February 28, 2025

Liver Disease for Precision Medicine

Clusters of metabolic dysfunction-associated steatotic liver disease for precision medicine



Metabolic dysfunction-associated steatotic liver disease (MASLD) is a heterogeneous disease regarding its pathophysiology and clinical outcomes. Two novel studies suggest that different clusters of people with MASLD exist, explaining part of this heterogeneity. These findings and future research applying data dimensionality reduction approaches might be beneficial for implementing precision medicine in MASLD.

The basic, translational and clinical content in Nature Reviews Gastroenterology & Hepatology is written by internationally renowned basic and clinical academics and researchers and targeted towards readers in the biological and medical sciences, from postgraduate level upwards. While intended to be read by practising doctors, researchers and academics within a specialty, we aim to make all our articles accessible to readers working in any biological or medical discipline.

In-depth Reviews present authoritative, up-to-date information on a topic, placing it in the context of a field's history and development. Consensus Statements provide evidence-based or eminence-based recommendations and present a balanced review put together by a task force of experts. Topical discussion and opinions are proffered in Perspectives, Comment and News & Views articles, and in the Research Highlights section we filter primary research from a range of specialty and general medical and scientific journals.

gene mutation, genomic sequencing, rare disorders, single nucleotide polymorphism, epigenetic alterations, copy number variations, chromosomal abnormalities, mitochondrial disorders, autosomal inheritance, recessive traits, precision medicine, CRISPR technology, genetic counseling, exome analysis, hereditary syndromes, phenotypic variability, non-coding DNA mutations, gene therapy breakthroughs

#Genetics #RareDiseases #GeneMutation #GenomicSequencing #PrecisionMedicine #CRISPR #GeneTherapy #GeneticCounseling #HereditarySyndromes #ChromosomalAbnormalities #Epigenetics #ExomeAnalysis #PhenotypicVariability #MolecularDiagnostics #RareSyndromes #InheritedDisorders #MitochondrialDiseases #CNVs #Transcriptomics #GeneticHealth

February 27, 2025

Rare disease gene

Rare disease gene association discovery in the 100,000 Genomes Project


Up to 80% of rare disease patients remain undiagnosed after genomic sequencing1, with many probably involving pathogenic variants in yet to be discovered disease–gene associations. To search for such associations, we developed a rare variant gene burden analytical framework for Mendelian diseases, and applied it to protein-coding variants from whole-genome sequencing of 34,851 cases and their family members recruited to the 100,000 Genomes Project2. A total of 141 new associations were identified, including five for which independent disease–gene evidence was recently published. Following in silico triaging and clinical expert review, 69 associations were prioritized, of which 30 could be linked to existing experimental evidence.

The five associations with strongest overall genetic and experimental evidence were monogenic diabetes with the known β cell regulator3,4 UNC13A, schizophrenia with GPR17, epilepsy with RBFOX3, Charcot–Marie–Tooth disease with ARPC3 and anterior segment ocular abnormalities with POMK. Further confirmation of these and other associations could lead to numerous diagnoses, highlighting the clinical impact of large-scale statistical approaches to rare disease–gene association discovery.

Rare diseases collectively affect 3.5% to 5.9% of people worldwide5. Despite advances in genomic sequencing, molecular diagnosis continues to elude 50% to 80% of patients presenting to genetic clinics1. Furthermore, fewer than half of the 10,000 rare Mendelian diseases in the Online Mendelian Inheritance in Man (OMIM) database6 have an established genetic basis. Diagnostic failure may arise because of a lack of routine screening for non-coding7 or structural variants1. However, it is likely that a substantial proportion of the pathogenic variants responsible for patients undiagnosed with rare disease (cases) reside in those yet to be discovered genes associated with (possibly very rare) disorders.

The scale of rare disease sequencing studies, such as the Undiagnosed Disease Network8, Centers for Mendelian Genomics9, Deciphering Developmental Disorders10 and the 100,000 Genomes Project (100KGP)2, offers expanded opportunities to provide insight into pathogenic mechanisms of inherited disease, including the possibility of establishing disease–gene associations through case–control analyses, akin to methods used previously to identify common genetic variants influencing the risk of complex disorders. Such an approach provides much-needed power to identify genes harbouring rare pathogenic variants.

genetics awards, genomics, DNA research, hereditary science, gene editing, CRISPR recognition, genetic breakthroughs, medical genetics, population genetics, biotechnology awards, Nobel Prize in Genetics, genomic medicine, genetic innovation, molecular biology, personalized medicine, genetics research grants, bioinformatics, evolutionary genetics, genetic engineering, scientific excellence

#GeneticsAwards #Genomics #DNAResearch #HereditaryScience #GeneEditing #CRISPRRecognition #GeneticBreakthroughs #MedicalGenetics #PopulationGenetics #BiotechAwards #NobelPrizeGenetics #GenomicMedicine #GeneticInnovation #MolecularBiology #PersonalizedMedicine #GeneticsResearch #Bioinformatics #EvolutionaryGenetics #GeneticEngineering #ScientificExcellence


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February 26, 2025

Gene Therapy

Making Gene Therapy Faster And Better With Fuse Vectors



Moorfields Eye Hospital in London made international headlines last week. Doctors announced they had saved the sight of four young children suffering from a rare genetic condition that rapidly causes blindness. The toddlers were treated using gene therapy, through which patients are given a harmless virus containing healthy versions of a defective gene in order to remedy the problem.

“Gene therapy sounds like science fiction, but it is beginning to have a huge impact,” says Benjamin Blaha, co-founder of the gene therapy-focused Danish biotechnology start-up Fuse Vectors, which is today announcing a $5.2 million pre-seed fundraising round. “We desperately need to develop more of these treatments as quickly as possible, because they can save lives and transform patient outcomes.”

Fuse hopes to play a significant role in doing exactly that. Blaha and co-founders Jordan Turnbull and Henrik Stage believe that the bottleneck for gene therapy developers today lies in the manufacturing process, rather than in the science itself. “If we want to develop new treatments faster, more safely and more cheaply, we need to solve the manufacturing problem,” Blaha adds. “Traditional methods of manufacturing gene therapies are akin to asking a blacksmith to build a jet plane.”

Fuse is focused on the mechanics of getting treatments into the human body – the “vector” for transmission. Currently, gene therapies make use of human cells – a technique developed for other types of drug delivery – but working with live cells in this way is inefficient and difficult to control. Fuse’s innovation is a technique that enables cell-free production of the viral vectors required; using protein and DNA as building blocks, it constructs tailor-made vectors for delivering the treatment.

“This allows for greater precision, more efficiency and increased scalability,” explains Turnbull. “You get higher drug quality, improving safety and efficacy by eliminating unwanted by-products, increased development speed from research to clinical application, and reduced production costs that make advanced therapies more affordable.”

The potential gains are significant. Fuse believes that its finished product is so tightly controlled that patients will need only a fifth of the dose currently required from gene therapies, which should be far safer. It says it can develop a new viral vector for testing in just four hours – compared to the four weeks it takes to develop a cell in the traditional way. And it thinks costs could be dramatically lower.

All of which is hugely exciting for healthcare professionals and the patients they want to treat. “There are thousands of addressable diseases that we need these therapies for,” adds Blaha. “The opportunity is to transform people’s lives.”

That said, the company is at a relatively early stage – particularly in terms of commercialisation. Fuse is pre-revenue, though it has signed up around a dozen partners, ranging from pharmaceutical companies to academic institutions, which will trial its technology in the coming months. The two founders hope to convert some of those partners into paying customers before the end of the year.

The company is pursuing two business models, with plans both to develop its own gene therapies and to give access to its manufacturing process to other developers. “The key is just to develop these treatments as quickly as possible,” says Turnbull.

New funding for the business should help in this endeavour. Today’s $5.2 million round is led by HCVC, an early-stage venture capital firm with investments in both Europe and North America. “With its unique cell-free viral vector solution, expert founding team and strong business model, Fuse Vectors has the potential to overcome significant challenges in the field,” says HCVC managing partner Alexis Houssou. “We believe in their ability to bring transformative treatments to patients.”

The funding round has also won support from BioInnovation Institute, an international non-profit foundation supported by the Novo Nordisk Foundation, and Denmark’s Export & Investment Fund. At the former, chief business officer Trine Bartholdy, says: “Fuse’s approach has the potential to make gene therapy much more interesting for the industry to develop as well as to increase its accessibility to patients.”

gene therapy, genetic engineering, genome editing, CRISPR, gene modification, genetic disorders, DNA repair, viral vectors, non-viral delivery, somatic gene therapy, germline editing, gene expression, targeted therapy, biotechnology, precision medicine, RNA therapeutics, cell therapy, molecular medicine, hereditary diseases, biomedical research

#GeneTherapy #GeneticEngineering #GenomeEditing #CRISPR #GeneModification #GeneticDisorders #DNARepair #ViralVectors #NonViralDelivery #SomaticGeneTherapy #GermlineEditing #GeneExpression #TargetedTherapy #Biotechnology #PrecisionMedicine #RNATherapeutics #CellTherapy #MolecularMedicine #HereditaryDiseases #BiomedicalResearch

February 25, 2025

Top in cardiology

Top in cardiology: Atherosclerosis common in lung cancer; treating amyloidosis

Patients beginning lung cancer treatment demonstrated a high prevalence of atherosclerosis, which suggests that they may benefit from calcium scoring, new data showed.

According to a presentation given at the American College of Cardiology’s Advancing theCardiovascular Care of the Oncology Patient course, more than three-quarters of patients entering lung cancer treatment who underwent chest CT imaging showed evidence of atherosclerosis.


White patients who smoked appeared most likely to have atherosclerosis on CT out of all the subgroups examined, researchers found.

“What this study confirms is that tobacco use is a shared risk factor for both diseases and at the time of lung cancer diagnosis these patients should be considered for additional evaluation by a cardiologist or cardio-oncologist, as it is likely they already have CV disease,” Christopher Malozzi, DO, director of cardio-oncology services at the University of South Alabama Frederick P. Whiddon College of Medicine, told Healio.

It was the top story in cardiology last week. In another top story, Joban Vaishnav, MD, director of the Johns Hopkins Comprehensive Amyloidosis Center, discussed the evolving treatment landscape of amyloidosis.

Read these and more top stories in cardiology below:

High prevalence of atherosclerosis detected in patients entering lung cancer therapy

cardiology, heart disease, cardiovascular health, arrhythmia, heart attack, stroke, hypertension, atherosclerosis, heart failure, echocardiography, angioplasty, stent placement, cardiac arrest, electrophysiology, myocarditis, cardiomyopathy, cholesterol, blood pressure, coronary artery disease, cardiovascular research,

#Cardiology #HeartHealth #CardiovascularDisease #HeartAttack #Stroke #Hypertension #Atherosclerosis #HeartFailure #Echocardiography #Angioplasty #StentPlacement #CardiacArrest #Electrophysiology #Myocarditis #Cardiomyopathy #Cholesterol #BloodPressure #CoronaryArteryDisease #HeartCare #CardiovascularResearch


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February 24, 2025

🧬International Conference on Genetics and Genomics of Diseases🧬

International Conference on Genetics and Genomics of Diseases

Rare genetic disorder

Rare genetic disorder treated in womb for the first time


A two-and-a-half-year-old girl shows no signs of a rare genetic disorder, after becoming the first person to be treated for the motor-neuron condition while in the womb. The child’s mother took the gene-targeting drug during late pregnancy, and the child continues to take it.

The “baby has been effectively treated, with no manifestations of the condition,” says Michelle Farrar, a paediatric neurologist at UNSW Sydney in Australia. The results were published in the New England Journal of Medicine yesterday.

The child was conceived with a genetic condition known as spinal muscular atrophy, which affects motor neurons that control movement, and leads to progressive muscle weakening. About one in every 10,000 births have some form of the condition — making it a leading genetic cause of death in infants and children.

In its most severe form, as in the case of this child, individuals lack both copies of the SMN1 gene, and have only one or two copies of a neighbouring gene, SMN2, that partially compensates for that deficiency. As a result, the body does not produce enough of the protein required for maintaining motor neurons in the spinal cord and brainstem. This protein is most important in the second and third trimesters, and the first few months of life. Babies with severe disease don’t usually live past their third birthday.

In the past decade, the US Food and Drug Administration (FDA) has approved three drugs to treat newborns for spinal muscular atrophy. The oral drug used in this study, called Risdiplam, manufactured by biotech firm Roche, based in Basel, Switzerland, is a small molecule that works by modifying expression of the SMN2 gene so that it produces more SMN protein.

Up until now, treatments for spinal muscular atrophy were given after birth. But up to half of newborns lacking both copies of the SMN1 gene and with only two copies of the SMN2 gene are born with some symptoms. “There was still room for improvement,” says Richard Finkel, a clinical neuroscientist at St. Jude Children’s Research Hospital in Memphis, Tennessee, who led the study.

genetics, DNA, genes, genome, heredity, genetic variation, mutation, epigenetics, genetic disorders, genomics, genetic engineering, CRISPR, molecular biology, gene expression, inheritance, genetic sequencing, biotechnology, population genetics, personalized medicine, genetic research,

#Genetics #DNA #Genes #Genome #Heredity #GeneticVariation #Mutation #Epigenetics #GeneticDisorders #Genomics #GeneticEngineering #CRISPR #MolecularBiology #GeneExpression #Inheritance #GeneticSequencing #Biotechnology #PopulationGenetics #PersonalizedMedicine #GeneticResearch


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February 22, 2025

DNA deletion disease syndromes

Characterizing the spectrum of mitochondrial DNA deletion disease syndromes


Researchers from the Mitochondrial Medicine Program at Children's Hospital of Philadelphia (CHOP) have better characterized a spectrum of what were classically considered discrete mitochondrial DNA deletion disease syndromes. The findings offer new insights into genetic causes, potential symptoms, and disease progression, and may inform future clinical trial development. The findings were published today in the journal Genetics in Medicine.

Mitochondrial disease refers to a group of disorders that affect the mitochondria, which are tiny compartments present in almost every cell of the body that generate most of our energy. Certain forms of mitochondrial disease – Pearson syndrome, Kearns-Sayre syndrome (KSS) and chronic progressive external ophthalmoplegia (CPEO) – are each caused by single large-scale mitochondrial DNA (mtDNA) deletions (SLSMD), which involve the loss of a large segment within the small DNA genome that is found exclusively in the mitochondria.

While the genetic cause of these SLSMD syndromes is similar, the affected tissues and clinical presentations can vary wildly. Pearson syndrome is typically diagnosed in infancy due to growth failure and anemia; KSS might develop as progressive multi-system symptoms during mid-childhood; and CPEO typically presents in adults with eye muscle movement problems. Understanding the natural history study of these rare diseases is particularly challenging because so few patients are diagnosed in any stage and some cases can lead to early death.

To better understand SLSMD's molecular and clinical scope, researchers compiling information and data from 30 known cases seen at CHOP between 2002 and 2020 was performed using modern techniques for analyzing electronic medical records to more quickly and nimbly conduct a retrospective natural history study.

"Although these are the three named syndromic phenotypes in the spectrum SLSMD syndromes, the spectrum is actually broader and includes patients whose symptoms do not meet any of their strict diagnostic criteria," said first study author Rebecca Ganetzky, M.D., an attending physician in Mitochondrial Medicine and the Director of Mitochondrial Biochemical Diagnostic Test Development at CHOP. "This retrospective natural history study was designed more accurately inform the spectrum of clinical presentation for SLSMD disorders. This will enable future clinical trials to enroll a greater range of patients and evaluate a wider range of clinical endpoints that effectively describe symptom and quality of life effects in meaningful ways to patients across the disease spectrum."

Many of these patients share certain molecular details. For example, this study found that a recurrent deleted region within the gene MT-ND5 occurred in 96% of SLSMD patients, regardless of their eventual clinical phenotype, which tended to evolve from one category to the next in certain patients over time. Additionally, the biomarker peptide growth differentiation factor 15 (GDF-15) was highly elevated in all SLSMD patients in this study, regardless of clinical features. Higher levels in blood of SLSMD heteroplasmy– a phenomenon unique to mtDNA reflecting the presence of both normal and deleted genomes in a patient – correlated with earlier age of disease onset. As a patient's age increased, greater fatigue and lower quality of life were reported.

This study was supported in part by an investigator-initiated sponsored research award from Minovia Therapeutics and from the Children's Hospital of Philadelphia Mitochondrial Medicine Frontier Program.

DNA deletion, genetic mutation, genome editing, chromosomal aberration, gene loss, genetic disorder, DNA repair, genetic variation, CRISPR-Cas9, genetic recombination, hereditary disease, DNA sequencing, mutation analysis, exon deletion, genomic instability, structural variation, genetic abnormality, frameshift mutation, molecular genetics, pathogenic mutation,

#DNADeletion #GeneticMutation #GenomeEditing #ChromosomalAberration #GeneLoss #GeneticDisorder #DNARepair #GeneticVariation #CRISPRCas9 #GeneticRecombination #HereditaryDisease #DNASequencing #MutationAnalysis #ExonDeletion #GenomicInstability #StructuralVariation #GeneticAbnormality #FrameshiftMutation #MolecularGenetics #PathogenicMutation

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February 21, 2025

Chromosomal Disorder

Characteristic of Chromosomal Disorder



Objective: Jacobsen syndrome is an infrequent contiguous gene syndrome that involves the deletion of the long arm of chromosome 11. It is mostly accompanied by intellectual disability and other abnormalities. The majority of the patients are hospitalized or lost within the first two years of life.

Case(s): We report a case of a fetus at 21 weeks of gestation with Jacobsen syndrome who presented with a conotruncal cardiac defect. Amniocentesis was performed, and karyotype analysis revealed that there was a de novo deletion of chromosome 11. The family decided to terminate the pregnancy.

Conclusion: Prenatal diagnosis of Jacobsen syndrome is not always possible, since the characteristic ultrasound findings vary greatly between patients. Additionally, existing symptoms and signs may not always be found with imaging techniques.

However, if present, certain ultrasonographic findings should lead clinicians to consider the syndrome. The study aims to present a rare case of Jacobsen syndrome, inform the clinicians, and guide on this syndrome and its possible outcomes.

chromosomal disorder, genetic mutation, aneuploidy, trisomy, monosomy, chromosomal abnormality, structural variation, karyotype, nondisjunction, genetic syndrome, congenital defects, mosaicism, translocation, deletion mutation, duplication mutation, inversion mutation, phenotype variation, hereditary condition, developmental delay, genetic diagnosis

#ChromosomalDisorder #GeneticMutation #Aneuploidy #Trisomy #Monosomy #ChromosomalAbnormality #StructuralVariation #Karyotype #Nondisjunction #GeneticSyndrome #CongenitalDefects #Mosaicism #Translocation #DeletionMutation #DuplicationMutation #InversionMutation #PhenotypeVariation #HereditaryCondition #DevelopmentalDelay
#GeneticDiagnosis

February 20, 2025

From Flies to Families

From Flies to Families: How a Gene Variant May Shield Against Seizures


Researchers identified a genetic modifier of PIGA-CDG, a rare disorder that results in seizures, in a family carrying the genetic mutation and in a fruit fly model.

Gregor Mendel’s studies of inheritance patterns in pea plants helped shape researchers’ understanding of single-gene diseases, which can run in families. Some of the diseases that follow a Mendelian pattern include cystic fibrosis, color blindness, and rare seizure disorders such as phosphatidylinositol glycan class A congenital disorder of glycosylation (PIGA-CDG).

Clement Chow, a geneticist at the University of Utah Health, and his team study the role of genetic variants on disease outcomes, especially in rare diseases. Chow focused on PIGA-CDG when he and his team noticed a family carrying the PIGA mutation where some members remained unaffected by the disease. This finding led them to search for a genetic modifier that might contribute to this observation.

The researchers identified the contactin-2 (CNTN2) gene, which appeared in healthy family members with PIGA mutations. Their findings, published in The American Journal of Human Genetics, revealed that CNTN2 may be a protective genetic modifier in this disease.1 Identifying rare disease modifier genes in families could also aid in developing therapeutic targets.

While PIGA-CDG is caused by a mutation in the PIGA gene on the X chromosome, its expression varies and manifests in different symptoms. There are fewer than 100 reported individuals with the disorder, underscoring a need to better understand PIGA-CDG.

In the studied family, two brothers with PIGA-CDG developed early-onset epilepsy and mild developmental delay. Genetic testing revealed they both inherited the same PIGA variant.2 Notably, their maternal grandfather and a great-uncle also carried the variant but remained asymptomatic. Chow hypothesized that genetic modifiers might play a role in this discrepancy.

Using whole-genome sequencing and pedigree analysis of the family members, the researchers identified candidate modifier genes based on inheritance pattern: protective in healthy genetic carriers and susceptibility in those with PIGA-CDG. The team identified roughly 30 variants for each and then made a shortlist based on the predicted function of the genes involved in glycosylphosphatidylinositol (GPI) anchors.

PIGA encodes for a protein necessary for making GPI anchors, which are essential in attaching proteins to the cell membrane. Without GPI-anchored proteins, cell adhesion, signal transduction, and protection from immune destruction are affected. Based on this criterion, the researchers narrowed their list to three candidate genes.

Using a Drosophila melanogaster eye model, the team tested how the candidate genes influenced PIGA loss in vivo. Since PIGA knockdown significantly reduces eye size, researchers used this trait to assess gene interactions. The predicted protective modifiers were expected to rescue (make the eye bigger), while susceptibility candidates were expected to enhance (make the eye smaller) the PIGA phenotype. Notably, CNTN2, a GPI-anchored protein involved in neuron-glial cell interaction, was a strong protective genetic modifier, rescuing an eye size defect in the flies caused by the loss of PIGA.

The researchers also tested the motor effects of PIGA neuronal knockdown flies–known to have seizures and difficulty moving—such as climbing to the top of a vial. Flies with reduced function for both PIGA and Cont, the fruit fly ortholog to CNTN2, appeared to move more readily and showed reduced severity of seizures.

Based on these findings, the researchers believe that changes to CNTN2 are likely to protect people against the disease. With further investigations between affected families, this finding could eventually lead to a better grasp of understudied rare disorders and the development of therapies for PIGA-CDG.

“If we can use this strategy more broadly, I think we can help address the problem of phenotypic variation in rare disease,” Chow said in a press release. “I am hoping that this will be used as a roadmap moving forward.”

gene variant, seizures, epilepsy, neurological disorders, genetic mutation, ion channels, brain function, neuroprotection, synaptic transmission, hereditary traits, nervous system, neuronal excitability, seizure resistance, epilepsy research, genetic influence, neurogenetics, fruit flies, model organisms, familial epilepsy, brain signaling

#GeneVariant #Seizures #Epilepsy #NeurologicalDisorders #GeneticMutation #IonChannels #BrainFunction #Neuroprotection #SynapticTransmission #HereditaryTraits #NervousSystem #NeuronalExcitability #SeizureResistance #EpilepsyResearch #GeneticInfluence #Neurogenetics #FruitFlies #ModelOrganisms #FamilialEpilepsy #BrainSignaling

February 19, 2025

Germline Risk Variants

Functional analysis of cancer-associated germline risk variants


Single-nucleotide variants (SNVs) in regulatory DNA are linked to inherited cancer risk. Massively parallel reporter assays of 4,041 SNVs linked to 13 neoplasms comprising >90% of human malignancies were performed in pertinent primary human cell types and then integrated with matching chromatin accessibility, DNA looping and expression quantitative trait loci data to nominate 380 potentially regulatory SNVs and their putative target genes. The latter highlighted specific protein networks in lifetime cancer risk, including mitochondrial translation, DNA damage repair and Rho GTPase activity.

A CRISPR knockout screen demonstrated that a subset of germline putative risk genes also enables the growth of established cancers. Editing one SNV, rs10411210, showed that its risk allele increases rhophilin RHPN2 expression and stimulus-responsive RhoA activation, indicating that individual SNVs may upregulate cancer-linked pathways. These functional data are a resource for variant prioritization efforts and further interrogation of the mechanisms underlying inherited risk for cancer.

cancer genetics, germline variants, risk variants, functional analysis, genetic predisposition, oncogenomics, tumor suppressors, genome-wide association studies, GWAS, DNA sequencing, hereditary cancer, mutation analysis, cancer susceptibility, biomarker discovery, precision oncology, genetic screening, pathogenic variants, molecular mechanisms, cancer risk assessment, genetic epidemiology

#CancerGenetics #GermlineVariants #RiskVariants #FunctionalAnalysis #GeneticPredisposition #Oncogenomics #TumorSuppressors #GWAS #DNASequencing #HereditaryCancer #MutationAnalysis #CancerSusceptibility #BiomarkerDiscovery #PrecisionOncology #GeneticScreening #PathogenicVariants #MolecularMechanisms #CancerRisk #GeneticEpidemiology #CancerResearch

February 18, 2025

Broken Heart Syndrome

She suspected a heart attack, but was diagnosed with broken heart syndrome


If you've ever had a scary experience, when your adrenaline is pumping, as you deal with a threat or shock, you may relate to Maria Carraballo's experience. While on vacation in Puerto Rico, Carraballo, 75, was swimming with her two young grandsons, when the current began to pull them away from the shore. "I was holding the boys, trying to keep their heads above the water," she recalls. "It was such desperation," she thought they were going to drown.

Fortunately, a nearby swimmer came to help, and once safely back to shore she thought the event was over. But several hours later she ended up in the emergency room with chest pain and shortness of breath. She was diagnosed with stress cardiomyopathy, also known as broken heart syndrome. You may think of a broken heart as a metaphorical idea, but this is a real condition that can bring on a sudden and dramatic weakening of the heart muscle after a stressful event.

"She's kind of a classic case," says Dr. Joy Gelbman, a cardiologist at New York-Presbyterian and Weill Cornell Medicine, who treated Carraballo once she was back in New York. Typically, people make a full recovery, and are often prescribed medications, such as beta-blockers, temporarily. It's almost like the heart is overworked

Broken heart syndrome, which is also known as Takotsubo cardiomyopathy, can be tricky to diagnose. Some of the tests performed in the emergency room can produce the same results as someone having a heart attack. For instance, there may be changes in an electrocardiogram, or EKG, similar to a heart attack.

Broken heart syndrome can cause an increase in a cardiac enzyme called troponin, in the blood, that is also elevated by a heart attack. "And the echocardiogram — which creates images of the heart — typically shows a characteristic ballooning of the heart muscle," Gelbman explains.

The key difference is that when a person has a heart attack, they have a blockage in one or more of their coronary arteries, but patients with broken heart syndrome don't have blocked arteries.

"That's one of the defining features — there are no serious blockages of heart arteries," Gelbman says. With broken heart syndrome, the weakening of the heart muscle can be caused by a sudden burst of stress hormones that flood the heart, she says.

"The best understanding we have is that the heart reacts very strongly to an adrenaline surge," says Dr. Grant Reed, a cardiologist at the Cleveland Clinic. "That adrenaline surge causes the heart muscle to weaken. It's almost like the heart is overworked," as a result of the stressful event.

When the heart is weakened, blood and oxygen can't effectively circulate around the body, which helps explain the symptoms. It's not clear why some people develop this condition after a stressful event, and though it's still considered rare, research points to an increase in cases.

Reed and his colleagues at the Cleveland Clinic documented more than a 4-fold increase in broken heart syndrome in 2020 during the stressful Covid lockdown period. It was a reminder, Reed says, of how interwoven the mind and body are. "Emotional stress can lead to a physical consequence," he says.

Most people make a full recovery

Reed talks to his patients about the importance of taking care of themselves both physically and emotionally. "Broken heart syndrome is really a great example of the intersection between the two," he says. Fortunately, most patients make a full recovery. "The good news is that broken heart syndrome is usually easy to treat and does not require surgery," says Dr. Sudip Saha, a cardiologist at Kaiser Permanente.

He says some patients feel reassured when they realize they haven't had a heart attack. 
"Most people are relieved to hear that in almost all cases — with time and medicine — this can be reversed," Saha says, and the risk of a recurrence is very low. The syndrome is most common in women over the age of 50, though cardiologists report seeing the condition in a broad range of patients, including middle aged men. In about 1 in 3 cases, there's no specific event that causes the cardiomyopathy. Sometimes, the onset is linked to a stressful or anxious period.

Saha says at a time when the condition seems to be on the rise, it's important for people to know the symptoms and be aware of the benefits of managing anxiety and stress.

Managing stress is key to heart health

If you are looking for ways to reduce stress and anxiety you can sign up for NPR's Stress Less series. You'll get five newsletters, packed with science-based strategies that can help improve positive feelings, reduce feelings of anxiety and help you cope better with life's stressors. You can sign up here.

broken heart syndrome, Takotsubo cardiomyopathy, stress-induced cardiomyopathy, heart attack symptoms, chest pain, emotional stress, cardiac arrest, myocardial infarction, left ventricular dysfunction, heart failure, coronary arteries, ECG changes, cardiac biomarkers, echocardiogram, cardiology, adrenaline surge, sudden stress, reversible heart condition, cardiac health, stress management,

#BrokenHeartSyndrome #TakotsuboCardiomyopathy #StressInducedCardiomyopathy #HeartAttackSymptoms #ChestPain #EmotionalStress #CardiacArrest #MyocardialInfarction #LeftVentricularDysfunction #HeartFailure #CoronaryArteries #ECGChanges #CardiacBiomarkers #Echocardiogram #Cardiology #AdrenalineSurge #SuddenStress #ReversibleHeartCondition #CardiacHealth #StressManagement

February 17, 2025

Genetic heritage

Genetic heritage from the Stone Age protects against today's chronic inflammatory bowel diseases


In Europe alone, approximately 2 million people live with chronic inflammatory bowel diseases (IBD), and their incidence has been rising steadily in recent decades. However, a small proportion of the European population carries a genetic variant that provides natural protection against IBD.

A newly published study in the journal eBioMedicine explores how this protective variant can be leveraged to develop modern therapies, demonstrating the potential of evolutionary medicine in addressing chronic diseases of the modern era.

The study, led by the Institute of Clinical Molecular Biology (IKMB) at Kiel University, brought together researchers from genetics, medicine, and archaeology.

"We have demonstrated that this gene variant, which offers protection against inflammatory bowel diseases, was prevalent among the first sedentary farmers in Anatolia and was introduced to Europe through ancient migration movements," explains Prof. Dr. Ben Krause-Kyora from the IKMB, lead author of the study.

The study, part of the ROOTS and "Precision Medicine for Chronic Inflammatory Diseases" (PMI) Clusters of Excellence, analyzed genetic data from 251 human genomes spanning the past 14,000 years across Europe and Anatolia. The researchers focused specifically on the IL23R gene, which plays a key role in immune regulation.

"The exact causes of chronic inflammatory bowel diseases remain unknown. However, previous research has shown that strong immune responses regulated by IL23R are closely linked to these conditions. A reduced function of this pathway appears to provide protection against chronic inflammation," explains Professor Krause-Kyora.


The IL23R variant examined in the study moderates the immune response, preventing excessive inflammation without compromising overall immune function. As a result, individuals carrying this gene variant remain largely protected from infections.

"It's a win-win situation for the body," says co-author Prof. Dr. Dr. Stefan Schreiber, spokesperson for PMI and clinical partner of the research team as a gastroenterologist at the University Medical Center Schleswig-Holstein.

About 10,000–12,000 years ago, approximately 18% of individuals in Anatolian farming communities carried this gene variant. The shift from a Paleolithic lifestyle of hunting and gathering to Neolithic farming likely triggered more frequent inflammatory reactions in individuals.

The researchers hypothesize that the IL23R variant provided protection against this heightened inflammatory status, enhancing survival among the first Neolithic farmers. This could explain its high prevalence in early agrarian societies.

From the Neolithic period onward, migratory movements gradually spread the IL23R variant across Europe over the past 8,000 years. Subsequent population admixture led to its highest prevalence in Southwestern Europe and lowest in Northeastern Europe. Interestingly, this distribution mirrors the regional prevalence of IBD, which is most common in Northern and Eastern Europe. Today, approximately 5% of the European population still carries the variant.

The study sheds light on the history of a gene variant that remains medically significant today. "We now understand why a reduced function of IL23R provides protection against inflammatory conditions. The mechanism by which this variant prevents chronic inflammatory bowel diseases has recently been applied in the development of IBD medications.

"These treatments are considered highly effective with minimal side effects. This example illustrates how we can draw inspiration from nature to develop new therapies," says Schreiber.

genetic heritage, DNA ancestry, inherited traits, genetic lineage, genealogical DNA, ancestral origins, hereditary diseases, genetic diversity, evolutionary genetics, gene expression, family genetics, mitochondrial DNA, Y-chromosome lineage, population genetics, epigenetics, genomic inheritance, biological ancestry, autosomal DNA, genetic markers, personalized genomics

#GeneticHeritage #DNAAncestry #InheritedTraits #GeneticLineage #Genealogy #AncestralOrigins #HereditaryDiseases #GeneticDiversity #EvolutionaryGenetics #GeneExpression #FamilyGenetics #MitochondrialDNA #YChromosome #PopulationGenetics #Epigenetics #GenomicInheritance #BiologicalAncestry #AutosomalDNA #GeneticMarkers #PersonalizedGenomics

International Conference on Genetics and Genomics of Diseases 




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February 15, 2025

Alzheimer's Disease

Scientists uncover 'root cause' of Alzheimer's disease in breakthrough study


Using a new animal model of Alzheimer’s disease, the study highlights a potential breakthrough in treatment strategies. Unlike current therapies that primarily target a single toxic protein linked to the disease, this research explores a more comprehensive approach.

A research team from the Institut de Neurociències at the Universitat Autònoma de Barcelona (INc-UAB) has identified how the two primary hallmarks of Alzheimer’s disease—tau protein and beta-amyloid—affect brain circuits in distinct yet complementary ways, particularly those involved in memory and emotions. The study, conducted in collaboration with the Centro de Investigación Biomédica en Red Enfermedades Neurodegenerativas (CIBERNED) and the Universidad Pablo de Olavide (UPO), provides new insights into the mechanisms underlying the disease.

Published in Molecular Psychiatry, the research shows that tau accumulation in the hippocampus primarily contributes to memory deficits, while beta-amyloid buildup in the amygdala leads to emotional disturbances such as anxiety and fear—both of which are early symptoms of Alzheimer’s. Furthermore, the presence of both pathologies together exacerbates brain inflammation and dysfunction, amplifying their overall impact on cognitive and emotional health.

For decades, research into Alzheimer’s disease has been shaped by two theories: one suggesting that the disease originates from tau buildup inside neurons, and another pointing to beta-amyloid accumulation as the primary trigger. These perspectives have largely dictated current therapeutic approaches, with treatments aiming to prevent the buildup of either tau or beta-amyloid in hopes of slowing disease progression.

However, the research team led by researchers Carles Saura and Arnaldo Parra-Damas, from the UAB Department of Biochemistry and Molecular Biology and the INc-UAB, argues that a dual-targeted therapeutic strategy may be necessary to effectively combat this disease.
A New Transgenic Mouse Model

This breakthrough was made possible by the development of a novel transgenic mouse model that replicates both tau and beta-amyloid pathologies. “Although both proteins accumulate in the brains of Alzheimer’s patients, most animal models used for studying the disease typically focus on only one of these factors,” explains researcher Maria Dolores Capilla, lead author of the study.

“In our research, we generated a transgenic mouse model exhibiting both tau and beta-amyloid accumulation, allowing us to analyze their individual and combined effects,” adds the INc-UAB researcher.

These findings could reshape current treatment strategies, which often target only one of these toxic proteins.

“Existing therapies have not achieved clear clinical benefits. Our study suggests that a therapeutic approach addressing multiple disease mechanisms—such as phosphorylated tau and beta-amyloid—could be more effective,” concludes Carles Saura.

While further research is needed to confirm its applicability to humans, this study represents a significant step toward new investigative pathways for Alzheimer’s treatment, the research team concludes.

Reference: “Synaptic vulnerability to amyloid-β and tau pathologies differentially disrupts emotional and memory neural circuits” by Maria Dolores Capilla-López, Angel Deprada, Yuniesky Andrade-Talavera, Irene Martínez-Gallego, Heriberto Coatl-Cuaya, Paula Sotillo, José Rodríguez-Alvarez, Antonio Rodríguez-Moreno, Arnaldo Parra-Damas and Carlos A. Saura, 30 January 2025, Molecular Psychiatry.

Alzheimer's disease, dementia, neurodegeneration, memory loss, cognitive decline, brain health, amyloid plaques, tau tangles, neurological disorder, mild cognitive impairment, aging brain, neuroinflammation, early diagnosis, risk factors, genetic predisposition, caregiving, behavioral changes, mental decline, treatment research, Alzheimer's prevention,

#AlzheimersDisease #DementiaAwareness #Neurodegeneration #MemoryLoss #CognitiveDecline #BrainHealth #AmyloidPlaques #TauTangles #NeurologicalDisorder #MildCognitiveImpairment #AgingBrain #Neuroinflammation #EarlyDiagnosis #RiskFactors #GeneticPredisposition #AlzheimersCare #BehavioralChanges #MentalDecline #TreatmentResearch #AlzheimersPrevention


February 14, 2025

Revolutionary Synthetic Organism

Yale Scientists Reprogram Genetic Code To Create Revolutionary Synthetic Organism


Yale researchers have created “Ochre,” a genomically recoded organism that enables the production of synthetic proteins with novel properties, paving the way for groundbreaking applications in medicine, biotechnology, and industry.

Synthetic biologists from Yale successfully rewrote the genetic code of an organism—a novel genomically recoded organism (GRO) with a single stop codon—using a cellular platform they developed that enables the production of new classes of synthetic proteins. Researchers say these synthetic proteins offer the promise of innumerable medical and industrial applications that can benefit society and human health.

A new study published in the journal Nature describes the creation of the landmark GRO, known as “Ochre,” which fully compresses redundant (or “degenerate”) codons into a single codon. A codon is a sequence of three nucleotides in DNA or RNA that codes for a specific amino acid, which serves as the biochemical building block for proteins.

“This research allows us to ask fundamental questions about the malleability of genetic codes,” said Farren Isaacs, professor of molecular, cellular, and developmental biology at Yale School of Medicine and of biomedical engineering at Yale’s Faculty of Arts and Sciences, who is co-senior author of the paper. “It also demonstrates the ability to engineer the genetic code to endow multi-functionality into proteins and usher in a new era of programmable biotherapeutics and biomaterials.”
Building on Past Breakthroughs in Genomic Recoding

The landmark advance builds on a 2013 study by the team, published in Science, which described the construction of the first GRO. In that study, the researchers demonstrated new solutions for safeguarding genetically engineered organisms and for producing new classes of synthetic proteins and biomaterials with “unnatural,” or human-created, chemistries.

Ochre is a major step toward creating a non-redundant genetic code in E. coli, specifically, which is ideally suited to produce synthetic proteins containing multiple, different synthetic amino acids.




A codon, a sequence of three nucleotides in DNA and RNA that codes for a specific amino acid, acts like an “instruction manual” for protein synthesis, telling the cell which of the 20 natural amino acids to add to a growing protein chain — or, in the case of the three “stop” codons (known as TAG, TGA, and TAA), signaling the termination of protein synthesis. Yale scientists recoded a cell to have a single, non-degenerative TAA codon. The newly “free” TGA and TAG codons have been reassigned to encode nonstandard amino acids into synthetic proteins that possess new chemistries with innumerable applications. Credit: Yale University / Michael S. Helfenbein

Jesse Rinehart, an associate professor of cellular and molecular physiology at the Yale School of Medicine and co-senior author on the study, called the breakthrough a “profound piece of whole genome engineering based on over 1,000 precise edits at a scale an order of magnitude greater than any engineering feat we have previously done.”

“This is an exciting new platform technology that opens up an array of applications for biotechnology both in the academic realm and in the commercial sector,” Rinehart said. “We want to advance our general knowledge of science but we also want to enable industrial applications that are beneficial to society.”

The codon, a sequence of three nucleotides in DNA or RNA, acts like an “instruction manual” for protein synthesis, telling the cell which of the 20 natural amino acids to add to a growing protein chain (or, in the case of “stop” codons, signaling the termination of protein synthesis). In this process, known as translation, the genetic information carried in a messenger RNA (mRNA), via the genetic code, dictates not only the order of amino acids but also when the process should start and stop.

Reprogramming the Genetic Code for Novel Functions

Michael Grome, a postdoctoral associate in molecular, cellular, and developmental biology at Yale and first author of the study, likened codons to three-letter words within a sentence in the genetic recipe for life. Inside the cell, he said, there are ribosomes that act like 3-D printers that read the recipe. Each word calls for one “ingredient” amino acid from among the list of 20 natural amino acids that make up proteins.

“A lot of these words are equivalent, or synonymous,” Grome said. “We set out to add more ingredients for building proteins, so we took three of these words for ‘stop’ and made them one. Two words were removed, then we re-engineered the cell so they were ‘freed’ for new function. We then engineered a cell that recognized the word to say something new, to represent a new ingredient.”

Specifically, the researchers eliminated two of the three stop codons that terminate protein production. The recoded genome reassigned four codons to non-degenerate functions, including the two recoded stop codons dedicated to encoding nonstandard, or unnatural, amino acids into protein. In addition to introducing thousands of precise edits across the genome, the work required AI-guided design and re-engineering of essential protein and RNA translation factors to create a strain capable of adding two nonstandard amino acids into its recipe book. These nonstandard amino acids imbue proteins with multiple new properties, such as programmable biologics with reduced immunogenicity (a substance’s ability to induce an immune response in the body) or biomaterials with enhanced conductivity.

The results reflect years of recoding work by the two labs at the Yale Systems Biology Institute on West Campus. The collaboration between Rinehart and Isaacs dates to 2010 when they began working in neighboring labs. Isaacs has long been interested in engineering genomes — much like, he said, an architect might plan and make changes to a building. Rinehart’s work focuses on proteins — how they are made and how the stage might be set for them to carry out other actions.

“We recognized we have complementary expertise and that both labs bring a broad set of expertise and capability,” Rinehart said.

Isaacs is excited about what he describes as the potentially “killer” applications for programmable protein biologics that the new platform will make possible. One such application involves engineering protein drugs with synthetic chemistries to decrease the frequency of dosing or undesirable immune responses. The team reported such an application using their first-generation GRO in a 2022 study. In that study they encoded non-standard amino acids into protein, demonstrating a safer, controllable approach to precisely tune the half-life of protein biologics.

The new Ochre cell expands these capabilities for use in the construction of multi-functional biologics. Isaacs and Rinehart are currently acting as advisors to Pear Bio, a Yale biotechnology spin-off that has licensed the technology for commercializing programmable biologics.

synthetic biology, genetic engineering, bioengineering, artificial life, synthetic genome, CRISPR, genome editing, DNA synthesis, biocomputing, metabolic engineering, xenobiology, designer cells, biomanufacturing, synthetic ecosystems, programmable cells, engineered microbes, biotechnology, living machines, bioinformatics, molecular robotics,

#SyntheticBiology #GeneticEngineering #BioInnovation #ArtificialLife #CRISPR #GenomeEditing #DNASynthesis #Biotechnology #Bioengineering #Xenobiology #LivingMachines #MetabolicEngineering #Biomanufacturing #DesignerCells #SyntheticEcosystems #ProgrammableCells #EngineeredMicrobes #MolecularRobotics #BioComputing #FutureBiotech

International Conference on Genetics and Genomics of Diseases 




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Liver Disease for Precision Medicine

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