The challenge of Down syndrome

Down syndrome (DS) has been recognized as a clinical entity for about 150 years, but it is only recently that there has been hope for the possibility to understand its pathogenesis and to use this information to devise approaches for the prevention and treatment of its numerous features. The earlier pessimism was due to several reasons, including: (i) the nature of the genetic defect that leads to the syndrome; (ii) the multiplicity of systems involved; and (iii) the high degree of variability of the phenotype. However, science has now caught up with the problem, and recent developments, especially in genetics, genomics, developmental biology and neuroscience, suggest that these potential impediments might not be as arduous as once appeared. As a result, basic research on DS is now rapidly accelerating, and there is hope that the findings will be translatable into benefit for people with DS.     

Identification of a Common Non-Apoptotic Cell Death Mechanism in Hereditary Retinal Degeneration

Cell death in neurodegenerative diseases is often thought to be governed by apoptosis; however, an increasing body of evidence suggests the involvement of alternative cell death mechanisms in neuronal degeneration. We studied retinal neurodegeneration using 10 different animal models, covering all major groups of hereditary human blindness (rd1, rd2, rd10, Cngb1 KO, Rho KO, S334ter, P23H, Cnga3 KO, cpfl1, Rpe65 KO), by investigating metabolic processes relevant for different forms of cell death. We show that apoptosis plays only a minor role in the inherited forms of retinal neurodegeneration studied, where instead, a non-apoptotic degenerative mechanism common to all mutants is of major importance. Hallmark features of this pathway are activation of histone deacetylase, poly-ADP-ribose-polymerase, and calpain, as well as accumulation of cyclic guanosine monophosphate and poly-ADP-ribose. Our work thus demonstrates the prevalence of alternative cell death mechanisms in inherited retinal degeneration and provides a rational basis for the design of mutation-independent treatments.     

Parathyroid involvement in thyroid cancer: an unforeseen event

ABSTRACT: BACKGROUND: Parathyroid metastatic disease from thyroid cancer has not been studied extensively, mainly due to the need for parathyroid preservation during thyroid surgery. METHODS: We reviewed files from 1,770 patients with thyroid cancer followed up in our department and 10 patients with parathyroid metastases (0.5 %) were identified. Patient and tumor characteristics were recorded. RESULTS: Six out of ten patients had metastasis from papillary thyroid cancer, three from follicular thyroid cancer and one from anaplastic thyroid cancer. In nine patients parathyroid infiltration from thyroid cancer was found in direct contact with the thyroid cancer, and in one patient metastatic foci were observed not in continuity with the thyroid cancer. CONCLUSIONS: Parathyroid involvement, although infrequent, may occur in thyroid cancer independently of patient age and tumor size. The clinical significance of such event is not clear. The influence on disease outcome remains to be elucidated.     

A phylogeny of Xanthopygina (Insecta,Coleoptera) reveals major lineages and the origin of myrmecophily

Xanthopygina is a group of colourful, neotropical rove beetles (Staphylinidae) comprising 28 genera and more than 350 species. While many genera are found on rotting fruits, carrion, dung and mushrooms, several taxa have evolved associations with social insects. Previous phylogenetic analyses have used only a subset of genera and were based solely on molecular data. In this paper, we performed Bayesian and maximum likelihood phylogenetic analyses of all known genera, including three potentially new genera, based on molecular (4,797 bp) and morphological (91) characters. Our results reaffirmed the monophyly of the subtribe and divided it into eight major lineages: the Elmas, Gastrisus, Isanopus, Ocyolinus, Plociopterus, Smilax, Trigonopselaphus and Xanthopygus groups. We hypothesized that myrmecophily evolved once in the common ancestor of the Smilax group, and that sphecophily possibly evolved twice, in the Trigonopselaphus and Xanthopygus groups.     

Role of the pleckstrin homology domain in intersectin-L Dbl homology domain activation of Cdc42 and signaling

Intersectin-long (ITSN-L) contains the invariant Dbl homology (DH) and pleckstrin homology (PH) domain structure characteristic of the majority of Dbl family proteins. This strict domain topography suggests that the PH domain serves an essential, conserved function in the regulation of the intrinsic guanine nucleotide exchange activity of the DH domain. We evaluated the role of the PH domain in regulating the DH domain function of ITSN-L. Surprisingly, we found that the PH domain was dispensable for guanine nucleotide exchange activity on Cdc42 in vitro, yet the PH domain enhanced the ability of the DH domain to activate Cdc42 signaling in vivo. PH domains can interact with phosphoinositide substrates and products of phosphatidylinositol 3-kinase (PI3K). However, PI3K activation did not modulate ITSN-L DH domain function in vivo.     

Genetic skeletal disorders of the fetus and infant: Pathologic and molecular findings in a series of 41 cases

BACKGROUND: Genetic skeletal disorders of the fetus and infant are a large group of genetic disorders, comprising the groups formerly assigned as skeletal dysplasias (osteochondrodysplasias), dysostoses, and malformation syndromes with a skeletal component. Genetic skeletal disorders may be prenatally detected by ultrasonography or result in intrauterine or early postnatal death, constituting one difficult diagnostic field met by the pathologist who performs the perinatal autopsy. METHODS: In this retrospective study, we have gathered radiologic, physical, histopathologic, and molecular data regarding 41 cases of genetic skeletal disorders diagnosed among 1980 fetal and perinatal autopsies over a 10‐year period. RESULTS: Our series of cases were classified according to the 2006 Nosology and Classification of Genetic Skeletal Disorders. The overall frequency of genetic skeletal disorders was 1:48 autopsies. The FGFR3 group and osteogenesis imperfecta type 2 were the more frequently encountered disorders. The mean gestational age at autopsy was 21.9 weeks (range, 12–37 weeks). A final diagnosis was obtained in 95% of cases. Genetic skeletal disorders were detected by prenatal ultrasound in 90% of cases, with a correct typing of the disorder achieved in only 34%. Molecular analysis was confirmative in 5 cases. CONCLUSIONS: The central role of the perinatal pathologist in collaboration with specialized services is essential for the correct interpretation of the radiologic, physical, and histopathologic findings, to accurately classify specific types of genetic skeletal disorders and enable genetic counseling. Birth Defects Research (Part A), 2009. © 2009 Wiley‐Liss, Inc.     

A novel synthesis of 3-aryl coumarins and evaluation of their antioxidant and lipoxygenase inhibitory activity

A series of coumarin analogues bearing a substituted phenyl ring on position 3 were synthesized via a novel methodology, through an intermolecular condensation reaction of 2-hydroxyacetophenones and 2-hydroxybenzaldehyde, with imidazolyl phenylacetic acid active intermediates. The in vitro antioxidant activity of the synthesized compounds was evaluated using two different antioxidant assays (radical scavenging ability of DPPH stable free radical and inhibition of lipid peroxidation induced by the thermal free radical AAPH). Moreover, the ability of the compounds to inhibit soybean lipoxygenase was determined as an indication of potential anti-inflammatory activity.     

Intracellular Accumulation of High Levels of γ-Aminobutyrate by Listeria monocytogenes 10403S in Response to Low pH: Uncoupling of γ-Aminobutyrate Synthesis from Efflux in a Chemically Defined Medium

It is well established that the glutamate decarboxylase (GAD) system is central to the survival of Listeria monocytogenes at low pH, both in acidic foods and within the mammalian stomach. The accepted model proposes that under acidic conditions extracellular glutamate is transported into the cell in exchange for an intracellular γ-aminobutyrate (GABA_i). The glutamate is then decarboxylated to GABA_i, a reaction that consumes a proton, thereby helping to prevent acidification of the cytoplasm. In this study, we show that glutamate supplementation had no influence on either growth rate at pH 5.0 or survival at pH 2.5 when L. monocytogenes 10403S was grown in a chemically defined medium (DM). In response to acidification, cells grown in DM failed to efflux GABA, even when glutamate was added to the medium. In contrast, in brain heart infusion (BHI), the same strain produced significant extracellular GABA (GABA_e) in response to acidification. In addition, high levels of GABA_i (>80 mM) were found in the cytoplasm in response to low pH in both growth media. Medium-swap and medium-mixing experiments revealed that the GABA efflux apparatus was nonfunctional in DM, even when glutamate was present. It was also found that the GadT2D2 antiporter/decarboxylase system was transcribed poorly in DM-grown cultures while overexpression of gadD1T1 and gadD3 occurred in response to pH 3.5. Interestingly, BHI-grown cells did not respond with upregulation of any of the GAD system genes when challenged at pH 3.5. The accumulation of GABA_i in cells grown in DM in the absence of extracellular glutamate indicates that intracellular glutamate is the source of the GABA_i. These results demonstrate that GABA production can be uncoupled from GABA efflux, a finding that alters the way we should view the operation of bacterial GAD systems.The capacity to produce γ-aminobutyric acid (GABA) through glutamate decarboxylation is commonly found in both Gram-negative and Gram-positive bacterial genera (10, 12). In several cases, this reaction has been shown to be critical for bacteria to survive potentially lethal acidic environments (15, 18, 20). It is generally held that the hydrogen ion consumed during the decarboxylation reaction helps to prevent excessive acidification of the cytoplasm, thereby protecting the cells against acidic environments. The GABA produced in the reaction is removed from the cell through the activity of an antiporter that exchanges a GABA molecule for an extracellular glutamate (Glu) molecule (6, 12).In Listeria monocytogenes, the Gram-positive food-borne pathogen that was the focus of the present study, the glutamate decarboxylase (GAD) system has been shown to play an essential role in acid tolerance (8, 9). Mutants compromised in their ability to catalyze this decarboxylation reaction survive poorly both in acidic foods (8) and gastric juice (9). The GAD system in most L. monocytogenes strains is encoded by a total of five genes. There are three genes, designated gadD1, gadD2, and gadD3, that encode distinct glutamate decarboxylase enzymes and two genes, designated gadT1 and gadT2, that encode two Glu-GABA antiporters. These genes are organized at three separate genetic loci: gadD1T1, gadT2D2, and gadD3 (11). The decarboxylase/antiporter system encoded by gadT2D2 plays a central role in allowing survival under extreme acidic conditions; mutants lacking either the GadT2 antiporter or the GadD2 decarboxylase are highly sensitive to low pH (9, 11). In contrast, the GadD1/GadT1 decarboxylase/antiporter system appears to be more important for growth under moderately acidic conditions (11). The genes encoding this system are absent from most serotype 4 strains, and this generally correlates with a reduced ability of these strains to grow well at low pH (11). The role of GadD3 is less clear since it has not been possible to generate a deletion mutant lacking the corresponding gene (9).Although the activity of the decarboxylase is generally thought to be coupled directly to the antiporter activity (i.e., the efflux of GABA is coupled to the supply of Glu) there is little direct evidence for this, even in bacteria where the system has been very well characterized. Most studies of the bacterial GAD system have used complex growth media when studying acid tolerance and GABA production (7, 8, 15). In the present study, we sought to determine whether extracellular Glu is a requirement for the production of GABA in L. monocytogenes. To do this, we have used a chemically defined growth medium (DM) that supports the growth of L. monocytogenes but does not include Glu. The results indicate that cells cultured in this medium do not produce extracellular GABA (GABA_e) in response to low pH but are capable of accumulating substantial pools of intracellular GABA (GABA_i). We establish that some component of complex medium is indispensable for efficient efflux of GABA. Surprisingly, supplementation of the DM with Glu failed to stimulate the extracellular release of GABA. We show that the GadD2/GadT2 decarboxylase/antiporter system is not transcribed when cells are grown in DM and suggest that this accounts for much of the difference in GABA production between cells cultured in DM and complex growth medium.