Old gene, new phenotype: splice-altering variants in CEACAM16 cause recessive non-syndromic hearing impairment

CEACAM16 is an adhesion protein that plays a critical role in ensuring proper auditory function.  Defects in this protein have been linked to dominant hearing loss through a dominant-negative mechanism. Here we report that novel splice-altering variants in CEACAM16 gene are associated with autosomal recessive nonsyndromic hearing loss. Our findings broaden the pathogenic mechanisms of […]

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From gestalt to gene: early predictive dysmorphic features of PMM2-CDG

Phosphomannomutase-2 deficiency (PMM2-CDG) is the most frequent congenital disorder of glycosylation and it is associated with a recognizable facial pattern. There are no phenotype-genotype correlations neither early severity predictors. We evaluate dysmorphic features and propose a classification dividing them into major and minor with diagnostic implications.  We elaborated a severity dysmorphology categorization with proven predictive […]

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Cancer immunotherapy: challenges and clinical applications

Nowadays, cancer immunotherapy has emerged as one of the standard treatment modalities against cancer. It has made great progress in two areas: immune checkpoint inhibitors and chimeric antigen receptor (CAR)-modified T cells. Immune checkpoint inhibitors, including anti-PD-1 and anti-CTLA-4 mAbs, are applied to eliminate the ‘brakes’ on the immune system that can impede immune cells […]

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Practice evaluation of biobank ethics and governance: current needs and future perspectives

Biobank research faces many ethical challenges, such as obtaining valid consent from donors or dealing with incidental findings. Ethicists have long been engaged in the development of ethical standards to meet these challenges. However, it is often unclear if and how these standards are applied in practice. In our study we reviewed the scientific literature […]

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Novel homozygous CFAP69 mutations in humans and mice cause severe asthenoteratospermia with multiple morphological abnormalities of the sperm flagella

The article found two novel CFAP69 pathogenic variants in a cohort of 35 asthenoteratospermia with short, coiled and irregular flagella. The authors also generated Cfap69 knockout mouse and found the similar sperm flagella defects in mice. This article provide a strong evidence of the CFAP69 variants and asthenoteratospermia. These findings indicate that asthenoteratospermia with special […]

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Constitutional mismatch repair deficiency as a differential diagnosis of neurofibromatosis type 1: consensus guidelines for testing a child without malignancy

Constitutional mismatch repair deficiency (CMMRD) is a very rare genetic condition conferring an extraordinarily high risk for development of cancer already during childhood and young adulthood. Patients with this cancer syndrome frequently have multiple café-au-lait spots and other signs that are indicative of a different, much more common condition, which is neurofibromatosis type 1 (NF1) […]

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Characterising the phenotype and mode of inheritance of patients with inherited peripheral neuropathies carrying MME mutations

Mutations in MME gene has previously been reported to cause autosomal recessive (AR) Charcot-Marie-Tooth disease type 2 (CMT2) and also to be associated with late-onset autosomal dominant (AD) polyneuropathies. In our cohort, we found that MME mutations co-segregated with the disease following an exclusive AR pattern of inheritance. Moreover, patients carrying heterozygous mutations in our […]

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Chemoresistant pleomorphic rhabdomyosarcoma: whole exome sequencing reveals underlying cancer predisposition and therapeutic options

We report the case of a patient with a metastatic chemoresistant sarcoma. Considering the few therapeutic options, we performed an extensive sequencing of the tumor and leucocytes DNA. We identified a constitutional mutation in the MLH1 gene which was not expected considering the family history. Because of this mutation affecting genome stability, we expected that […]

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Medical consequences of pathogenic CNVs in adults: Analysis of the UK Biobank

Pathogenic copy number variants (CNVs) are deletions or duplications of large stretches of chromosomes, that have been shown to cause developmental delay, autism spectrum disorders and schizophrenia. The UK Biobank, with half a million well-phenotyped participants, provides an unprecedented opportunity to examine whether these CNVs increase risk to develop other medical disorders. We analysed the […]

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De novo pathogenic variants in neuronal differentiation factor 2 (NEUROD2) cause a form of early infantile epileptic encephalopathy

Early infantile epileptic encephalopathies (EIEEs) are severe disorders characterized by drug-resistant seizures and developmental delay. More than 100 genes have been associated with EIEEs, with genetic and phenotypic heterogeneity. Two unrelated patients with EIEE presented with de novo mutations in Neuronal Differentiation Factor 2 (NEUROD2), which had not been previously reported in any human disease. […]

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