Frontiers in Public Health,
Journal Year:
2025,
Volume and Issue:
13
Published: March 20, 2025
Introduction
The
role
of
public
health
has
evolved
from
addressing
infectious
diseases
to
encompass
non-communicable
diseases.
Individuals
with
genetic
disorders
and
rare
constitute
a
particularly
vulnerable
population,
requiring
tailored
policies,
practical
implementation
strategies,
long-term
vision
ensure
sustainable
support.
Given
the
prolonged
duration
significant
costs
often
associated
these
conditions,
comprehensive,
patient-centered,
cost-effective
approaches
are
essential
safeguard
their
physical
mental
well-being.
Aims
To
summarize
definitions
concepts
related
health,
diseases,
highlight
integrating
interventions
into
routine
care
in
improving
patient
outcomes.
Hemophilia
was
selected
as
an
exemplary
disease
due
its
lifetime
treatment
recent
approval
pricing
gene
therapy
world’s
most
expensive
drug,
highlighting
critical
importance
policies
ensuring
equitable
access
treatment.
Methods
A
narrative
literature
review
conducted
between
July
2023
December
2024,
searching
PubMed,
Google
Scholar,
for
various
topics
hemophilia.
Results
Public
can
play
important
outcomes
people
by
implementing
conceptual
applied
models
accomplish
set
objectives.
Over
past
two
decades,
legislative
regulatory
support
high
income
countries
(HICs)
facilitated
development
diagnostics
treatments
several
leading
advancements.
In
contrast,
many
low-
middle-income
(LMICs)
face
obstacles
enacting
legislation,
developing
regulations,
diagnosis
More
investment
innovation
drug
discovery
market
pathways
still
needed
both
LMICs
HICs.
Ensuring
translation
measures,
turn
implementing,
regularly
evaluating
measures
assess
effectiveness
is
crucial.
case
hemophilia,
pivotal
role.
Conclusion
Enhancing
surveillance,
hemophilia
other
bridge
data
gaps,
treatment,
promote
evidence-based
care,
improve
across
socioeconomic
spectrum.
Nucleic Acids Research,
Journal Year:
2024,
Volume and Issue:
52(D1), P. D1143 - D1154
Published: Jan. 5, 2024
Machine
Learning-based
scoring
and
classification
of
genetic
variants
aids
the
assessment
clinical
findings
is
employed
to
prioritize
in
diverse
studies
analyses.
Combined
Annotation-Dependent
Depletion
(CADD)
one
first
methods
for
genome-wide
prioritization
across
different
molecular
functions
has
been
continuously
developed
improved
since
its
original
publication.
Here,
we
present
our
most
recent
release,
CADD
v1.7.
We
explored
integrated
new
annotation
features,
among
them
state-of-the-art
protein
language
model
scores
(Meta
ESM-1v),
regulatory
variant
effect
predictions
(from
sequence-based
convolutional
neural
networks)
sequence
conservation
(Zoonomia).
evaluated
version
on
data
sets
derived
from
ClinVar,
ExAC/gnomAD
1000
Genomes
variants.
For
coding
effects,
tested
31
Deep
Mutational
Scanning
(DMS)
ProteinGym
and,
prediction,
used
saturation
mutagenesis
reporter
assay
promoter
enhancer
sequences.
The
inclusion
features
further
overall
performance
CADD.
As
with
previous
releases,
all
sets,
v1.7
scores,
scripts
on-site
an
easy-to-use
webserver
are
readily
provided
via
https://cadd.bihealth.org/
or
https://cadd.gs.washington.edu/
community.
Circulation Research,
Journal Year:
2024,
Volume and Issue:
134(5), P. 572 - 591
Published: Feb. 29, 2024
The
cardiovascular
system
provides
blood
supply
throughout
the
body
and
as
such
is
perpetually
applying
mechanical
forces
to
cells
tissues.
Thus,
this
primed
with
mechanosensory
structures
that
respond
adapt
changes
in
stimuli.
Since
their
discovery
2010,
PIEZO
ion
channels
have
dominated
field
of
mechanobiology.
These
been
proposed
long-sought-after
mechanosensitive
excitatory
involved
touch
proprioception
mammals.
However,
more
pieces
evidence
point
importance
activities
disease
development.
channel-related
cardiac
functions
include
transducing
hemodynamic
endothelial
vascular
cells,
red
cell
homeostasis,
platelet
aggregation,
arterial
pressure
regulation,
among
others.
contribute
pathological
conditions
including
hypertrophy
pulmonary
hypertension
congenital
syndromes
generalized
lymphatic
dysplasia
xerocytosis.
In
review,
we
highlight
recent
advances
understanding
role
diseases.
Achievements
quickly
expanding
should
open
a
new
road
for
efficient
control
PIEZO-related
diseases
functions.
Nature Genetics,
Journal Year:
2024,
Volume and Issue:
56(5), P. 861 - 868
Published: April 18, 2024
Abstract
Rare
damaging
variants
in
a
large
number
of
genes
are
known
to
cause
monogenic
developmental
disorders
(DDs)
and
have
also
been
shown
milder
subclinical
phenotypes
population
cohorts.
Here,
we
show
that
carrying
multiple
(2−5)
rare
across
599
dominant
DD
has
an
additive
adverse
effect
on
numerous
cognitive
socioeconomic
traits
UK
Biobank,
which
can
be
partially
counterbalanced
by
higher
educational
attainment
polygenic
score
(EA-PGS).
Phenotypic
deviators
from
expected
EA-PGS
could
partly
explained
the
enrichment
or
depletion
variants.
Among
carriers
variants,
those
with
DD-related
clinical
diagnosis
had
substantially
lower
more
severe
phenotype
than
without
diagnosis.
Our
results
suggest
overall
burden
both
common
modify
expressivity
phenotype,
may
then
influence
whether
individual
reaches
threshold
for
disease.
Proceedings of the National Academy of Sciences,
Journal Year:
2025,
Volume and Issue:
122(8)
Published: Feb. 18, 2025
Developmental
transitions
require
precise
temporal
and
spatial
control
of
gene
expression.
In
plants,
such
regulation
is
critical
for
flower
formation,
which
involves
the
progressive
maturation
stem
cell
populations
within
shoot
meristems
to
floral
meristems,
followed
by
rapid
sequential
differentiation
into
organs.
Across
plant
taxa,
these
are
orchestrated
F-box
transcriptional
cofactor
UNUSUAL
FLORAL
ORGANS
(
UFO
).
The
conserved
pleiotropic
functions
offer
a
useful
framework
investigating
how
evolutionary
processes
have
shaped
intricate
cis-
key
developmental
genes.
By
pinpointing
promoter
sequence
in
an
accessible
chromatin
region
tomato
ortholog
,
we
engineered
vivo
series
regulatory
alleles
that
caused
both
loss-
gain-of-function
defects.
These
mutant
phenotypes
were
linked
disruptions
predicted
transcription
factor
binding
sites
known
activators
repressors.
Allelic
combinations
revealed
dosage-dependent
interactions
between
opposing
alleles,
influencing
penetrance
expressivity
phenotypes.
phenotypic
differences
support
robustness
development
requires
expression
dosage.
Bridging
our
analysis
Arabidopsis
found
although
homologous
sequences
dispersed
promoter,
they
maintain
similar
over
development.
However,
from
disrupting
differ
due
differing
patterns
.
Our
study
underscores
complex
dynamic
genes
demonstrates
short
stretches
recruit
activating
repressing
machinery
robustness.
The Lancet Neurology,
Journal Year:
2025,
Volume and Issue:
24(3), P. 218 - 229
Published: Feb. 19, 2025
Through
the
agnostic
screening
of
patients
with
uncharacterised
disease
phenotypes
for
an
upregulation
type
I
interferon
(IFN)
signalling,
we
identified
a
cohort
individuals
heterozygous
mutations
in
PTPN1,
encoding
protein-tyrosine
phosphatase
1B
(PTP1B).
We
aimed
to
describe
clinical
phenotype
and
molecular
cellular
pathology
this
new
disease.
In
case
series,
collected
neuroradiological
data
through
collaboration
paediatric
neurology
genetics
colleagues
across
Europe
(Czechia,
France,
Germany,
Italy,
Slovenia,
UK)
Israel.
Variants
PTPN1
were
by
exome
directed
Sanger
sequencing.
The
expression
IFN-stimulated
genes
was
determined
quantitative
(q)
PCR
or
NanoString
technology.
Experiments
assess
RNA
protein
investigate
1
IFN
signalling
undertaken
patient
fibroblasts,
hTERT-immortalised
BJ-5ta
RPE-1
cells
using
CRISPR-Cas9
editing
standard
cell
biology
techniques.
Between
Dec
20,
2013,
Jan
11,
2023,
12
from
11
families
who
PTPN1.
found
ten
novel
very
rare
variants
(frequency
on
gnomAD
version
4.1.0
<1·25
×
10:sup>-6).
Six
predicted
as
STOP
mutations,
two
involved
canonical
splice-site
nucleotides,
missense
substitutions.
three
patients,
variant
occurred
de
novo,
whereas
nine
affected
individuals,
inherited
asymptomatic
parent.
characterised
subacute
onset
(age
range
1-8
years)
loss
motor
language
skills
absence
seizures
after
initially
normal
development,
leading
spastic
dystonia
bulbar
involvement.
Neuroimaging
variably
demonstrated
cerebral
atrophy
(sometimes
unilateral
initially)
high
T2
white
matter
signal.
Neopterin
CSF
elevated
all
tested,
probands
whole
blood.
Although
stabilisation
improvement
seen
both
treated
untreated
six
eight
high-dose
corticosteroids
judged
clinically
result
neurological
status.
Of
four
parents
blood
(three
patients)
minimally
(one
patient).
Analysis
fibroblasts
showed
that
tested
led
reduced
levels
mRNA
PTP1B
protein,
in-vitro
assays
function
associated
impaired
negative
regulation
signalling.
haploinsufficiency
causes
IFN-driven
autoinflammatory
encephalopathy.
Notably,
some
stabilisation,
even
recovery,
treatment,
others,
appeared
be
responsive
immune
suppression.
Prospective
studies
are
needed
safety
efficacy
specific
suppression
approaches
population.
UK
Medical
Research
Council,
European
Agence
Nationale
la
Recherche.
The American Journal of Human Genetics,
Journal Year:
2023,
Volume and Issue:
110(9), P. 1482 - 1495
Published: Aug. 30, 2023
Understanding
the
penetrance
of
pathogenic
variants
identified
as
secondary
findings
(SFs)
is
paramount
importance
with
growing
availability
genetic
testing.
We
estimated
through
large-scale
analyses
individuals
referred
for
diagnostic
sequencing
hypertrophic
cardiomyopathy
(HCM;
10,400
affected
individuals,
1,332
variants)
and
dilated
(DCM;
2,564
663
variants),
using
a
cross-sectional
approach
comparing
allele
frequencies
against
reference
populations
(293,226
participants
from
UK
Biobank
gnomAD).
generated
updated
prevalence
estimates
HCM
(1:543)
DCM
(1:220).
In
aggregate,
by
late
adulthood
rare,
(23%
HCM,
35%
DCM)
likely
(7%
10%
was
substantial
dominant
(CM).
Penetrance
significantly
higher
variant
subgroups
annotated
loss
function
or
ultra-rare
males
compared
to
females
in
HCM-associated
genes.
variant-specific
316
recurrent
most
be
SFs
(found
51%
HCM-
17%
DCM-affected
individuals).
49
were
observed
at
least
ten
times
(14%
individuals)
Median
14.6%
(±14.4%
SD).
explore
age,
sex,
ancestry
simulate
impact
including
future
cohorts.
This
dataset
reports
individual
scale
will
inform
management
undergoing
screening
SFs.
While
had
low
costs
harms
are
unclear,
some
highly
penetrant
may
benefit
BMJ,
Journal Year:
2024,
Volume and Issue:
unknown, P. e077060 - e077060
Published: March 5, 2024
Rachel
Horton
and
colleagues
argue
that
making
sense
of
genomic
variation
in
newborn
babies
is
difficult,
so
the
UK
Generation
Study
will
analyse
only
a
tiny
proportion
genome.
Why
then
it
collecting
entire
genomes?
Genes,
Journal Year:
2025,
Volume and Issue:
16(1), P. 82 - 82
Published: Jan. 13, 2025
Women
carrying
pathogenic/likely
pathogenic
(P/LP)
variants
in
moderate-
or
high-penetrance
genes
have
an
increased
risk
of
developing
breast
cancer.
However,
most
P/LP
associated
with
cancer
show
incomplete
penetrance.
Age,
gender,
family
history,
polygenic
risk,
lifestyle,
reproductive,
hormonal,
and
environmental
factors
can
affect
the
expressivity
penetrance
disease.
there
are
gaps
translating
how
individual
genomic
variation
affects
phenotypic
presentation.
The
expansion
criteria
for
genetic
testing
increasing
utilization
comprehensive
panels
may
enhance
identification
individuals
linked
to
hereditary
Individualized
assessment
could
facilitate
implementation
personalized
risk-reduction
strategies
these
individuals.
Preventive
interventions
encompass
lifestyle
modifications,
chemoprevention,
enhanced
surveillance
through
imaging,
risk-reducing
surgeries.
This
review
addresses
current
literature’s
inconsistencies
limitations,
particularly
regarding
intensity
preventive
women
genes.
In
addition,
it
synthesizes
latest
evidence
on
primary
secondary
prevention
at
high
The Journal of Experimental Medicine,
Journal Year:
2025,
Volume and Issue:
222(4)
Published: Feb. 27, 2025
COPA
syndrome,
an
autosomal-dominant
inborn
error
of
immunity,
is
nonpenetrant
in
∼20%
individuals,
with
no
known
mediators
protection.
Recent
studies
implicate
STING
the
pathogenesis
syndrome.
We
show
that
common
HAQ
allele
mediates
complete
clinical
sequenced
35
individuals
mutations,
26
affected
patients
and
9
unaffected
carriers,
finding
co-segregation
nonpenetrance.
Exome
sequencing
identified
only
mutations
comprising
as
variants
shared
by
carriers
absent
patients.
Experimentally,
we
found
acts
dominantly
to
dampen
COPA-dependent
signaling.
Expressing
patient
cells
rescued
molecular
phenotype
Our
study
first
report
a
well-tolerated
mediating
protection
from
severe
genetic
disorder.
findings
redefine
diagnostic
criteria
for
expose
functional
differences
among
alleles
broad
scientific
implications,
reveal
potential
universal
gene
therapy
approach