Protecting maternal, newborn and child health from the impacts of climate change: call for action

Climate hazards, including extreme heat, are associated with increased risks of developing complications that lead to adverse maternal and perinatal outcomes. These may include multiple causes of maternal and neonatal morbidity and mortality such as gestational diabetes, hyper tensive disorders of pregnancy, preterm birth, low birth weight and stillbirth. In …

CRISPR babies: When will the world be ready?

Efforts to make heritable changes to the human genome are fraught with uncertainty. Here’s what it would take to make the technique safe and acceptable. Original Source

Order of the Supreme Court of India regarding the right of insurers to reject claims on genetic disorders clause, 27/08/2018

Order of the Supreme Court of India in the matter of The United India Insurance Co. Ltd. Vs Jay Parkash Tayal dated 27/08/2018 regarding the right of insurers to reject claims on genetic disorders clause. Supreme Court stays the operation of the judgement of the Delhi High Court Order which …

Systematic discovery of germline cancer predisposition genes through the identification of somatic second hits

The genetic causes of cancer include both somatic mutations and inherited germline variants. Large-scale tumor sequencing has revolutionized the identification of somatic driver alterations but has had limited impact on the identification of cancer predisposition genes (CPGs). Here we present a statistical method, ALFRED, that tests Knudson’s two-hit hypothesis to …

Guanylate cyclase C signaling: an intestinal secretory pathway where bugs, genes and new drugs intersect

Acute infectious and chronic diarrheal diseases are important public health problems. A recent study by Fiskerstrand and colleagues identified a family with a rare early onset familial diarrhea. By linkage analysis and exon sequencing, the authors identified a heterozygous missense mutation in GUCY2C, encoding the guanylate cyclase C receptor, which …

Prolonged intestinal transit and diarrhea in patients with an activating GUCY2C mutation

Increased intestinal hydration by activation of the epithelial enzyme linked receptor guanylate cyclase C (GC-C) is a pharmacological principle for treating constipation. Activating mutations in the GUCY2C gene encoding GC-C cause Familial GUCY2C diarrhea syndrome (FGDS) which has been diagnosed with severe dysmotility. Original Source

Congenital secretory diarrhoea caused by activating germline mutations in GUCY2C

Congenital sodium diarrhoea (CSD) refers to a form of secretory diarrhoea with intrauterine onset and high faecal losses of sodium without congenital malformations. The molecular basis for CSD remains unknown. We clinically characterised a cohort of infants with CSD and set out to identify disease-causing mutations by genome-wide genetic testing. …

Familial diarrhea syndrome caused by an activating GUCY2C mutation

Familial diarrhea disorders are, in most cases, severe and caused by recessive mutations. We describe the cause of a novel dominant disease in 32 members of a Norwegian family. The affected members have chronic diarrhea that is of early onset, is relatively mild, and is associated with increased susceptibility to …

National policy for treatment of rare diseases

A rare disease is a health condition of particularly low prevalence that affects a small number of people compared with other prevalent diseases in the general population. India, like many other developing countries, currently has no standard definition of rare diseases and since there is no epidemmiological data, there are …

Genetic testing and common disorders in a public health framework: how to assess relevance and possibilities

During the years prior to the turn of the century, scientific and medical attention for genetic disorders was mainly focused on understanding rare single-gene disorders, such as Huntington's disease, Duchenne muscular dystrophy, and cystic fibrosis (CF), as well as chromosomal abnormalities. The medical specialty of clinical genetics was established in …

Integrated genetic and epigenetic analysis of childhood acute lymphoblastic leukemia

Acute lymphoblastic leukemia (ALL) is the commonest childhood malignancy and is characterized by recurring structural genetic alterations. Previous studies of DNA methylation suggest epigenetic alterations may also be important, but an integrated genome-wide analysis of genetic and epigenetic alterations in ALL has not been performed. We analyzed 137 B-lineage and …

Genetic diseases in India - Present status

Information available on the present status of genetic diseases in India is relatively meagre, considering the number and varieties of its populations. Data, based mainly on those from uurban referral units, suggest that the incidence is fairly high with the preponderance of certain defects in particular areas and subpopulations. Original …

Chromosomal abnormalities: Genetic disease burden in India

Chromosomal abnormalities are frequent events. Globally, at least 7.6 million children are born annually with severe genetic or congenital malformations. Precise prevalence data are difficult to collect, especially in India, owing to great diversity of conditions and also because many cases remain undiagnosed. Genetic and congenital abnormality is the second …

Prevalence of β-thalassemia and other haemoglobinopathies in six cities in India: a multicentre study

The population of India is extremely diverse comprising of more than 3,000 ethnic groups who still follow endogamy. Haemoglobinopathies are the commonest hereditary disorders in India and pose a major health problem. The data on the prevalence of β-thalassemias and other haemoglobinopathies in different caste/ethnic groups of India is scarce. …

Mutational screening of LCA genes emphasizing RPE65 in South Indian cohort of patients

Leber congenital amaurosis (LCA) is the most severe form of inherited retinal visual impairment in children. So far, mutations in more than 20 genes have been known to cause LCA and among them, RPE65 is a suitable candidate for gene therapy. The mutational screenings of RPE65 and other LCA genes …

Debate over health effects of Chernobyl re-ignited

Controversy surrounding the true toll and disease burden caused by fallout from the Chernobyl nuclear disaster in 1986 has resurfaced following the release of a new study.

CRISPR/Cas9-mediated gene editing in human tripronuclear zygotes

Genome editing tools such as the clustered regularly interspaced short palindromic repeat (CRISPR)-associated system (Cas) have been widely used to modify genes in model systems including animal zygotes and human cells, and hold tremendous promise for both basic research and clinical applications. To date, a serious knowledge gap remains in …

Chinese scientists genetically modify human embryos

In a world first, Chinese scientists have reported editing the genomes of human embryos. The results are published in the online journal Protein & Cell and confirm widespread rumours that such experiments had been conducted — rumours that sparked a high-profile debate last month about the ethical implications of such …

Inflammatory bowel disease in Asia - A second chance at uncovering environmental factors

Inflammatory bowel disease (IBD) has become common in the Western world, but its causes remain unclear. With the dramatic increase of cases in Asia in recent years—echoing the disease’s drastic rise in the West decades earlier—investigators have another shot at studying environmental contributors to IBD as it emerges in new …

Living dead

Three decades after the Bhopal gas lead killed a few thousand people overnight, the struggle continues for its survivors. A number of issues concerning the survivors of the disaster, termed the biggest industrial accident in history, seemed close to resolution this year, but none was resolved.

Thalidomide-induced teratogenesis: History and mechanisms

Nearly 60 years ago thalidomide was prescribed to treat morning sickness in pregnant women. What followed was the biggest man-made medical disaster ever, where over 10,000 children were born with a range of severe and debilitating malformations. Despite this, the drug is now used successfully to treat a range of …

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