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Moreover, the follow-up analysis results showed that, as the treatment progressed, the differences in the 3 serum ceramide species were statistically significant.

There was a stage-specific association between serum ceramides and PSD, and the potential pathophysiological mechanism has to be investigated in future research.

There was a stage-specific association between serum ceramides and PSD, and the potential pathophysiological mechanism has to be investigated in future research.Gitelman syndrome (GS) is an autosomal recessive disorder caused by loss-of-function mutations in SLC12A3, which encodes the Na-Cl cotransporter (NCC). Osteogenesis imperfecta (OI) is an autosomal dominant disorder caused by the inheritance of mutations mainly in the COL1A1 gene, resulting in bone fragility and deformity. find more In this study, we aimed to investigate the clinical and genetic manifestations in a 7-year-old boy with OI, who had electrolyte abnormalities and his four family members. Complete sequence analysis of COL1A1 revealed a novel mutation, c.268G>T, p.Glu90del. The gene mutation of OI in the patient's older brother was inherited from his mother, and the younger brother had no mutation. Two pathogenic mutations (c.179C>T, p.Thr60Met and c.1763C>T, p.Ala588Val) in SLC12A3 resulting in GS were also identified in the patient. The OI-related genetic mutation in the patient was consistent with that in the patient's mother. The GS-related genetic mutations were inherited from each parent. This study is the first to identify compound heterozygous variants in the SLC12A3 gene and a novel mutation in the COL1A1 gene in patients with OI and GS. Our findings indicate that genetic analysis is recommended to differentiate GS from BS, as clinical manifestations do not provide an accurate diagnosis.

Pancreatic adenocarcinoma (PAAD) is one of the leading causes of cancer-related deaths worldwide. Through data mining, an increasing number of biomarkers have been identified to predict the survival of patients with PAAD. However, the ability of single gene biomarkers to predict patient survival is still insufficient. This study aimed to develop a novel risk signature for predicting the survival of patients with PAAD.

mRNA expression profiling was performed for a large PAAD cohort (n=177) identified using The Cancer Genome Atlas database (TCGA). Gene set enrichment analysis (GSEA) was performed to detect whether the gene sets showed significant differences between PAAD and adjacent normal tissues. Univariate Cox regression was used to analyze and identify genes related to overall survival (OS). Multivariate Cox regression was subsequently used to confirm the prognostic genes and obtain the coefficients. By analyzing the expression level of selected genes weighted by their coefficients through linearly comhe best of our knowledge, this is the first study to develop a glycolysis-related risk signature for predicting the survival of patients with pancreatic adenocarcinoma. Our findings provide insight into the identification of PAAD patients with poor prognosis. We also identified novel therapeutic targets for this disease.Our recent work identified a genetic variant of the α345 hexamer of the collagen IV scaffold that is present in patients with glomerular basement membrane diseases, Goodpasture's disease (GP) and Alport syndrome (AS), and phenocopies AS in knock-in mice (see Companion Paper I). To understand the context of this "Zurich" variant, an 8-amino acid appendage, we developed a construct of the wild-type α345 hexamer using single-chain NC1 trimer technology, which allowed us to solve a crystal structure of this key connection module. The α345 hexamer structure revealed a ring of twelve chloride ions at the trimer-trimer interface, analogous to the collagen α121 hexamer, and the location of the 170 AS variants. The hexamer surface is marked by multiple pores and crevices that are potentially accessible to small molecules. Loop-crevice-loop (LCL) features constitute bioactive sites, where pathogenic pathways converge that are linked to Alport and GP diseases, and, potentially, diabetic nephropathy. In Companion Paper III, we demonstrate that these sites exhibit conformational plasticity, a dynamic property underlying assembly of bioactive sites and hexamer dysfunction. The α345 hexamer structure is a platform to decipher how variants cause AS, and how hypoepitopes can be triggered causing GP. Furthermore, the bioactive sites, along with the pores and crevices on the hexamer surface, are prospective targets for therapeutic interventions.Dysregulation of the developmentally important Notch signaling pathway is implicated in several types of cancer, including breast cancer. However, the specific roles and regulation of the four different Notch receptors have remained elusive. We have previously reported that the oncogenic PIM kinases phosphorylate Notch1 and Notch3. Phosphorylation of Notch1 within the second nuclear localization sequence of its intracellular domain (ICD) enhances its transcriptional activity and tumorigenicity. In this study, we analyzed Notch3 phosphorylation and its functional impact. Unexpectedly, we observed that the PIM target sites are not conserved between Notch1 and Notch3. Notch3 ICD is phosphorylated within the RAM domain, which is essential for formation of a transcriptionally active complex with the DNA-binding protein CSL. Through molecular modeling, x-ray crystallography and isothermal titration calorimetry, we demonstrate that phosphorylation of Notch3 ICD sterically hinders its interaction with CSL, and thereby inhibits its CSL-dependent transcriptional activity. Surprisingly however, phosphorylated Notch3 ICD still maintains tumorigenic potential in breast cancer cells under estrogenic conditions, which support PIM expression. Taken together, our data indicate that PIM kinases modulate the signaling output of different Notch paralogs by targeting distinct protein domains, and thereby promote breast cancer tumorigenesis via both CSL-dependent and independent mechanisms.We identified a genetic variant, an 8-residue appendage, of the α345 hexamer of collagen IV present in patients with glomerular basement membrane (GBM) disease, Goodpasture's disease (GP) and Alport syndrome (AS) (see Companion Paper I), and determined the long-awaited crystal structure of hexamer (see Companion Paper II). We sought to elucidate how variants cause GBM disease by exploring the mechanism of hexamer assembly. Chloride ions induced in vitro hexamer assembly in a composition-specific manner in the presence of equimolar concentrations of α3, α4 and α5 NC1 monomers. Chloride ions, together with sulfilimine crosslinks, stabilized the assembled hexamer. Furthermore, the chloride ion-dependent assembly revealed conformational plasticity of the LCL bioactive sites, a critical property underlying bioactivity and pathogenesis. We explored the native mechanism by expressing recombinant α345 mini-protomers in cell culture and characterizing the expressed proteins. Our findings revealed NC1-directed trimerization, forming protomers inside the cell, and hexamerization forming scaffolds outside the cell; and a Cl gradient signaled hexamerization.

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