Biallelic variants in PPP1R13L cause paediatric dilated cardiomyopathy

Childhood dilated cardiomyopathy (DCM) is a leading cause of heart failure requiring cardiac transplantation and approximately 5% of cases result in sudden death. Knowledge of the underlying genetic cause can aid prognostication and clinical management and enables accurate recurrence risk counselling for the family. Here we used genomic sequencing to identify the causative genetic variant(s) in families with children affected by severe DCM. In an international collaborative effort facilitated by GeneMatcher, biallelic variants in PPP1R13L were identified in seven children with severe DCM from five unrelated families following exome or genome sequencing and inheritance-based variant filtering. PPP1R13L encodes inhibitor of apoptosis-stimulating protein of p53 protein (iASPP). In addition to roles in apoptosis, iASPP acts as a regulator of desmosomes and has been implicated in inflammatory pathways. DCM presented early (mean: 2 years 10 months; range: 3 months-9 years) and was progressive, resulting in death (n = 3) or transplant (n = 3), with one child currently awaiting transplant. Genomic sequencing technologies are valuable for the identification of novel and emerging candidate genes. Biallelic variants in PPP1R13L were previously reported in a single consanguineous family with paediatric DCM. The identification here of a further five families now provides sufficient evidence to support a robust gene-disease association between PPP1R13L and severe paediatric DCM. The PPP1R13L gene should be included in panel-based genetic testing for paediatric DCM.

Novel intronic variant in PALB2 gene and effective prevention of Fanconi anemia in family

Despite the acceptance of NextGen sequencing as a diagnostic modality suitable for probands and carriers of Mendelian diseases, its efficiency in identifying causal mutations is limited by both technical aspects of variant call algorithms and by imperfect, consensus-based criteria for assessing the pathogenicity of the findings. Here we describe the medical history of the family with a child born with Fanconi anemia. In this case, typical diagnostic routines were complicated by unusual combination of mutations. PALB2 variant NM_024675.3:c.172_175delTTGT (p.Gln60Argfs) in maternal sample, previously classified as a definitely pathogenic frameshift mutation, was in compound heterozygous state with PALB2 NM_024675.3:c.3114-16_3114-11del (p.Asn1039Glyfs*7), which led to validated PALB2 exon 11 skipping event in paternal locus. Findings enabled the development of the PGТ and successful selection of two mutation-free embryos. We show that even in absence of definitive exome findings, clinician-guided research inquiries into the structure and function of the suspected loci allow definitive diagnosis. Described case provides an example of a crucial input of an investigational workflow in genetic prognosis and successful PGT.

Dependence of Young's modulus on the sodium content within the structural tunnels of a one-dimensional Na-ion battery cathode

We report on the Young's modulus (YM) of single-crystalline Na4Mn9O18 (or Na0.44MnO2) nanowires (NWs), which have shown promise as reversible sodium-ion (Na(+)) intercalation cathodes with high capacity and excellent cyclability. In addition, acid treatment of this material yielded proton stabilized Na(0.44-y)MnO2 (y ∼ 0.23) NWs with a 74% increase in the YM. The tight correlation between YM and ionic content within the crystalline tunnels is particularly significant, since it points to the strong dependence of elastic properties on state-of-charge (SOC) within battery materials.

Single nanowire manipulation within dielectrophoretic force fields in the sub-crossover frequency regime

This paper presents the quantitative relationship between the control parameters of a dielectrophoretic (DEP) force field and the resulting electrokinetic region of influence experienced by individual nanowires (NWs) in colloidal suspensions. Our results show that DEP operation at sub-crossover frequencies, which are defined as frequencies slightly below the transition from positive-to-negative DEP, offers a suitable but previously unexplored performance regime for single NW manipulation and assembly. The low-magnitude DEP forces at these frequencies, which are estimated to be 8 orders of magnitude smaller as compared to near-DC frequencies, provide an efficient avenue to controllably extend electrokinetic influence on suspension volumes that present isolated NWs. These results are demonstrated using α-phase manganese dioxide NWs as a model one-dimensional construct. Based on experimentally extracted values for the NW intrinsic conductivity and dielectric permittivity, we employ computational models to explain each of the performance regimes observed in this nanoassembly system. In addition, we use a new approach to estimate the concentration of a NW suspension from experimentally observed data for deposition yields.

Todorokite-type manganese oxide nanowires as an intercalation cathode for Li-ion and Na-ion batteries

Extended hydrothermal treatment at an elevated temperature of 220 °C allowed high yield synthesis of manganese oxide nanowires with a todorokite crystal structure suitable for reversible intercalation of Li⁺ and Na⁺ ions.