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Mutations in nuclear-encoded protein subunits of the mitochondrial ribosome are an increasingly recognised cause of oxidative phosphorylation system (OXPHOS) disorders. Among them, mutations in the MRPL44 gene, encoding a structural protein of the large subunit of the mitochondrial ribosome, have been identified in four patients with OXPHOS defects and early-onset hypertrophic cardiomyopathy with or without additional clinical features. A 23-year-old individual with cardiac and skeletal myopathy, neurological involvement, and combined deficiency of OXPHOS complexes in skeletal muscle was clinically and genetically investigated. Analysis of whole-exome sequencing data revealed a homozygous mutation in MRPL44 (c.467 T?>?G), which was not present in the biological father, and a region of homozygosity involving most of chromosome 2, raising the possibility of uniparental disomy. Short-tandem repeat and genome-wide SNP microarray analyses of the family trio confirmed complete maternal uniparental isodisomy of chromosome 2. Mitochondrial ribosome assembly and mitochondrial translation were assessed in patient derived-fibroblasts. These studies confirmed that c.467 T?>?G affects the stability or assembly of the large subunit of the mitochondrial ribosome, leading to impaired mitochondrial protein synthesis and decreased levels of multiple OXPHOS components. This study provides evidence of complete maternal uniparental isodisomy of chromosome 2 in a patient with MRPL44-related disease, and confirms that MRLP44 mutations cause a mitochondrial translation defect that may present as a multisystem disorder with neurological involvement.

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This study was undertaken to identify the community composition, structure, and dynamics of helminths infecting the gastrointestinal tract (GIT) of lake whitefish (Coregonus clupeaformis) collected from 4 sites in northern lakes Huron (Cheboygan and De Tour Village) and Michigan (Big Bay de Noc and Naubinway) from fall 2003 through summer 2006. A total of 21,203 helminths was retrieved from the GITs of 1,284 lake whitefish. Approximately 42% (SE = 1.4%) of the examined lake whitefish were infected with at least 1 helminth species in their GIT, with a mean intensity of 39.4 worms/fish (SE = 0.3) and a mean abundance of 16.4 worms/fish (SE = 0.1). Collected helminths appeared to be generalists and consisted of 2 phyla (Acanthocephala and Cestoda) and 5 species (Acanthocephalus dirus, Neoechinorhynchus tumidus, Echinorhynchus salmonis, Cyathocephalus truncatus, and Bothriocephalus sp.). Lake whitefish from Lake Huron on average had greater infection prevalences, abundances, and intensities than did fish from Lake Michigan. Infection parameters for each of the helminth species generally followed the same pattern observed for the combined data. Acanthocephalus dirus was the most prevalent and abundant helminth in lake whitefish GITs, although intensity of infection was the greatest for C. truncatus. Helminth infection parameters often peaked in the spring while diversity was greatest in the winter samples. There was substantial temporal variability in helminth infections with prevalences, abundances, and intensities often fluctuating widely on consecutive sampling occasions. Analysis of the GIT helminth community composition suggested that 3 (Big Bay de Noc, De Tour Village, and Cheboygan) of the 4 primary spawning sites, overall, had similar community compositions. The reason for the observed spatial and temporal variability in the lake whitefish GIT helminth infections remains to be elucidated. The findings of this study represent the most comprehensive parasitological study ever conducted on lake whitefish in the Great Lakes and will provide valuable information for future comparisons.  相似文献   
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