Autism spectrum disorders (ASDs) are a group of neurodevelopment disorders characterized by childhood onset deficits in social communication and interaction. Although the exact etiology of most cases of ASDs is unknown, a portion has been proposed to be associated with various metabolic abnormalities including mitochondrial dysfunction, disorders of cholesterol metabolism, and folate abnormalities. Targeted biochemical testing like plasma amino acid and acylcarnitine profiles have demonstrated limited utility in helping to diagnose and manage such patients. Untargeted metabolomics has emerged, however, as a promising tool in screening for underlying biochemical abnormalities and managing treatment and as a means of investigating possible novel biomarkers for the disorder. Here, we review the principles and methodology behind untargeted metabolomics, recent pilot studies utilizing this technology, and areas in which it may be integrated into the care of children with this disorder in the future.
8 May 2019 in American Journal of Medical Genetics Part A
Complexes of poly(N-vinylpyrrolidone) (PVD) and poly(4-vinylpyridine) (PVP) with hydrogen peroxide have been prepared and their synthetic utility as solid H2O2 equivalents for the selective oxidation of sulfides to sulfoxides and ketones to gem-dihydroperoxides has been studied. These complexes are convenient and safe alternatives to H2O2 solutions and it is found that various symmetric as well as unsymmetrical sulfides undergo oxidation under mild conditions to provide the respective sulfoxides in high yields. A series of gem-dihydroperoxides were obtained from the corresponding ketones in good yields under ambient conditions.
31 January 2021 in American Journal of Medical Genetics Part A
Neurodevelopmental disorder with dysmorphic facies and distal limb anomalies (NEDDFL), defined primarily by developmental delay/intellectual disability, speech delay, postnatal microcephaly, and dysmorphic features, is a syndrome resulting from heterozygous variants in the dosage‐sensitive bromodomain PHD finger chromatin remodeler transcription factor BPTF gene. To date, only 11 individuals with NEDDFL due to de novo BPTF variants have been described. To expand the NEDDFL phenotypic spectrum, we describe the clinical features in 25 novel individuals with 20 distinct, clinically relevant variants in BPTF, including four individuals with inherited changes in BPTF. In addition to the previously described features, individuals in this cohort exhibited mild brain abnormalities, seizures, scoliosis, and a variety of ophthalmologic complications. These results further support the broad and multi‐faceted complications due to haploinsufficiency of BPTF.