathogenic in up to 40% of patients, including the RTEL1 variants. Pathogenicity assessment of genetic variants requires a combination of clinical, in silico, and functional data required to avoid misinterpretation of common variants.

Dentre os vários marcadores genéticos existentes, alguns SNPs (Single Nucleotide Polymorphisms) podem estar associados à determinação de uma série de características fenotípicas (cor de pele, olhos e cabelos, estatura, forma do rosto, espessura do fio de cabelo) tendo sua predição um grande valor nas investigações forenses. Dentre os principais genes conhecidos por controlarem a pigmentação humana, através da produção da melanina, o SLC24A5 (solute carrier family 24, member 5) e o MC1R (melanocortin 1-receptor) apresentam um papel fundamental na melanogênese. O advento do sequenciamento de nova geração permitiu o processamento de várias regiões genômicas e indivíduos simultaneamente, aumentando a disponibilidade e precisão de dados de genomas completos, como alcançado em estudos como o 1000 Genomes Project. Nossas análises preliminares demonstraram que os dados de Fase 3 do 1000 Genomes são muito mais confiáveis do que as versões anteriores. Com esses dados, obtidos para 26 populações globais, foram realizadas análises populacionais (diversidade haplotípica, desequilíbrio de ligação, redes de haplótipo e de variância molecular) para os genes MC1R e SLC24A5 a fim de se compreender melhor seus padrões de diversidade, correlacionando-os à prováveis eventos de seleção natural que tenham moldado sua história evolutiva, como por exemplo a intensidade da radiação UV nas diferentes regiões geográficas. Alguns padrões foram encontradas entre os grupos africano, europeu e asiático, de acordo com a história evolutiva já descrita para estes grupos. Apesar disso, foi observado um padrão claro de varredura seletiva para o SLC24A5 nos resultados obtidos, como o alto desequilíbrio de ligação e baixa diversidade haplotípica. As análises da diversidade do SLC24A5 associadas com as zonas de incidência UV, no entanto, não apresentaram uma correlação clara entre a intensidade da radiação UV e a diversidade haplotípica / Among the various existing genetic markers, some SNPs may be associated with the determination of a series of phenotypic characteristics (skin, eyes and hair color, height, face shape, hair thickness) and its prediction could have a great value in forensic investigations. Among the major genes known to control human pigmentation through melanin production, SLC24A5 (solute carrier family 24, member 5) and MC1R (melanocortin-1 receptor) have a major role in melanogenesis. The advent of next-generation sequencing has enabled processing of several individuals and genomic regions simultaneously while increasing the availability and accuracy of whole genomes data, such as 1000 Genomes Project has achieved. Our preliminary analysis showed that Phase 3 data from the 1000 Genomes are far more reliable than previous versions. Using this data, obtained for 26 global populations, several analyzes were performed (haplotype diversity, linkage disequilibrium, haplotype networks and molecular variance) for MC1R and SLC24A5 in order to better understand their diversity patterns, correlating them to natural selection events which may have shaped their evolutionary history, such as UV radiation intensity in different geographical regions. Some patterns were found between African, European and Asian groups, according to the evolutionary history already described for these groups. Nevertheless, a strong pattern of selective sweep was observed for SLC24A5 in our data, such as high linkage disequilibrium and low haplotype diversity. Analysis of SLC24A5 diversity associated to UV, however, did not show a clear correlation between the UV radiation intensity and haplotype diversity

Alloimmunisation becomes a problem when serological discrepancies occur in matching antigens between donors and patients for blood transfusion. The rate of alloimmunisation has been increased especially in multiply transfused patients. Blood group genotyping (BGG) is a DNA-based assay that aids in reducing this situation. Currently, many platforms of BGG have become available, in which every technique has its own advantages and disadvantages. All these platforms lack the ability to identify novel alleles that might have an unknown clinical significance. The advent of next-generation sequencing (NGS) offers identification of the unprecedented alleles due to its basis of sequence-based typing. Moreover, it provides an extreme high-throughput which may be able to screen many donors and patients in a single run. In this project, two approaches have been developed in generating sequencing libraries followed by sequencing on the Ion Torrent Personal Genome MachineTM platform (Ion PGMTM). The first approach was amplicon-based target selection using Ion AmpliseqTM Custom Panel, designated as Human Erythrocyte Antigens and Human Platelet Antigens Panel (HEA and HPA Panel). This panel assay screens 11 blood group systems, as well as 16 human platelet antigens. The outcome was extraordinary, in particular four novel alleles had been identified out of 28 samples, one in the RHCE gene 208C > T (Arg70Trp) in exon 2 and three in the KEL gene. The first SNP was 331G > A (Ala111Thr) in exon 4. The second SNP was 1907C > T (Ala636Val) in exon 17 and the third SNP was 2165T > C (Leu722Pro) in exon 19. However, some issues occurred regarding co-amplification of homologous genes. The second approach was a long-range polymerase chain reaction (LR-PCR) based approach. This method provided a high resolution assay by amplification of entire genes, including the non-coding area, of the Kell and Rh blood group systems. The Kell blood group was initially utilised as a model in order to apply the same approach on the Rh system. Most alleles encoding the antigens of the Kell blood group, especially the high prevalence ones, were identified. The Rh LR-PCR approach was carried out by amplification of the RHD and RHCE genes with seven amplicons. For five RhD-positive samples no mutations were observed within the coding areas. On the other hand, five serotyped weak D samples were genotyped as; two weak D type 1, two weak D type 2 and one DAR3.1 weak partial D 4.0 (RHD*DAR3.01). Regarding the RHCE, the following antigens (C, c, E, c) were predicted properly from the sequencing data. Moreover, the RHCE*ceVS.02 was identified. 64 and 39 intronic SNPs were identified in RHD and RHCE genes, respectively. The intronic SNPs assisted the genotyping process by identifying the haplotype of interest. Interestingly, the novel allele identified in the RHCE gene by the HEA and HPA Panel was confirmed to belong to the RHCE gene by the LR-PCR approach, indicating the panel misaligned it to the RHD gene. In conclusion, NGS paves the way to be an alternative substitution to the previous molecular techniques. It would supplant the conventional serology for typing blood for transfusion.

Breast cancer is the most common cancer in women and research efforts to unravel the underlying mechanisms that drive carcinogenesis are continuous. The emergence of high-throughput sequencing techniques and their constant advancement, in combination with large scale studies of genomic and transcriptomic data, allowed the identification of important genetic changes that take place in the breast cancer genome, including somatic mutations, copy number aberrations and genomic rearrangements.The overall aim of this thesis is to explore the presence of genetic changes that take place in the breast cancer transcriptome and their possible contribution to carcinogenesis. The aim of the first research study was the identification of expressed gene fusions in breast cancer and the study of their association with other genomic events. For achieving this, transcriptome sequencing and Single Nucleotide Polymorphism arrays data for a cohort of 55 tumors and 10 normal breast tissues were combined. Gene fusions were detected in the majority of the samples, with evident differences between breast cancer subtypes, where HER2+ samples had significantly more fusions than the other subtypes. The genome-wide analysis uncovered localization of fusion genes in specific chromosomes like 17, 8 or 20. Additionally, a positive correlation between the number of gene fusions and the number of amplifications was observed, including the association between fusions on chromosome 17 and the amplifications in HER2+ samples, which can be attributed to the highly rearranged genomes of these subtypes. Finally, the absence of highly recurrent fusions across this cohort adds to the notion that gene fusions in breast cancer are most likely private events, with the majority being “passenger” events. In the second research study, the aim was to identify a connection between viral infections and breast cancer by devising five different computational methods for the analysis of both transcriptome and exome data in a cohort of 58 breast tumors. Despite being able to detect viral sequences in our testing dataset, no significantly high numbers of viral sequences were detected in our samples. Specifically, viral sequences (~2-30 reads) were extracted belonging to viruses EBV, HHV6 and Merkel cell polyomavirus. Such low levels of viral expression direct against a viral etiology for breast cancer but one should not exclude possible cases of integrated but silent viruses.In the third research project, we analyzed in silico the transcriptional profiles of human endogenous retroviruses in breast cancer. Despite being scattered across the genome in large numbers, a number of ERVs are actively transcribed, consisting of a small percentage of the total mapped reads. Alongside protein coding genes and lncRNAs, they show distinct expression profiles across the different breast cancer subtypes with luminal and basal-like samples clear separating from each other. Additionally, distinct profiles between ER+ and ER- samples were observed. Tumor specific ERV loci show an association with the immune status of the tumors, indicating that ERVs are reactivated in tumors and could play a role in the activation of the immune response cascade.The results presented in this thesis exhibit only in a small fragment the diversity and heterogeneity of the breast cancer transcriptome. The strength of the sequencing techniques allows the in depth detection of different genomic events. Gene fusions should be considered as part of the breast cancer transcriptome but their low recurrence across samples indicates for a role as passenger events. Under the light of existing results, viral infections do not play a significant role in breast cancer. On the other hand, human endogenous retroviruses, despite originating from exogenous viruses, seems to exhibit transcriptional profiles similar to those of normal genes, indicating that they are part of the genome’s transcriptional machinery. / Doctorat en Sciences biomédicales et pharmaceutiques (Médecine) / info:eu-repo/semantics/nonPublished