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  • 1.
    Al-Sabri, Mohamed H.
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and neuroscience. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences.
    Behare, Neha
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and neuroscience.
    Alsehli, Ahmed M.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and neuroscience. King Abdulaziz Univ & Hosp, Fac Med, Al Ehtifalat St, Jeddah 21589, Saudi Arabia.
    Berkins, Samuel
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and neuroscience.
    Arora, Aadeya
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and neuroscience.
    Antoniou, Eirini
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and neuroscience.
    Moysiadou, Eleni I.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and neuroscience.
    Anantha-Krishnan, Sowmya
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and neuroscience.
    Cosmen, Patricia D.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and neuroscience.
    Vikner, Johanna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and neuroscience.
    Moulin, Thiago C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and neuroscience. Lund Univ, Fac Med, Dept Expt Med Sci, Solvegatan 19,BMC F10, S-22184 Lund, Sweden.
    Ammar, Nourhene
    Univ Rennes, Inst Genet & Dev Rennes IGDR, UMR6290, CNRS, F-35065 Rennes, France..
    Boukhatmi, Hadi
    Univ Rennes, Inst Genet & Dev Rennes IGDR, UMR6290, CNRS, F-35065 Rennes, France..
    Clemensson, Laura E.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and neuroscience.
    Rask-Andersen, Mathias
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Mwinyi, Jessica
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and neuroscience.
    Williams, Michael J.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and neuroscience.
    Fredriksson, Robert
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences.
    Schiöth, Helgi B.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Functional Pharmacology and neuroscience.
    Statins Induce Locomotion and Muscular Phenotypes in Drosophila melanogaster That Are Reminiscent of Human Myopathy: Evidence for the Role of the Chloride Channel Inhibition in the Muscular Phenotypes2022In: Cells, E-ISSN 2073-4409, Vol. 11, no 22, article id 3528Article in journal (Refereed)
    Abstract [en]

    The underlying mechanisms for statin-induced myopathy (SIM) are still equivocal. In this study, we employ Drosophila melanogaster to dissect possible underlying mechanisms for SIM. We observe that chronic fluvastatin treatment causes reduced general locomotion activity and climbing ability. In addition, transmission microscopy of dissected skeletal muscles of fluvastatin-treated flies reveals strong myofibrillar damage, including increased sarcomere lengths and Z-line streaming, which are reminiscent of myopathy, along with fragmented mitochondria of larger sizes, most of which are round-like shapes. Furthermore, chronic fluvastatin treatment is associated with impaired lipid metabolism and insulin signalling. Mechanistically, knockdown of the statin-target Hmgcr in the skeletal muscles recapitulates fluvastatin-induced mitochondrial phenotypes and lowered general locomotion activity; however, it was not sufficient to alter sarcomere length or elicit myofibrillar damage compared to controls or fluvastatin treatment. Moreover, we found that fluvastatin treatment was associated with reduced expression of the skeletal muscle chloride channel, C1C-a (Drosophila homolog of CLCN1), while selective knockdown of skeletal muscle C1C-a also recapitulated fluvastatin-induced myofibril damage and increased sarcomere lengths. Surprisingly, exercising fluvastatin-treated flies restored C1C-a expression and normalized sarcomere lengths, suggesting that fluvastatin-induced myofibrillar phenotypes could be linked to lowered C1C-a expression. Taken together, these results may indicate the potential role of C1C-a inhibition in statinassociated muscular phenotypes. This study underlines the importance of Drosophila melanogaster as a powerful model system for elucidating the locomotion and muscular phenotypes, promoting a better understanding of the molecular mechanisms underlying SIM.

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  • 2.
    Andreaggi, Kimberly
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology. Armed Forces Medical Examiner System’s Armed Forces DNA Identification Laboratory (AFMES-AFDIL), Dover Air Force Base, DE 19902, USA;SNA International, LLC, Alexandria, VI 22314, USA.
    Bodner, Martin
    Institute of Legal Medicine, Medical University of Innsbruck, 6020 Innsbruck, Austria.
    Ring, Joseph D.
    Armed Forces Medical Examiner System’s Armed Forces DNA Identification Laboratory (AFMES-AFDIL), Dover Air Force Base, DE 19902, USA;SNA International, LLC, Alexandria, VI 22314, USA.
    Ameur, Adam
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Gyllensten, Ulf B.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Parson, Walther
    Institute of Legal Medicine, Medical University of Innsbruck, 6020 Innsbruck, Austria;Forensic Science Program, The Pennsylvania State University, University Park, State College, PA 16801, USA.
    Marshall, Charla
    Armed Forces Medical Examiner System’s Armed Forces DNA Identification Laboratory (AFMES-AFDIL), Dover Air Force Base, DE 19902, USA;Forensic Science Program, The Pennsylvania State University, University Park, State College, PA 16801, USA.
    Allen, Marie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Complete Mitochondrial DNA Genome Variation in the Swedish Population2023In: Genes, E-ISSN 2073-4425, Vol. 14, no 11, p. 1989-1989Article in journal (Refereed)
    Abstract [en]

    The development of complete mitochondrial genome (mitogenome) reference data for inclusion in publicly available population databases is currently underway, and the generation of more high-quality mitogenomes will only enhance the statistical power of this forensically useful locus. To characterize mitogenome variation in Sweden, the mitochondrial DNA (mtDNA) reads from the SweGen whole genome sequencing (WGS) dataset were analyzed. To overcome the interference from low-frequency nuclear mtDNA segments (NUMTs), a 10% variant frequency threshold was applied for the analysis. In total, 934 forensic-quality mitogenome haplotypes were characterized. Almost 45% of the SweGen haplotypes belonged to haplogroup H. Nearly all mitogenome haplotypes (99.1%) were assigned to European haplogroups, which was expected based on previous mtDNA studies of the Swedish population. There were signature northern Swedish and Finnish haplogroups observed in the dataset (e.g., U5b1, W1a), consistent with the nuclear DNA analyses of the SweGen data. The complete mitogenome analysis resulted in high haplotype diversity (0.9996) with a random match probability of 0.15%. Overall, the SweGen mitogenomes provide a large mtDNA reference dataset for the Swedish population and also contribute to the effort to estimate global mitogenome haplotype frequencies.

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  • 3.
    Baliakas, Panagiotis
    et al.
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Cancer precision medicine.
    Munters, Arielle R
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Kämpe, Anders
    Tesi, Bianca
    Bondeson, Marie-Louise
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Ladenvall, Claes
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Eriksson, Daniel
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Department of Clinical Genetics, Akademiska Sjukhuset, Uppsala, Swede.
    Integrating a Polygenic Risk Score into a clinical setting would impact risk predictions in familial breast cancer2024In: Journal of Medical Genetics, ISSN 0022-2593, E-ISSN 1468-6244, Vol. 61, no 2, p. 150-154Article in journal (Other academic)
    Abstract [en]

    Background Low-impact genetic variants identified in population-based genetic studies are not routinely measured as part of clinical genetic testing in familial breast cancer (BC). We studied the consequences of integrating an established Polygenic Risk Score (PRS) (BCAC 313, PRS313) into clinical sequencing of women with familial BC in Sweden.

    Methods We developed an add-on sequencing panel to capture 313 risk variants in addition to the clinical screening of hereditary BC genes. Index patients with no pathogenic variant from 87 families, and 1000 population controls, were included in comparative PRS calculations. Including detailed family history, sequencing results and tumour pathology information, we used BOADICEA (Breast and Ovarian Analysis of Disease Incidence and Carrier Estimation Algorithm) V.6 to estimate contralateral and lifetime risks without and with PRS313.

    Results Women with BC but no pathogenic variants in hereditary BC genes have a higher PRS313 compared with population controls (mean+0.78 SD, p<3e-9). Implementing PRS313 in the clinical risk estimation before their BC diagnosis would have changed the recommended follow-up in 24%–45% of women.

    Conclusions Our results show the potential impact of incorporating PRS313 directly in the clinical genomic investigation of women with familial BC.

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  • 4.
    Cavalli, Marco
    et al.
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical pharmacogenomics and osteoporosis.
    Eriksson, Niclas
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Uppsala Clinical Research Center (UCR). Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical pharmacogenomics and osteoporosis. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Karlsson Sundbaum, Johanna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Rheumatology. Luleå Univ Technol, Dept Hlth Sci, SE-97187 Luleå, Sweden.
    Wallenberg, Matilda
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical pharmacogenomics and osteoporosis. Uppsala University, Science for Life Laboratory, SciLifeLab. Svensk Dos AB, Box 2, SE-75103 Uppsala, Sweden.
    Kohnke, Hugo
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical pharmacogenomics and osteoporosis. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Baecklund, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Rheumatology.
    Hallberg, Pär
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical pharmacogenomics and osteoporosis. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Wadelius, Mia
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical pharmacogenomics and osteoporosis. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Genome-wide association study of liver enzyme elevation in an extended cohort of rheumatoid arthritis patients starting low-dose methotrexate2022In: Pharmacogenomics (London), ISSN 1462-2416, E-ISSN 1744-8042, Vol. 23, no 15, p. 813-820Article in journal (Refereed)
    Abstract [en]

    Aim: A follow-up genome-wide association study (GWAS) in an extended cohort of rheumatoid arthritis (RA) patients starting low-dose methotrexate (MTX) treatment was performed to identify further genetic variants associated with alanine aminotransferase (ALT) elevation. Patients & methods: A GWAS was performed on 346 RA patients. Two outcomes within the first 6 months of MTX treatment were assessed: ALT >1.5-times the upper level of normal (ULN) and maximum level of ALT. Results: SPATA9 (rs72783407) was significantly associated with maximum level of ALT (p = 2.58 x 10(-8)) and PLCG2 (rs60427389) was tentatively associated with ALT >1.5 x ULN. Conclusion: Associations with SNPs in genes related to male fertility (SPATA9) and inflammatory processes (PLCG2) were identified.

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  • 5.
    Ceder, Mikaela M.
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Magnusson, Kajsa A.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Weman, Hannah M.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Henriksson, Katharina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Andréasson, Linn
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Lindström, Teresa
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Wiggins, Oskar
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Lagerström, Malin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    The mRNA expression profile of glycine receptor subunits alpha 1, alpha 2, alpha 4 and beta in female and male mice2024In: Molecular and Cellular Neuroscience, ISSN 1044-7431, E-ISSN 1095-9327, Vol. 131, article id 103976Article in journal (Refereed)
    Abstract [en]

    Glycine receptors are ligand-gated chloride-selective channels that control excitability in the central nervous system (CNS). Herein, we have investigated the mRNA expression of the glycine receptor alpha 1 (Glra1), alpha 2 (Glra2), alpha 4 (Glra4) and the beta (Glrb) subunits, in adult female and male mice.

    Single-cell RNA sequencing data re-analysis of the Zeisel et al. (2018) dataset indicated widespread expression of Glra1, Glra2 and Glrb in the CNS, while only a few cells in the cortex, striatum, thalamus, midbrain and the spinal cord expressed Glra4. Highest occurrence of Glra1, Glra2 and Glrb were found in the brainstem. Moreover, Glra1 and Glrb were revealed to have the highest occurrences in the spinal cord of the investigated subunits. However, both Glra2 and Glrb had a more widespread expression in the CNS compared with Glra1 and Glra4. Bulk quantitative real-time-PCR (qRT-PCR) analysis revealed Glra1 expression in the hypothalamus, thalamus, brainstem and the spinal cord, and widespread, but low, Glra2 and Glrb expression in the CNS. Moreover, Glrb could be detected in a few visceral organs. Additionally, females and males were found to express Glra1, Glra2 and Glrb differently in certain brain areas such as the brainstem. Expression levels of Glra4 were too low to be detected using qRT-PCR. Lastly, RNAscope spatially validated the expression of Glra1, Glra2 and Glrb in the areas indicated by the single-cell and bulk analyses, and further revealed that Glra4 can be detected in the cortex, amygdala, hypothalamus, thalamus, brainstem, especially the cochlear nucleus, and in the spinal cord.

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  • 6.
    Ceder, Mikaela M.
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Weman, Hannah M.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Johansson, Ebba
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Henriksson, Katharina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Magnusson, Kajsa A.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Roman, Erika
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences. Sveriges lantbruksuniversitet, institutionen för anatomi, fysiologi och biokemi.
    Lagerström, Malin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    The glycine receptor alpha 3 subunit mRNA expression shows sex-dependent differences in the adult mouse brain2023In: BMC Neuroscience, E-ISSN 1471-2202, Vol. 24, no 1, article id 32Article in journal (Refereed)
    Abstract [en]

    Background The glycinergic system plays an important inhibitory role in the mouse central nervous system, where glycine controls the excitability of spinal itch- and pain-mediating neurons. Impairments of the glycine receptors can cause motor and sensory deficits. Glycine exerts inhibition through interaction with ligand-gated ion channels composed of alpha and beta subunits. We have investigated the mRNA expression of the glycine receptor alpha 3 (Glra3) subunit in the nervous system as well as in several peripheral organs of female and male mice.

    Results Single-cell RNA sequencing (scRNA-seq) data analysis on the Zeisel et al. (2018) dataset indicated widespread but low expression of Glra3 in vesicular glutamate transporter 2 (Vglut2, Slc17a6) positive and vesicular inhibitory amino acid transporter (Viaat, Slc32a1)positive neurons of the mouse central nervous system. Highest occurrence of Glra3 expression was identified in the cortex, amygdala, and striatal regions, as well as in the hypothalamus, brainstem and spinal cord. Bulk quantitative real-time-PCR (qRT-PCR) analysis demonstrated Glra3 expression in cortex, amygdala, striatum, hypothalamus, thalamus, pituitary gland, hippocampus, cerebellum, brainstem, and spinal cord. Additionally, male mice expressed higher levels of Glra3 in all investigated brain areas compared with female mice. Lastly, RNAscope spatially validated Glra3 expression in the areas indicated by the single-cell and bulk analyses. Moreover, RNAscope analysis confirmed co-localization of Glra3 with Slc17a6 or Slc32a1 in the central nervous system areas suggested from the single-cell data.

    Conclusions Glra3 expression is low but widespread in the mouse central nervous system. Clear sex-dependent differences have been identified, indicating higher levels of Glra3 in several telencephalic and diencephalic areas, as well as in cerebellum and brainstem, in male mice compared with female mice.

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  • 7.
    Celse, Tristan
    et al.
    Univ Grenoble Alpes, St Martin Dheres, France.;Inst Adv Biosci, Genet Epigenet & Therapies Infertil, INSERM 1209, CNRS UMR 5309, Grenoble, France.;CHU Grenoble Alpes, Serv Genet Genom & Procreat, Grenoble, France..
    Tingaud-Sequeira, Angèle
    Univ Bordeaux, INSERM U1211, Malad Rares Genet & Metab MRGM, Bordeaux, France..
    Dieterich, Klaus
    Univ Grenoble Alpes, St Martin Dheres, France.;INSERM, U1216, GIN, Grenoble, France..
    Siegfried, Geraldine
    Univ Bordeaux, INSERM, Xenofish Platform U1312, BRIC, Bordeaux, France..
    Lecaignec, Cédric
    CHU Toulouse Hop Purpan, Inst Federatif Biol IFB, Genet Med, Toulouse, France.;Univ Toulouse, Toulouse NeuroImaging Ctr, UPS, INSERM, Toulouse, France..
    Bouneau, Laurence
    CHU Toulouse Hop Purpan, Inst Federatif Biol IFB, Genet Med, Toulouse, France..
    Fannemel, Madeleine
    Oslo Univ Hosp, Dept Med Genet, Oslo, Norway..
    Salaun, Gaelle
    CHU Estaing, Cytogenet Med, Clermont Ferrand, France.;Univ Clermont Auvergne, INSERM, U1240 Imagerie Mol & Strategies Theranost, Clermont Ferrand, France..
    Laffargue, Fanny
    CHU Estaing, Cytogenet Med, Clermont Ferrand, France..
    Martinez, Guillaume
    Univ Grenoble Alpes, St Martin Dheres, France.;Inst Adv Biosci, Genet Epigenet & Therapies Infertil, INSERM 1209, CNRS UMR 5309, Grenoble, France.;CHU Grenoble Alpes, Serv Genet Genom & Procreat, Grenoble, France..
    Satre, Véronique
    Univ Grenoble Alpes, St Martin Dheres, France.;Inst Adv Biosci, Genet Epigenet & Therapies Infertil, INSERM 1209, CNRS UMR 5309, Grenoble, France.;CHU Grenoble Alpes, Serv Genet Genom & Procreat, Grenoble, France..
    Vieville, Gaelle
    CHU Grenoble Alpes, Serv Genet Genom & Procreat, Grenoble, France..
    Bidart, Marie
    Univ Grenoble Alpes, St Martin Dheres, France.;Inst Adv Biosci, Genet Epigenet & Therapies Infertil, INSERM 1209, CNRS UMR 5309, Grenoble, France.;CHU Grenoble Alpes, Lab Genet Mol Malad Hereditaires & Oncol, Grenoble, France..
    Soussi Zander, Cecilia
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Thuresson, Ann-Charlotte
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Splitt, Miranda
    Inst Genet Med, Northern Genet Serv, Newcastle Upon Tyne, Tyne & Wear, England..
    Reboul, Dorothee
    CHU Nimes, Hop Caremeau, Lab Cytol Clin & Cytogenet, Nimes, France..
    Chiesa, Jean
    Ctr Hosp Reg Univ Nimes, UF Genet Med & Cytogenet, Nimes, France.;Fac Med Montpellier Nimes, Inst Biomol Max Mousseron IBMM, Lab Histol Embryol Cytogenet, CNRS UMR5247, Nimes, France..
    Van Kien, Philippe Khau
    Ctr Hosp Reg Univ Nimes, UF Genet Med & Cytogenet, Nimes, France.;Fac Med Montpellier Nimes, Inst Biomol Max Mousseron IBMM, Lab Histol Embryol Cytogenet, CNRS UMR5247, Nimes, France..
    Godin, Manon
    Normandy Univ, Caen Univ Hosp, Reference Ctr Rare Dis Dev Anomalies & Malformat, Dept Genet,UNICAEN, Caen, France..
    Gruchy, Nicolas
    Normandy Univ, Caen Univ Hosp, Reference Ctr Rare Dis Dev Anomalies & Malformat, Dept Genet,UNICAEN, Caen, France..
    Goel, Himanshu
    Hunter Genet, Waratah, NSW, Australia.;Univ Newcastle, Callaghan, NSW 2308, Australia..
    Palmer, Elizabeth
    Sydney Childrens Hosp Network Randwick, Ctr Clin Genet, Randwick, NSW 2031, Australia.;Fac Med & Hlth, Sch Clin Med, Discipline Paediat & Child Hlth, Randwick, NSW 2031, Australia..
    Demetriou, Kalliope
    Sydney Childrens Hosp Network Randwick, Ctr Clin Genet, Randwick, NSW 2031, Australia..
    Shalhoub, Carolyn
    Sydney Childrens Hosp Network Randwick, Ctr Clin Genet, Randwick, NSW 2031, Australia.;Fac Med & Hlth, Sch Clin Med, Discipline Paediat & Child Hlth, Randwick, NSW 2031, Australia..
    Rooryck-Thambo, Caroline
    Univ Bordeaux, INSERM U1211, Malad Rares Genet & Metab MRGM, Bordeaux, France.;21 CHU Bordeaux, Serv Genet Med, Bordeaux, France..
    Coutton, Charles
    Univ Grenoble Alpes, St Martin Dheres, France.;Inst Adv Biosci, Genet Epigenet & Therapies Infertil, INSERM 1209, CNRS UMR 5309, Grenoble, France.;CHU Grenoble Alpes, Serv Genet Genom & Procreat, Grenoble, France..
    OTX2 duplications: a recurrent cause of oculo-auriculo-vertebral spectrum2023In: Journal of Medical Genetics, ISSN 0022-2593, E-ISSN 1468-6244, Vol. 60, no 6, p. 620-626Article in journal (Refereed)
    Abstract [en]

    Background Oculo-auriculo-vertebral spectrum (OAVS) is the second most common cause of head and neck malformations in children after orofacial clefts. OAVS is clinically heterogeneous and characterised by a broad range of clinical features including ear anomalies with or without hearing loss, hemifacial microsomia, orofacial clefts, ocular defects and vertebral abnormalities. Various genetic causes were associated with OAVS and copy number variations represent a recurrent cause of OAVS, but the responsible gene often remains elusive.

    Methods We described an international cohort of 17 patients, including 10 probands and 7 affected relatives, presenting with OAVS and carrying a 14q22.3 microduplication detected using chromosomal microarray analysis. For each patient, clinical data were collected using a detailed questionnaire addressed to the referring clinicians. We subsequently studied the effects of OTX2 overexpression in a zebrafish model.

    Results We defined a 272 kb minimal common region that only overlaps with the OTX2 gene. Head and face defects with a predominance of ear malformations were present in 100% of patients. The variability in expressivity was significant, ranging from simple chondromas to severe microtia, even between intrafamilial cases. Heterologous overexpression of OTX2 in zebrafish embryos showed significant effects on early development with alterations in craniofacial development.

    Conclusions Our results indicate that proper OTX2 dosage seems to be critical for the normal development of the first and second branchial arches. Overall, we demonstrated that OTX2 genomic duplications are a recurrent cause of OAVS marked by auricular malformations of variable severity.

  • 8.
    Chamberland, Simon
    et al.
    NYU, Grossman Sch Med, Neurosci Inst, New York, NY 10016 USA.;NYU, Dept Neurosci & Physiol, New York, NY 10016 USA..
    Grant, Gariel
    NYU, Grossman Sch Med, Neurosci Inst, New York, NY 10016 USA.;NYU, Dept Neurosci & Physiol, New York, NY 10016 USA..
    Machold, Robert
    NYU, Grossman Sch Med, Neurosci Inst, New York, NY 10016 USA.;NYU, Dept Neurosci & Physiol, New York, NY 10016 USA..
    Nebet, Erica R.
    NYU, Grossman Sch Med, Neurosci Inst, New York, NY 10016 USA.;NYU, Dept Neurosci & Physiol, New York, NY 10016 USA..
    Tian, Guoling
    NYU, Grossman Sch Med, Neurosci Inst, New York, NY 10016 USA.;NYU, Dept Neurosci & Physiol, New York, NY 10016 USA..
    Stich, Joshua
    NYU, Grossman Sch Med, Neurosci Inst, New York, NY 10016 USA.;NYU, Dept Neurosci & Physiol, New York, NY 10016 USA..
    Hanani, Monica
    NYU, Grossman Sch Med, Neurosci Inst, New York, NY 10016 USA.;NYU, Dept Neurosci & Physiol, New York, NY 10016 USA..
    Kullander, Klas
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Tsien, Richard W.
    NYU, Grossman Sch Med, Neurosci Inst, New York, NY 10016 USA.;NYU, Dept Neurosci & Physiol, New York, NY 10016 USA.;NYU, Ctr Neural Sci, New York, NY 10003 USA..
    Functional specialization of hippocampal somatostatin-expressing interneurons2024In: Proceedings of the National Academy of Sciences of the United States of America, ISSN 0027-8424, E-ISSN 1091-6490, Vol. 121, no 17, article id e2306382121Article in journal (Refereed)
    Abstract [en]

    GABAergic interneurons are important regulators of neuronal activity. Recent transcriptome analyses have provided a comprehensive classification of interneurons, but the connections between molecular identities and specific functions are not yet fully understood. Here, we identified and accessed subpopulations of interneurons based on features predicted by transcriptomic analysis. Functional investigation in transgenic animals revealed that hippocampal somatostatin-expressing interneurons (Sst-INs) can be divided into at least four subfamilies, each with distinct functions. Most importantly, the Sst;;Tac1 intersection targeted a population of bistratified cells that overwhelmingly targeted fast-spiking interneurons. In contrast, the Ndnf;;Nkx2-1 intersection revealed a population of oriens lacunosum-moleculare interneurons that selectively targeted CA1 pyramidal cells. Overall, this study reveals that genetically distinct subfamilies of Sst-INs form specialized circuits in the hippocampus.

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  • 9.
    Ciralli, Barbara
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology. Univ Fed Rio Grande do Norte, Brain Inst, Natal, RN, Brazil.
    Malfatti, Thawann
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology. Univ Fed Rio Grande do Norte, Brain Inst, Natal, RN, Brazil; Karolinska Inst, Dept Physiol & Pharmacol, Expt Audiol, S-17177 Stockholm, Sweden.
    Hilscher, Markus M.
    Vienna Univ Technol, Inst Anal & Sci Comp, Vienna, Austria..
    Leao, Richardson N.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology. Univ Fed Rio Grande do Norte, Brain Inst, Natal, RN, Brazil.
    Cederroth, Christopher R.
    Karolinska Inst, Dept Physiol & Pharmacol, Expt Audiol, S-17177 Stockholm, Sweden..
    Leao, Katarina E.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology. Univ Fed Rio Grande do Norte, Brain Inst, Natal, RN, Brazil.
    Kullander, Klas
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Unraveling the role of Slc10a4 in auditory processing and sensory motor gating: Implications for neuropsychiatric disorders?2024In: Progress in Neuro-psychopharmacology and Biological Psychiatry, ISSN 0278-5846, E-ISSN 1878-4216, Vol. 131, article id 110930Article in journal (Refereed)
    Abstract [en]

    Background

    Psychiatric disorders, such as schizophrenia, are complex and challenging to study, partly due to the lack of suitable animal models. However, the absence of the Slc10a4 gene, which codes for a monoaminergic and cholinergic associated vesicular transporter protein, in knockout mice (Slc10a4−/−), leads to the accumulation of extracellular dopamine. A major challenge for studying schizophrenia is the lack of suitable animal models that accurately represent the disorder. We sought to overcome this challenge by using Slc10a4−/− mice as a potential model, considering their altered dopamine levels. This makes them a potential animal model for schizophrenia, a disorder known to be associated with altered dopamine signaling in the brain.

    Methods

    The locomotion, auditory sensory filtering and prepulse inhibition (PPI) of Slc10a4−/− mice were quantified and compared to wildtype (WT) littermates. Intrahippocampal electrodes were used to record auditory event-related potentials (aERPs) for quantifying sensory filtering in response to paired-clicks. The channel above aERPs phase reversal was chosen for reliably comparing results between animals, and aERPs amplitude and latency of click responses were quantified. WT and Slc10a4−/− mice were also administered subanesthetic doses of ketamine to provoke psychomimetic behavior.

    Results

    Baseline locomotion during auditory stimulation was similar between Slc10a4−/− mice and WT littermates. In WT animals, normal auditory processing was observed after i.p saline injections, and it was maintained under the influence of 5 mg/kg ketamine, but disrupted by 20 mg/kg ketamine. On the other hand, Slc10a4−/− mice did not show significant differences between N40 S1 and S2 amplitude responses in saline or low dose ketamine treatment. Auditory gating was considered preserved since the second N40 peak was consistently suppressed, but with increased latency. The P80 component showed higher amplitude, with shorter S2 latency under saline and 5 mg/kg ketamine treatment in Slc10a4−/− mice, which was not observed in WT littermates. Prepulse inhibition was also decreased in Slc10a4−/− mice when the longer interstimulus interval of 100 ms was applied, compared to WT littermates.

    Conclusion

    The Slc10a4−/− mice responses indicate that cholinergic and monoaminergic systems participate in the PPI magnitude, in the temporal coding (response latency) of the auditory sensory gating component N40, and in the amplitude of aERPs P80 component. These results suggest that Slc10a4−/− mice can be considered as potential models for neuropsychiatric conditions.

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  • 10.
    Cumlin, Tomas
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical Microbiology.
    Karlsson, Ida
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Haars, Jonathan
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical Microbiology.
    Rosengren, Maria
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical Microbiology.
    Lennerstrand, Johan
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical Microbiology.
    Pimushyna, Maryna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical Microbiology.
    Feuk, Lars
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Ladenvall, Claes
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Kaden, René
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical Microbiology. Uppsala University, Science for Life Laboratory, SciLifeLab.
    From SARS-CoV-2 to Global Preparedness: A Graphical Interface for Standardised High-Throughput Bioinformatics Analysis in Pandemic Scenarios and Surveillance of Drug Resistance2024In: International Journal of Molecular Sciences, ISSN 1661-6596, E-ISSN 1422-0067, Vol. 25, no 12, article id 6645Article in journal (Refereed)
    Abstract [en]

    The COVID-19 pandemic highlighted the need for a rapid, convenient, and scalable diagnostic method for detecting a novel pathogen amidst a global pandemic. While command-line interface tools offer automation for SARS-CoV-2 Oxford Nanopore Technology sequencing data analysis, they are inapplicable to users with limited programming skills. A solution is to establish such automated workflows within a graphical user interface software. We developed two workflows in the software Geneious Prime 2022.1.1, adapted for data obtained from the Midnight and Artic's nCoV-2019 sequencing protocols. Both workflows perform trimming, read mapping, consensus generation, and annotation on SARS-CoV-2 Nanopore sequencing data. Additionally, one workflow includes phylogenetic assignment using the bioinformatic tools pangolin and Nextclade as plugins. The basic workflow was validated in 2020, adhering to the requirements of the European Centre for Disease Prevention and Control for SARS-CoV-2 sequencing and analysis. The enhanced workflow, providing phylogenetic assignment, underwent validation at Uppsala University Hospital by analysing 96 clinical samples. It provided accurate diagnoses matching the original results of the basic workflow while also reducing manual clicks and analysis time. These bioinformatic workflows streamline SARS-CoV-2 Nanopore data analysis in Geneious Prime, saving time and manual work for operators lacking programming knowledge.

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  • 11.
    Davis, Kasey N.
    et al.
    Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Palo Alto, CA 94304 USA.;Stanford Univ, Sch Med, Dept Genet, Palo Alto, CA 94304 USA..
    Qu, Ping-Ping
    Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Palo Alto, CA 94304 USA.;Stanford Univ, Sch Med, Dept Genet, Palo Alto, CA 94304 USA..
    Ma, Shining
    Stanford Univ, Dept Stat, Stanford, CA 94305 USA..
    Lin, Ling
    Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Palo Alto, CA 94304 USA.;Stanford Univ, Sch Med, Ctr Narcolepsy, Palo Alto, CA 94304 USA..
    Plastini, Melanie
    Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Palo Alto, CA 94304 USA.;Stanford Univ, Sch Med, Dept Genet, Palo Alto, CA 94304 USA..
    Dahl, Niklas
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Plazzi, Giuseppe
    IRCCS, Ist Sci Neurol Bologna, I-40139 Bologna, Italy.;Univ Modena & Reggio Emilia, Dept Biomed Metab & Neural Sci, I-41125 Modena, Italy..
    Pizza, Fabio
    IRCCS, Ist Sci Neurol Bologna, I-40139 Bologna, Italy.;Univ Bologna, Dept Biomed & Neuromotor Sci, I-40126 Bologna, Italy..
    O'Hara, Ruth
    Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Palo Alto, CA 94304 USA..
    Wong, Wing Hung
    Stanford Univ, Dept Stat, Stanford, CA 94305 USA.;Stanford Univ, Sch Med, Dept Biomed Data Sci, Palo Alto, CA 94304 USA..
    Hallmayer, Joachim
    Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Palo Alto, CA 94304 USA..
    Mignot, Emmanuel
    Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Palo Alto, CA 94304 USA.;Stanford Univ, Sch Med, Ctr Narcolepsy, Palo Alto, CA 94304 USA..
    Zhang, Xianglong
    Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Palo Alto, CA 94304 USA.;Stanford Univ, Sch Med, Dept Genet, Palo Alto, CA 94304 USA..
    Urban, Alexander E.
    Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Palo Alto, CA 94304 USA.;Stanford Univ, Sch Med, Dept Genet, Palo Alto, CA 94304 USA..
    Mutations in human DNA methyltransferase DNMT1 induce specific genome-wide epigenomic and transcriptomic changes in neurodevelopment2023In: Human Molecular Genetics, ISSN 0964-6906, E-ISSN 1460-2083, Vol. 32, no 21, p. 3105-3120Article in journal (Refereed)
    Abstract [en]

    DNA methyltransferase type 1 (DNMT1) is a major enzyme involved in maintaining the methylation pattern after DNA replication. Mutations in DNMT1 have been associated with autosomal dominant cerebellar ataxia, deafness and narcolepsy (ADCA-DN). We used fibroblasts, induced pluripotent stem cells (iPSCs) and induced neurons (iNs) generated from patients with ADCA-DN and controls, to explore the epigenomic and transcriptomic effects of mutations in DNMT1. We show cell type–specific changes in gene expression and DNA methylation patterns. DNA methylation and gene expression changes were negatively correlated in iPSCs and iNs. In addition, we identified a group of genes associated with clinical phenotypes of ADCA-DN, including PDGFB and PRDM8 for cerebellar ataxia, psychosis and dementia and NR2F1 for deafness and optic atrophy. Furthermore, ZFP57, which is required to maintain gene imprinting through DNA methylation during early development, was hypomethylated in promoters and exhibited upregulated expression in patients with ADCA-DN in both iPSC and iNs. Our results provide insight into the functions of DNMT1 and the molecular changes associated with ADCA-DN, with potential implications for genes associated with related phenotypes.

  • 12.
    Desai Boström, Adrian E.
    et al.
    Umeå Univ, Dept Clin Sci Psychiat, Umeå, Sweden.;Karolinska Inst, Dept Womens & Childrens Hlth Neuropediat, Stockholm, Sweden.;Stockholm Health Care Serv, Stockholm, Sweden.;Karolinska Univ Hosp, Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, SE-17176 Stockholm, Sweden.;Karolinska Univ Hosp, Stockholm Hlth Care Serv, Ctr Psychiat Res, Dept Clin Neurosci, SE-17176 Stockholm, Sweden..
    Andersson, Peter
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Center for Clinical Research Dalarna. Karolinska Inst, Div Psychol, Dept Clin Neurosci, Stockholm, Sweden..
    Rask-Andersen, Mathias
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Jarbin, Håkan
    Lund Univ, Sect Child & Adolescent Psychiat, Dept Clin Sci Lund, Lund, Sweden.;Reg Halland, Child & Adolescent Psychiat, Halland, Sweden..
    Lundberg, Johan
    Stockholm Health Care Serv, Stockholm, Sweden.;Karolinska Univ Hosp, Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, SE-17176 Stockholm, Sweden.;Karolinska Univ Hosp, Stockholm Hlth Care Serv, Ctr Psychiat Res, Dept Clin Neurosci, SE-17176 Stockholm, Sweden..
    Jokinen, Jussi
    Umeå Univ, Dept Clin Sci Psychiat, Umeå, Sweden.;Karolinska Univ Hosp, Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, SE-17176 Stockholm, Sweden.;Karolinska Univ Hosp, Stockholm Hlth Care Serv, Ctr Psychiat Res, Dept Clin Neurosci, SE-17176 Stockholm, Sweden..
    Regional clozapine, ECT and lithium usage inversely associated with excess suicide rates in male adolescents2023In: Nature Communications, E-ISSN 2041-1723, Vol. 14, article id 1281Article in journal (Refereed)
    Abstract [en]

    Advanced psychiatric treatments remain uncertain in preventing suicide among adolescents. Across the 21 Swedish regions, using nationwide registers between 2016-2020, we found negative correlation between adolescent excess suicide mortality (AESM) and regional frequencies of clozapine, ECT, and lithium (CEL) usage among adolescents (beta=-0.613, p=0.0003, 95% CI: -0.338, -0.889) and males (beta=-0.404, p=0.009, 95% CI: -0.130, -0.678). No correlation was found among females (p=0.197). Highest CEL usage among male adolescents was seen in regions with lowest quartile (Q1) AESM (W=74, p=0.012). Regional CEL treatment frequency in 15-19-year-olds was related to lower AESM in males, reflecting potential treatment efficacy, treatment compliance or better-quality mental health care. Suicide prevention may benefit from early recognition and CEL treatment for severe mental illness in male adolescents. The results indicate association but further research, using independent samples and both prospective and observational methodologies, is needed to confirm causality. There are conflicting results on the effectiveness of pharmacologic interventions for suicide prevention in adolescence. Here, the authors show, in a retrospective registry study from Sweden during 2016-2020, that regional utilization rates of clozapine, electroconvulsive therapy and lithium in 15-19-year-olds were associated with lower excess suicide death rates in male adolescents

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  • 13.
    Eisfeldt, Jesper
    et al.
    Karolinska Inst, Ctr Mol Med, Dept Mol Med & Surg, S-17177 Stockholm, Sweden.;Karolinska Univ Hosp, Dept Clin Genet & Genom, S-17176 Stockholm, Sweden.;Karolinska Inst Sci Pk, Sci Life Lab, Solna, Sweden..
    Ameur, Adam
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Lenner, Felix
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Ten Berk de Boer, Esmee
    Karolinska Inst, Ctr Mol Med, Dept Mol Med & Surg, S-17177 Stockholm, Sweden.;Karolinska Univ Hosp, Dept Clin Genet & Genom, S-17176 Stockholm, Sweden.;Karolinska Inst Sci Pk, Sci Life Lab, Solna, Sweden..
    Ek, Marlene
    Karolinska Inst, Ctr Mol Med, Dept Mol Med & Surg, S-17177 Stockholm, Sweden.;Karolinska Univ Hosp, Dept Clin Genet & Genom, S-17176 Stockholm, Sweden..
    Wincent, Josephine
    Karolinska Inst, Ctr Mol Med, Dept Mol Med & Surg, S-17177 Stockholm, Sweden.;Karolinska Univ Hosp, Dept Clin Genet & Genom, S-17176 Stockholm, Sweden..
    Vaz, Raquel
    Karolinska Inst, Ctr Mol Med, Dept Mol Med & Surg, S-17177 Stockholm, Sweden..
    Ottosson, Jesper
    Univ Göteborg, Sahlgrenska Acad, Gothenburg 413 90, Sweden..
    Jonson, Tord
    Lund Univ, Dept Lab Med, Div Clin Genet, S-22184 Lund, Sweden.;Off Med Serv, Dept Clin Genet Pathol & Mol Diagnost, S-22362 Lund, Skane, Sweden..
    Ivarsson, Sofie
    Lund Univ, Dept Lab Med, Div Clin Genet, S-22184 Lund, Sweden.;Off Med Serv, Dept Clin Genet Pathol & Mol Diagnost, S-22362 Lund, Skane, Sweden..
    Thunstroem, Sofia
    Univ Göteborg, Sahlgrenska Acad, Gothenburg 413 90, Sweden..
    Topa, Alexandra
    Univ Göteborg, Sahlgrenska Acad, Gothenburg 413 90, Sweden..
    Stenberg, Simon
    Univ Göteborg, Sahlgrenska Acad, Gothenburg 413 90, Sweden..
    Rohlin, Anna
    Univ Göteborg, Sahlgrenska Acad, Gothenburg 413 90, Sweden.;Univ Gothenburg, Inst Biomed, Sahlgrenska Acad, Dept Lab Med, S-40530 Gothenburg, Sweden..
    Sandestig, Anna
    Linköping Univ Hosp, Dept Clin Genet, S-58185 LINKOPING, Sweden..
    Nordling, Margareta
    Linköping Univ Hosp, Dept Clin Genet, S-58185 LINKOPING, Sweden.;Linköping Univ, Dept Biomed & Clin Sci, Div Cell & Neurobiol, S-58183 Linköping, Sweden..
    Palmeback, Pia
    Linköping Univ Hosp, Dept Clin Genet, S-58185 LINKOPING, Sweden..
    Burstedt, Magnus
    Umeå Univ, Dept Med Biosci Med & Clin Genet, S-90187 Umeå, Sweden..
    Nordin, Frida
    Umeå Univ, Dept Pharmacol & Clin Neurosci, S-90187 Umeå, Sweden..
    Stattin, Eva-Lena
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Sobol, Maria
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala Univ, Dept Immunol Genet & Pathol, S-75185 Uppsala, Sweden.;SoboLAB Analyt & Consulting, S-75123 Uppsala, Sweden..
    Baliakas, Panagiotis
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Bondeson, Marie-Louise
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Höijer, Ida
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Saether, Kristine Bilgrav
    Karolinska Inst, Ctr Mol Med, Dept Mol Med & Surg, S-17177 Stockholm, Sweden.;Karolinska Inst Sci Pk, Sci Life Lab, Solna, Sweden..
    Lovmar, Lovisa
    Univ Göteborg, Sahlgrenska Acad, Gothenburg 413 90, Sweden..
    Ehrencrona, Hans
    Lund Univ, Dept Lab Med, Div Clin Genet, S-22184 Lund, Sweden.;Off Med Serv, Dept Clin Genet Pathol & Mol Diagnost, S-22362 Lund, Skane, Sweden..
    Melin, Malin
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Feuk, Lars
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Lindstrand, Anna
    Karolinska Inst, Ctr Mol Med, Dept Mol Med & Surg, S-17177 Stockholm, Sweden.;Karolinska Univ Hosp, Dept Clin Genet & Genom, S-17176 Stockholm, Sweden..
    A national long-read sequencing study on chromosomal rearrangements uncovers hidden complexities2024In: Genome Research, ISSN 1088-9051, E-ISSN 1549-5469, Vol. 34, no 11, p. 1774-1784Article in journal (Refereed)
    Abstract [en]

    Clinical genetic laboratories often require a comprehensive analysis of chromosomal rearrangements/structural variants (SVs), from large events like translocations and inversions to supernumerary ring/marker chromosomes and small deletions or duplications. Understanding the complexity of these events and their clinical consequences requires pinpointing breakpoint junctions and resolving the derivative chromosome structure. This task often surpasses the capabilities of short-read sequencing technologies. In contrast, long-read sequencing techniques present a compelling alternative for clinical diagnostics. Here, Genomic Medicine Sweden-Rare Diseases has explored the utility of HiFi Revio long-read genome sequencing (lrGS) for digital karyotyping of SVs nationwide. The 16 samples from 13 families were collected from all Swedish healthcare regions. Prior investigations had identified 16 SVs, ranging from simple to complex rearrangements, including inversions, translocations, and copy number variants. We have established a national pipeline and a shared variant database for variant calling and filtering. Using lrGS, 14 of the 16 known SVs are detected. Of these, 13 are mapped at nucleotide resolution, and one complex rearrangement is only visible by read depth. Two Chromosome 21 rearrangements, one mosaic, remain undetected. Average read lengths are 8.3-18.8 kb with coverage exceeding 20x for all samples. De novo assembly results in a limited number of phased contigs per individual (N50 6-86 Mb), enabling direct characterization of the chromosomal rearrangements. In a national pilot study, we demonstrate the utility of HiFi Revio lrGS for analyzing chromosomal rearrangements. Based on our results, we propose a 5-year plan to expand lrGS use for rare disease diagnostics in Sweden.

  • 14.
    Eisfeldt, Jesper
    et al.
    Karolinska Inst, Dept Mol Med & Surg, S-17176 Stockholm, Sweden.;Karolinska Univ Hosp, Dept Clin Genet & Genom, S-17177 Stockholm, Sweden..
    Higginbotham, Edward J.
    Hosp Sick Children, Ctr Appl Genom, Toronto, ON M5G 0A4, Canada.;Hosp Sick Children, Program Genet & Genome Biol, Toronto, ON M5G 1X8, Canada..
    Lenner, Felix
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Howe, Jennifer
    Hosp Sick Children, Ctr Appl Genom, Toronto, ON M5G 0A4, Canada.;Hosp Sick Children, Program Genet & Genome Biol, Toronto, ON M5G 1X8, Canada..
    Fernandez, Bridget A.
    Univ Southern Calif, Childrens Hosp Angeles, Dept Pediat, Keck Sch Med, Los Angeles, CA 90033 USA.;Univ Southern Calif, Childrens Hosp Los Angeles, Saban Res Inst, Keck Sch Med, Los Angeles, CA 90033 USA.;Mem Univ Newfoundland, Fac Med, Discipline Genet, St John, NF A1B 3V6, Canada..
    Lindstrand, Anna
    Karolinska Inst, Dept Mol Med & Surg, S-17176 Stockholm, Sweden.;Karolinska Univ Hosp, Dept Clin Genet & Genom, S-17177 Stockholm, Sweden..
    Scherer, Stephen W.
    Hosp Sick Children, Ctr Appl Genom, Toronto, ON M5G 0A4, Canada.;Hosp Sick Children, Program Genet & Genome Biol, Toronto, ON M5G 1X8, Canada.;Univ Toronto, McLaughlin Ctr, Dept Mol Genet, Toronto, ON M5S 1A8, Canada..
    Feuk, Lars
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Resolving complex duplication variants in autism spectrum disorder using long-read genome sequencing2024In: Genome Research, ISSN 1088-9051, E-ISSN 1549-5469, Vol. 34, no 11, p. 1763-1773Article in journal (Refereed)
    Abstract [en]

    Rare or de novo structural variation, primarily in the form of copy number variants, is detected in 5%–10% of autism spectrum disorder (ASD) families. While complex structural variants involving duplications can generally be detected using microarray or short-read genome sequencing (GS), these methods frequently fail to characterize breakpoints at nucleotide resolution, requiring additional molecular methods for validation and fine-mapping. Here, we use Oxford Nanopore Technologies PromethION long-read GS to characterize complex genomic rearrangements (CGRs) involving large duplications that segregate with ASD in five families. In total, we investigated 13 CGR carriers and were able to resolve all breakpoint junctions at nucleotide resolution. While all breakpoints were identified, the precise genomic architecture of one rearrangement remained unresolved with three different potential structures. The findings in two families include potential fusion genes formed through duplication rearrangements, involving IL1RAPL1–DMD and SUPT16H–CHD8. In two of the families originating from the same geographical region, an identical rearrangement involving ANK2 was identified, which likely represents a founder variant. In addition, we analyze methylation status directly from the long-read data, allowing us to assess the activity of rearranged genes and regulatory regions. Investigation of methylation across the CGRs reveals aberrant methylation status in carriers across a rearrangement affecting the CREBBP locus. In aggregate, our results demonstrate the utility of nanopore sequencing to pinpoint CGRs associated with ASD in five unrelated families, and highlight the importance of a gene-centric description of disease-associated complex chromosomal rearrangements.

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    FULLTEXT01
  • 15. Fioretos, Thoas
    et al.
    Wirta, Valtteri
    Cavelier, Lucia
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden;Clinical Genetics, Karolinska University Hospital, Solna, Sweden.
    Berglund, Eva
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Friedman, Mikaela
    Akhras, Michael
    Botling, Johan
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Ehrencrona, Hans
    Engstrand, Lars
    Helenius, Gisela
    Fagerqvist, Therese
    Uppsala University, Uppsala University Innovation Partnership Office.
    Gisselsson, David
    Gruvberger-Saal, Sofia
    Gyllensten, Ulf
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Heidenblad, Markus
    Höglund, Kina
    Jacobsson, Bo
    Johansson, Maria
    Johansson, Åsa
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Soller, Maria Johansson
    Landström, Maréne
    Larsson, Pär
    Levin, Lars-Åke
    Lindstrand, Anna
    Lovmar, Lovisa
    Lyander, Anna
    Melin, Malin
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Nordgren, Ann
    Nordmark, Gunnel
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Rheumatology.
    Mölling, Paula
    Palmqvist, Lars
    Palmqvist, Richard
    Repsilber, Dirk
    Sikora, Per
    Stenmark, Bianca
    Söderkvist, Peter
    Stranneheim, Henrik
    Strid, Tobias
    Wheelock, Craig E
    Wadelius, Mia
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical pharmacogenomics and osteoporosis. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Wedell, Anna
    Edsjö, Anders
    Rosenquist, Richard
    Implementing precision medicine in a regionally organized healthcare system in Sweden.2022In: Nature Medicine, ISSN 1078-8956, E-ISSN 1546-170X, Vol. 28, no 10, p. 1980-1982Article in journal (Other academic)
  • 16.
    Franck, Marina Christina Mikaela
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Weman, Hannah M.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Ceder, Mikaela M.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Ahemaiti, Aikeremu
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Ma, Haisha
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Biochemistry and Microbiology.
    Bengtsson, Erica
    Magnusson, Kajsa A.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Koning, Harmen Kornelis
    Öhman, Caroline
    Uppsala University, Disciplinary Domain of Science and Technology, Technology, Department of Materials Science and Engineering, Applied Material Science.
    Lagerström, Malin C.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Urocortin3-expressing neurons in sensory transmissionManuscript (preprint) (Other academic)
    Abstract [en]

    Urocortin 3 (UCN3) is a neuropeptide involved in mechanosensation and stress regulation, and Ucn3-Cre neurons have been assigned a role in mechanical itch. Here, we show that Ucn3 marks a population of excitatory neurons in the mouse dorsal horn, divided into two non-overlapping subpopulations expressing protein kinase C g or calretinin/calbindin 2. Chemogenetic activation of spinal Ucn3-Cre neurons evoked a targeted biting/licking behavior towards the corresponding dermatome. Genetic deletion of vesicular glutamate transporter 2 (VGLUT2) in Ucn3-Cre neurons removed the phenotype, showing that the biting/licking behavior is VGLUT2-dependent. Conditional deletion of VGLUT2 did not affect acute thermal or mechanical withdrawal responses, nor thermal withdrawal responses after nerve growth factor-induced hypersensitivity or the prurifensive response to 48/80 or von Frey stimuli applied in nape. Instead, we found that a group of spinal Ucn3 neurons were activated in response to artificial scratching or 48/80-induced itch. Electrophysiological experiments showed that spinal Ucn3 neurons received both glycinergic and GABAergic tonic inhibition, and monosynaptic inputs from both Aβ and C fibers, which could be confirmed by rabies tracing. Spinal Ucn3/Ucn3-Cre neurons thus represent a mechanically sensitive population with several roles in the itch-scratch cycle. 

  • 17.
    Ghaderi Berntsson, Shala
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Neurology.
    Matsson, Hans
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology. Uppsala Univ Hosp, Rudbeck Lab, Clin Genet, Uppsala, Sweden.
    Kristoffersson, Anna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Neurology.
    Niemelä, Valter
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Neurology.
    van Duyvenvoorde, Hermine A.
    Leiden Univ, Med Ctr, Dept Clin Genet, Leiden, Netherlands..
    Richel-van Assenbergh, Cindy
    Leiden Univ, Med Ctr, Dept Clin Genet, Leiden, Netherlands..
    van der Klift, Heleen M.
    Leiden Univ, Med Ctr, Dept Clin Genet, Leiden, Netherlands..
    Casar-Borota, Olivera
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Uppsala Univ Hosp, Dept Clin Pathol, Uppsala, Sweden.
    Frykholm, Carina
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology. Uppsala Univ Hosp, Rudbeck Lab, Clin Genet, Uppsala, Sweden.
    Landtblom, Anne-Marie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Neurology. Linköping Univ, Fac Med & Hlth Sci, Dept Biomed & Clin Sci, Linköping, Sweden.
    Case report: a novel deep intronic splice-altering variant in DMD as a cause of Becker muscular dystrophy2023In: Frontiers in Genetics, E-ISSN 1664-8021, Vol. 14, article id 1226766Article in journal (Refereed)
    Abstract [en]

    We present the case of a male patient who was ultimately diagnosed with Becker muscular dystrophy (BMD; MIM# 300376) after the onset of muscle weakness in his teens progressively led to significant walking difficulties in his twenties. A genetic diagnosis was pursued but initial investigation revealed no aberrations in the dystrophin gene (DMD), although immunohistochemistry and Western blot analysis suggested the diagnosis of dystrophinopathy. Eventually, after more than 10 years, an RNA analysis captured abnormal splicing where 154 nucleotides from intron 43 were inserted between exon 43 and 44 resulting in a frameshift and a premature stop codon. Normal splicing of the DMD gene was also observed. Additionally, a novel variant c.6291–13537A>G in DMD was confirmed in the genomic DNA of the patient. The predicted function of the variant aligns with the mRNA results. To conclude, we here demonstrate that mRNA analysis can guide the diagnosis of non-coding genetic variants in DMD.

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  • 18.
    Han, Yilin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Towards 3D bio-printed spinal cord organoids2024Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The development of 3D bioprinting technology has provided a new direction for the replacement of organs or tissues and the development of drug testing models. Testing cell adhesion, proliferation, and differentiation in different printed scaffolds for creating functional 3D bio-printed structures provides the possibility of establishing a patient-specific in vitro model for neurodegenerative diseases. This thesis aims to establish a 3D bio-printed spinal cord model for drug research of ALS by exploring the factors affecting cell adhesion, growth, and differentiation in different hydrogels, and the suitable printing conditions.

    In Paper I, we compared the adhesion and cell survival rates of BCs on the surfaces of the scaffolds with different stiffness and different chemical covering substracts and found the effects of physical and chemical factors for cell adhesion, proliferation, and differentiation through comparison, which can be used as a reference for exploring the conditions for further 3D printing mixing with cells inside. 

    In Paper II, gelatin-based hydrogel was selected as the main material for printing the scaffold. By testing the survival rate of BCs in the different concentrations of gelatin with different concentrations of crosslinker, we selected a protocol that is suitable for cell viability, cell differentiation, and bioprintability. Unfortunately, when this protocol is applied to hiPSCs, it can obtain the viability of cells after printing, but cell differentiation was only observed on the surface of the scaffolds since cells in the middle of the printed structure lack contact with the surrounding culture medium.

    Paper III showed that BCs attracted endothelial cells sprouting from aortic rings in their co-cultured 3D-printed scaffolds and guided the migration direction of endothelial cells. Also, after implantation at the injury DRTZ, they helped with vascularization by increasing the blood vessel volume and vessel diameters.

    In Paper IV, we improved the protocol from Paper II for hiPSCs-derived MNs by reducing the concentration of gelatin and adding MSP loaded with cintrofin and gliafin. Two printable methods that could keep the printed structures during culturing were tested, and one was chosen for further printing based on cell viability during bio-ink preparation. A lower concentration of gelatin helped with getting better access to the surrounding culture medium and achieving motor neuron differentiation inside the scaffolds.

    List of papers
    1. Effect of scaffold properties on adhesion and maintenance of boundary cap neural crest stem cells in vitro
    Open this publication in new window or tab >>Effect of scaffold properties on adhesion and maintenance of boundary cap neural crest stem cells in vitro
    2020 (English)In: Journal of Biomedical Materials Research. Part A, ISSN 1549-3296, E-ISSN 1552-4965, Vol. 108, no 6, p. 1274-1280Article in journal (Refereed) Published
    Abstract [en]

    Optimal combination of stem cells and biocompatible support material is a promising strategy for successful tissue engineering. The required differentiation of stem cells is crucial for functionality of engineered tissues and can be regulated by chemical and physical cues. Here we examined how boundary cap neural crest stem cells (bNCSCs) are affected when cultured in the same medium, but on collagen- or laminin-polyacrylamide (PAA) scaffolds of different stiffness (0.5, 1, or similar to 7 kPa). bNCSCs displayed marked differences in their ability to attach, maintain a large cell population and differentiate, depending on scaffold stiffness. These findings show that the design of physical cues is an important parameter to achieve optimal stem cell properties for tissue repair and engineering.

    Place, publisher, year, edition, pages
    Wiley, 2020
    Keywords
    differentiation, neural crest stem cell, polyacrylamide, scaffold, survival
    National Category
    Cell and Molecular Biology Neurosciences
    Identifiers
    urn:nbn:se:uu:diva-424393 (URN)10.1002/jbm.a.36900 (DOI)000514635600001 ()32061005 (PubMedID)
    Funder
    Swedish Institute
    Available from: 2020-11-11 Created: 2020-11-11 Last updated: 2024-10-17Bibliographically approved
    2. Towards 3D Bioprinted Spinal Cord Organoids
    Open this publication in new window or tab >>Towards 3D Bioprinted Spinal Cord Organoids
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    2022 (English)In: International Journal of Molecular Sciences, ISSN 1661-6596, E-ISSN 1422-0067, Vol. 23, no 10Article in journal (Refereed) Published
    Abstract [en]

    Three-dimensional (3D) cultures, so-called organoids, have emerged as an attractive tool for disease modeling and therapeutic innovations. Here, we aim to determine if boundary cap neural crest stem cells (BC) can survive and differentiate in gelatin-based 3D bioprinted bioink scaffolds in order to establish an enabling technology for the fabrication of spinal cord organoids on a chip. BC previously demonstrated the ability to support survival and differentiation of co-implanted or co-cultured cells and supported motor neuron survival in excitotoxically challenged spinal cord slice cultures. We tested different combinations of bioink and cross-linked material, analyzed the survival of BC on the surface and inside the scaffolds, and then tested if human iPSC-derived neural cells (motor neuron precursors and astrocytes) can be printed with the same protocol, which was developed for BC. We showed that this protocol is applicable for human cells. Neural differentiation was more prominent in the peripheral compared to central parts of the printed construct, presumably because of easier access to differentiation-promoting factors in the medium. These findings show that the gelatin-based and enzymatically cross-linked hydrogel is a suitable bioink for building a multicellular, bioprinted spinal cord organoid, but that further measures are still required to achieve uniform neural differentiation.

    Place, publisher, year, edition, pages
    MDPIMDPI AG, 2022
    National Category
    Nano Technology
    Research subject
    Engineering Science with specialization in Nanotechnology and Functional Materials
    Identifiers
    urn:nbn:se:uu:diva-475031 (URN)10.3390/ijms23105788 (DOI)000804307600001 ()35628601 (PubMedID)
    Available from: 2022-05-29 Created: 2022-05-29 Last updated: 2024-12-03Bibliographically approved
    3. Boundary cap neural crest stem cells promote angiogenesis after transplantation to avulsed dorsal roots in mice and induce migration of endothelial cells in 3D printed scaffolds
    Open this publication in new window or tab >>Boundary cap neural crest stem cells promote angiogenesis after transplantation to avulsed dorsal roots in mice and induce migration of endothelial cells in 3D printed scaffolds
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    2024 (English)In: Neuroscience Letters, ISSN 0304-3940, E-ISSN 1872-7972, Vol. 826, article id 137724Article in journal (Refereed) Published
    Abstract [en]

    Dorsal root avulsion injuries lead to loss of sensation and to reorganization of blood vessels (BVs) in the injured area. The inability of injured sensory axons to re-enter the spinal cord results in permanent loss of sensation, and often also leads to the development of neuropathic pain. Approaches that restore connection between peripheral sensory axons and their CNS targets are thus urgently need. Previous research has shown that sensory axons from peripherally grafted human sensory neurons are able to enter the spinal cord by growing along BVs which penetrate the CNS from the spinal cord surface. In this study we analysed the distribution of BVs after avulsion injury and how their pattern is affected by implantation at the injury site of boundary cap neural crest stem cells (bNCSCs), a transient cluster of cells, which are located at the boundary between the spinal cord and peripheral nervous system and assist the growth of sensory axons from periphery into the spinal cord during development. The superficial dorsal spinal cord vasculature was examined using intravital microscopy and intravascular BV labelling. bNCSC transplantation increased vascular volume in a non-dose responsive manner, whereas dorsal root avulsion alone did not decrease the vascular volume. To determine whether bNCSC are endowed with angiogenic properties we prepared 3D printed scaffolds, containing bNCSCs together with rings prepared from mouse aorta. We show that bNCSC do induce migration and assembly of endothelial cells in this system. These findings suggest that bNCSC transplant can promote vascularization in vivo and contribute to BV formation in 3D printed scaffolds.

    Place, publisher, year, edition, pages
    Elsevier, 2024
    Keywords
    Dorsal root, Spinal cord injury, Angiogenesis, Neural stem cell, Transplantation, 3D printing
    National Category
    Neurosciences
    Identifiers
    urn:nbn:se:uu:diva-528694 (URN)10.1016/j.neulet.2024.137724 (DOI)001219155300001 ()38467271 (PubMedID)
    Funder
    Swedish Research Council, 2018-02314Swedish National Space Board, 2021–0005Swedish Society for Medical Research (SSMF)Göran Gustafsson Foundation for promotion of scientific research at Uppala University and Royal Institute of Technology
    Available from: 2024-05-31 Created: 2024-05-31 Last updated: 2024-10-17Bibliographically approved
    4. Differentiation of human motor neurons in a 3D-printed scaffold - a step towards standardized and personalized human spinal cord tissue for modeling motor neuron diseases
    Open this publication in new window or tab >>Differentiation of human motor neurons in a 3D-printed scaffold - a step towards standardized and personalized human spinal cord tissue for modeling motor neuron diseases
    Show others...
    (English)Manuscript (preprint) (Other academic)
    National Category
    Neurosciences
    Identifiers
    urn:nbn:se:uu:diva-540589 (URN)
    Available from: 2024-10-17 Created: 2024-10-17 Last updated: 2024-10-17
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  • 19.
    Han, Yilin
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Barasa, Povilas
    Vilnius Univ, Inst Biochem, Vilnius, Lithuania..
    Zeger, Lukas
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Salomonsson, Sara B.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences.
    Zanotti, Federica
    Univ Ferrara, Dept Translat Med, Ferrara, Italy..
    Egli, Marcel
    Lucerne Univ Appl Sci & Arts, Inst Med Engn, Sch Engn & Architecture, Space Biol Grp, Hergiswil, Switzerland.;Univ Zurich, Natl Ctr Biomed Res Space Innovat Cluster Space &, Zurich, Switzerland..
    Zavan, Barbara
    Univ Ferrara, Dept Translat Med, Ferrara, Italy..
    Trentini, Martina
    Univ Ferrara, Dept Translat Med, Ferrara, Italy..
    Florin, Gunnar
    Swedish Space Corp, Solna, Sweden..
    Vaerneus, Alf
    Swedish Space Corp, Solna, Sweden..
    Aldskogius, Håkan
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Fredriksson, Robert
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences.
    Kozlova, Elena N.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Effects of microgravity on neural crest stem cells2024In: Frontiers in Neuroscience, ISSN 1662-4548, E-ISSN 1662-453X, Vol. 18, article id 1379076Article in journal (Refereed)
    Abstract [en]

    Exposure to microgravity (μg) results in a range of systemic changes in the organism, but may also have beneficial cellular effects. In a previous study we detected increased proliferation capacity and upregulation of genes related to proliferation and survival in boundary cap neural crest stem cells (BC) after MASER14 sounding rocket flight compared to ground-based controls. However, whether these changes were due to μg or hypergravity was not clarified. In the current MASER15 experiment BCs were exposed simultaneously to μg and 1 g conditions provided by an onboard centrifuge. BCs exposed to μg displayed a markedly increased proliferation capacity compared to 1 g on board controls, and genetic analysis of BCs harvested 5 h after flight revealed an upregulation, specifically in μg-exposed BCs, of Zfp462 transcription factor, a key regulator of cell pluripotency and neuronal fate. This was associated with alterations in exosome microRNA content between μg and 1 g exposed MASER15 specimens. Since the specimens from MASER14 were obtained for analysis with 1 week’s delay, we examined whether gene expression and exosome content were different compared to the current MASER15 experiments, in which specimens were harvested 5 h after flight. The overall pattern of gene expression was different and Zfp462 expression was down-regulated in MASER14 BC μg compared to directly harvested specimens (MASER15). MicroRNA exosome content was markedly altered in medium harvested with delay compared to directly collected samples. In conclusion, our analysis indicates that even short exposure to μg alters gene expression, leading to increased BC capacity for proliferation and survival, lasting for a long time after μg exposure. With delayed harvest of specimens, a situation which may occur due to special post-flight circumstances, the exosome microRNA content is modified compared to fast specimen harvest, and the direct effects from μg exposure may be partially attenuated, whereas other effects can last for a long time after return to ground conditions.

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  • 20.
    Hedlund Lindberg, Julia
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Widgren, Anna
    Uppsala University, Disciplinary Domain of Science and Technology, Chemistry, Department of Chemistry - BMC, Analytical Chemistry.
    Ivansson, Emma
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Gustavsson, Inger M.
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Stålberg, Karin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Reproductive Health.
    Gyllensten, Ulf B.
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Sundfeldt, Karin
    Bergquist, Jonas
    Uppsala University, Disciplinary Domain of Science and Technology, Chemistry, Department of Chemistry - BMC, Analytical Chemistry.
    Enroth, Stefan
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Swedish Collegium for Advanced Study (SCAS). Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Toward ovarian cancer screening with protein biomarkers using dried, self-sampled cervico-vaginal fluid2024In: iScience, E-ISSN 2589-0042, Vol. 27, no 2, article id 109001Article in journal (Refereed)
    Abstract [en]

    Early detection is key for increased survival in ovarian cancer, but no general screening program exists today due to lack of biomarkers and overall cost versus benefit over traditional clinical methods. Here, we used dried cervico-vaginal fluid (CVF) as sampling matrix coupled with mass spectrometry for detection of protein biomarkers. We find that self-collected CVF on paper cards yields robust results and is suitable for high-throughput proteomics. Artificial intelligence-based methods were used to identify an 11-protein panel that separates cases from controls. In validation data, the panel achieved a sensitivity of 0.97 (95% CI 0.91-1.00) at a specificity of 0.67 (0.40-0.87). Analyses of samples collected prior to development of symptoms indicate that the panel is informative also of future risk of disease. Dried CVF is used in cervical cancer screening, and our results opens the possibility for a screening program also for ovarian cancer, based on self-collected CVF samples.

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  • 21.
    Hubel, Christopher
    et al.
    Inst Psychiat, Kings Coll London, Genet & Dev Psychiat Ctr, Social, London, England.;South London & Maudsley Hosp, UK Natl Inst Hlth Res NIHR Biomed Res Ctr Mental H, London, England.;Aarhus Univ, Natl Ctr Register based Res, Aarhus BSS Business & Social Sci, Aarhus, Denmark.;Charite Univ Med Berlin, Dept Pediat Neurol, Berlin, Germany..
    Birgegård, Andreas
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Johansson, Therese
    Uppsala University, WoMHeR (Centre for Women’s Mental Health during the Reproductive Lifespan). Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Petersen, Liselotte V.
    Aarhus Univ, Natl Ctr Register based Res, Aarhus BSS Business & Social Sci, Aarhus, Denmark..
    Isomaa, Rasmus
    Wellbeing Serv Cty Ostrobothn, Turku, Finland.;Abo Akad Univ, Fac Educ & Welf Studies, Vaasa, Finland..
    Herle, Moritz
    Inst Psychiat, Kings Coll London, Genet & Dev Psychiat Ctr, Social, London, England.;Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Biostat & Hlth Informat, London, England..
    Latent anxiety and depression dimensions differ amongst patients with eating disorders: A Swedish nationwide investigation2023In: International Journal of Methods in Psychiatric Research, ISSN 1049-8931, E-ISSN 1557-0657, Vol. 32, no 3, article id e1961Article in journal (Refereed)
    Abstract [en]

    Objective

    Anxiety and depression symptoms are common in individuals with eating disorders. To study these co-occurrences, we need high-quality self-report questionnaires. The 19-item self-rated Comprehensive Psychopathological Rating Scale for Affective Syndromes (CPRS-S-A) is not validated in patients with eating disorders. We tested its factor structure, invariance, and differences in its latent dimensions.

    Method

    Patients were registered by 45 treatment units in the Swedish nationwide Stepwise quality assurance database for specialised eating disorder care (n = 9509). Patients self-reported their anxiety and depression symptoms on the CPRS-S-A. Analyses included exploratory and confirmatory factor analyses (CFA) in split samples, and testing of invariance and differences in subscales across eating disorder types.

    Results

    Results suggested a four-factor solution: Depression, Somatic and fear symptoms, Disinterest, and Worry. Multigroup CFA indicated an invariant factor structure. We detected the following differences: Patients with anorexia nervosa binge-eating/purging subtype scored the highest and patients with unspecified feeding and eating disorders the lowest on all subscales. Patients with anorexia nervosa or purging disorder show more somatic and fear symptoms than individuals with either bulimia nervosa or binge-eating disorder.

    Conclusion

    Our four-factor solution of the CPRS-S-A is suitable for patients with eating disorders and may help to identify differences in anxiety and depression dimensions amongst patients with eating disorders.

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  • 22. Hård, Joanna
    et al.
    Mold, Jeff E
    Eisfeldt, Jesper
    Tellgren-Roth, Christian
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Häggqvist, Susana
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Bunikis, Ignas
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Contreras-Lopez, Orlando
    Chin, Chen-Shan
    Nordlund, Jessica
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Molecular Precision Medicine.
    Rubin, Carl-Johan
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Biochemistry and Microbiology.
    Feuk, Lars
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Michaëlsson, Jakob
    Ameur, Adam
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Long-read whole-genome analysis of human single cells2023In: Nature Communications, E-ISSN 2041-1723, Vol. 14, no 1, article id 5164Article in journal (Refereed)
    Abstract [en]

    Long-read sequencing has dramatically increased our understanding of human genome variation. Here, we demonstrate that long-read technology can give new insights into the genomic architecture of individual cells. Clonally expanded CD8+ T-cells from a human donor were subjected to droplet-based multiple displacement amplification (dMDA) to generate long molecules with reduced bias. PacBio sequencing generated up to 40% genome coverage per single-cell, enabling detection of single nucleotide variants (SNVs), structural variants (SVs), and tandem repeats, also in regions inaccessible by short reads. 28 somatic SNVs were detected, including one case of mitochondrial heteroplasmy. 5473 high-confidence SVs/cell were discovered, a sixteen-fold increase compared to Illumina-based results from clonally related cells. Single-cell de novo assembly generated a genome size of up to 598 Mb and 1762 (12.8%) complete gene models. In summary, our work shows the promise of long-read sequencing toward characterization of the full spectrum of genetic variation in single cells.

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  • 23.
    Iglesias Gonzalez, Ana Belen
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Koning, Harmen Kornelis
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Tuz-Sasik, Melek Umay
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    van Osselen, Ilse
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology.
    Manuel, Remy
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Boije, Henrik
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Perturbed development of calb2b expressing dI6 interneurons and motor neurons underlies locomotor defects observed in calretinin knock-down zebrafish larvae2024In: Developmental Biology, ISSN 0012-1606, E-ISSN 1095-564X, Vol. 508, p. 77-87Article in journal (Refereed)
    Abstract [en]

    Calcium binding proteins are essential for neural development and cellular activity. Calretinin, encoded by calb2a and calb2b, plays a role during early zebrafish development and has been proposed as a marker for distinct neuronal populations within the locomotor network. We generated a calb2b:hs:eGFP transgenic reporter line to characterize calretinin expressing cells in the developing spinal cord and describe morphological and behavioral defects in calretinin knock-down larvae. eGFP was detected in primary and secondary motor neurons, as well as in dI6 and V0v interneurons. Knock-down of calretinin lead to disturbed development of motor neurons and dI6 interneurons, revealing a crucial role during early development of the locomotor network. Primary motor neurons showed delayed axon outgrowth and the distinct inhibitory CoLo neurons, originating from the dI6 lineage, were absent. These observations explain the locomotor defects we observed in calretinin knock-down animals where the velocity, acceleration and coordination were affected during escapes. Altogether, our analysis suggests an essential role for calretinin during the development of the circuits regulating escape responses and fast movements within the locomotor network.

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  • 24.
    Johansson, Josefin
    et al.
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Frykholm, Carina
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Ericson, Katharina
    Akad Univ Hosp, Dept Clin Pathol, Uppsala, Sweden.
    Kazamia, Kalliopi
    Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden; Karolinska Univ Hosp, Childrens Heart Ctr Stockholm Uppsala, Stockholm, Sweden; Akad Univ Hosp, Childrens Heart Ctr Stockholm Uppsala, Uppsala, Sweden.
    Lindberg, Amanda
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Cancer Immunotherapy.
    Mulaiese, Nancy
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Falck, Geir
    Bollnas Hosp, Dept Internal Med, Bollnas, Sweden.
    Gustafsson, Per-Erik
    Gävle Cent Hosp, Dept Cardiol, Gävle, Sweden.
    Lidéus, Sarah
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Gudmundsson, Sanna
    Broad Inst MIT & Harvard, Program Med & Populat Genet, Cambridge, MA 02142 USA.;Boston Childrens Hosp, Div Genet & Genom, Boston, MA USA.
    Ameur, Adam
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology. Uppsala University, Science for Life Laboratory, SciLifeLab.
    Bondeson, Marie-Louise
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Wilbe, Maria
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology.
    Loss of Nexilin function leads to a recessive lethal fetal cardiomyopathy characterized by cardiomegaly and endocardial fibroelastosis2022In: American Journal of Medical Genetics. Part A, ISSN 1552-4825, E-ISSN 1552-4833, Vol. 188, no 6, p. 1676-1687Article in journal (Refereed)
    Abstract [en]

    The Nexilin F-Actin Binding Protein (Nexilin) encoded by NEXN is a cardiac Z-disc protein important for cardiac function and development in humans, zebrafish, and mice. Heterozygote variants in the human NEXN gene have been reported to cause dilated and hypertrophic cardiomyopathy. Homozygous variants in NEXN cause a lethal form of human fetal cardiomyopathy, only described in two patients before. In a Swedish, four-generation, non-consanguineous family comprising 42 individuals, one female had three consecutive pregnancies with intrauterine fetal deaths caused by a lethal form of dilated cardiomyopathy. Whole-exome sequencing and variant analysis revealed that the affected fetuses were homozygous for a NEXN variant (NM_144573:c.1302del;p.(Ile435Serfs*3)). Moreover, autopsy and histology staining declared that they presented with cardiomegaly and endocardial fibroelastosis. Immunohistochemistry staining for Nexilin in the affected fetuses revealed reduced antibody staining and loss of striation in the heart, supporting loss of Nexilin function. Clinical examination of seven heterozygote carriers confirmed dilated cardiomyopathy (two individuals), other cardiac findings (three individuals), or no cardiac deviations (two individuals), indicating incomplete penetrance or age-dependent expression of dilated cardiomyopathy. RNA sequencing spanning the variant in cDNA blood of heterozygote individuals revealed nonsense-mediated mRNA decay of the mutated transcripts. In the current study, we present the first natural course of the recessively inherited lethal form of human fetal cardiomyopathy caused by loss of Nexilin function. The affected family had uneventful pregnancies until week 23-24, followed by fetal death at week 24-30, characterized by cardiomegaly and endocardial fibroelastosis.

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    Johansson, Therese
    Uppsala University, Science for Life Laboratory, SciLifeLab. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Immunology, Genetics and Pathology, Genomics and Neurobiology. Uppsala University, WoMHeR (Centre for Women’s Mental Health during the Reproductive Lifespan).
    Leveraging genetic and population-level data to improve women’s health2024Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Hormonal contraception (HC) and menopausal hormone therapy (MHT) are commonly used medicines, but their safety profiles are uncertain due to conflicting research. This thesis aims to examine the potential risks associated with HC and MHT by utilizing large-scale population-based cohorts.

    In Paper I, we prospectively examined the link between oral contraceptives (OCs) and MHT use with the risk of stroke in the UK Biobank (UKB). Cox regression with time-varying exposures was used to investigate if treatment effects vary with time and to avoid immortal time bias. We included time-varying covariates to account for potential confounding factors that change over time and might affect the exposure level. Our research showed higher stroke risk during the initial period after initiating both treatments and increased stroke risk with MHT use regardless of menopause timing.

    In Paper II, we calculated the hazard rate of the first incidence of depression following OC use. To avoid the influence of healthy-user bias, we estimated the risk in first-time users and excluded previous users in the reference group. A unique aspect of our study was the sibling analysis, which explored the causal relationship between OC use and depression by examining female sibling pairs in the UKB. Our findings showed that initiating OC was associated with a higher risk of depression, especially among adolescents and during the initial phase of treatment.

    Paper III explored the genetic predisposition to venous thromboembolism (VTE) among OC users in the UKB. Using polygenic risk scores, we demonstrated that women with a high genetic liability for VTE have a significantly increased risk when initiating OC. This suggests that genetic screening may be beneficial in personalising contraceptive advice and mitigating the risk of thrombotic events.

    In Paper IV, we investigated the association between different types of contemporary MHT and the risk of cardiovascular disease, building upon our findings from Paper I. We emulated a target trial using the Swedish nationwide registers to estimate the intention-to-treat and per-protocol effect. We showed that specific MHT treatments, particularly those that combine estrogen and progestin, are linked to an increased risk of ischemic heart disease (IHD) and venous thromboembolism (VTE). Tibolone was positively associated with IHD and cerebral infarction but not VTE. 

    In Paper V, we examined the risk of depression following HC initiation using the Swedish nationwide registers. Our research expanded upon the findings of Paper II by including various types of modern HCs and employing an emulated target trial study design. We observed an increased risk of depression among various HCs and found that the risk of depression is influenced by different dosages and types of progestins rather than the route of administration.

    Using advanced analytical methods, we identified critical risk periods, variations in risk between different treatments and the interplay between treatment and genetics. While HC and MHT offer significant benefits, their potential side effects warrant careful consideration. Therefore, prescribing HCs and MHT should be approached with nuance, emphasising individual risk assessments and ongoing monitoring to optimise safety. 

     

    List of papers
    1. Oral Contraceptives, Hormone Replacement Therapy, and Stroke Risk
    Open this publication in new window or tab >>Oral Contraceptives, Hormone Replacement Therapy, and Stroke Risk
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    2022 (English)In: Stroke, ISSN 0039-2499, E-ISSN 1524-4628, Vol. 53, no 10, p. 3107-3115Article in journal (Refereed) Published
    Abstract [en]

    BACKGROUND: Millions of women worldwide use exogenous hormones as oral contraceptives or hormone replacement therapy. Still, time-dependent and long-term consequences of exogenous hormones on stroke risk remains unclear.

    METHODS: We examined the association between self-reported oral contraceptive and hormone replacement therapy use and stroke risk in 257 194 women from the UK Biobank, born between 1939 and 1970. Outcomes included any type of stroke, ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage. Exposures were analyzed as time-varying variables in Cox regression models.

    RESULTS: During first year of oral contraceptive use, an increased event rate of any stroke was observed (hazard ratio [HR], 2.49 [95% CI, 1.44-4.30]), while the hazards were found to be comparable during remaining years of use (HR, 1.00 [95% CI, 0.86-1.14]), compared with nonusers. Similarly, first year of hormone replacement therapy use was associated with higher hazard rates of any stroke (HR, 2.12 [95% CI, 1.66-2.70]), as well as cause-specific stroke, including ischemic stroke (HR, 1.93 [95% CI, 1.05-3.57]) and subarachnoid hemorrhage (HR, 2.17 [95% CI, 1.25-3.78]), which remained increased for any stroke during remaining years of use (HR, 1.18 [95% CI, 1.05-1.31]), and after discontinuation (HR, 1.16 [95% CI, 1.02-1.32]).

    CONCLUSIONS: Oral contraceptive use and hormone replacement therapy were associated with an increased risk of stroke, especially during the first year of use, possibly due to immediate changes in hemostatic balance. This study provides new insights on the effects of hormone exposure on stroke risk and provide evidence of not only an overall risk but also a pronounced effects seen in the beginning of treatment.

    Place, publisher, year, edition, pages
    Lippincott Williams & Wilkins, 2022
    National Category
    Pharmacology and Toxicology
    Research subject
    Epidemiology
    Identifiers
    urn:nbn:se:uu:diva-482558 (URN)10.1161/strokeaha.121.038659 (DOI)000856392500026 ()35735009 (PubMedID)
    Funder
    The Swedish Brain FoundationSwedish Heart Lung FoundationSwedish Research Council
    Note

    De två sista författarna delar sistaförfattarskapet.

    Available from: 2022-08-24 Created: 2022-08-24 Last updated: 2024-04-22Bibliographically approved
    2. Population-based cohort study of oral contraceptive use and risk of depression
    Open this publication in new window or tab >>Population-based cohort study of oral contraceptive use and risk of depression