Publications by authors named "Simone Martinelli"

Article Synopsis
  • The effectiveness of a pilot e-learning course on oncogenomics for health professionals was assessed, revealing significant knowledge gains.
  • Nearly 350 Italian professionals, primarily physicians, showed an average post-test score that increased by 19% after completing the course, with older age and southern region residency linked to larger improvements.
  • Participants rated the course highly in terms of methodology, content quality, and usability, indicating strong satisfaction and potential for broader use in professional education.
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Peptide-based drugs are powerful inhibitors of therapeutically relevant protein-protein interactions. Their affinity and selectivity for target proteins are commonly assessed using fluorescence-based assays such as anisotropy/polarization or quantitative microarrays. This study reveals that labeling can perturb peptide/protein binding by more than 1 order of magnitude.

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The vacuolar H-ATPase (V-ATPase) is a functionally conserved multimeric complex localized at the membranes of many organelles where its proton-pumping action is required for proper lumen acidification. The V-ATPase complex is composed of several subunits, some of which have been linked to human disease. We and others previously reported pathogenic dominantly acting variants in ATP6V1B2, the gene encoding the V1B2 subunit, as underlying a clinically variable phenotypic spectrum including dominant deafness-onychodystrophy (DDOD) syndrome, Zimmermann-Laband syndrome (ZLS), and deafness, onychodystrophy, osteodystrophy, intellectual disability, and seizures (DOORS) syndrome.

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The identification of genes that confer either extension of life span or accelerate age-related decline was a step forward in understanding the mechanisms of aging and revealed that it is partially controlled by genetics and transcriptional programs. Here, we discovered that the human DNA sequence C16ORF70 encodes a protein, named MYTHO (macroautophagy and youth optimizer), which controls life span and health span. MYTHO protein is conserved from Caenorhabditis elegans to humans and its mRNA was upregulated in aged mice and elderly people.

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  • The MRPS36 gene is crucial for the 2-oxoglutarate dehydrogenase complex, which plays a significant role in the Krebs cycle, and defects in this gene lead to serious metabolic disorders including developmental delays and neurological issues.
  • Researchers studied two siblings with Leigh syndrome and identified a specific mutation in the MRPS36 gene that impacts enzyme function without affecting protein levels.
  • The findings suggest that MRPS36 mutations contribute to Leigh syndrome, with elevated plasma glutamate and glutamine potentially serving as biomarkers for this condition.
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Casitas B-lineage lymphoma (CBL) encodes an adaptor protein with E3-ligase activity negatively controlling intracellular signaling downstream of receptor tyrosine kinases. Somatic CBL mutations play a driver role in a variety of cancers, particularly myeloid malignancies, whereas germline defects in the same gene underlie a RASopathy having clinical overlap with Noonan syndrome (NS) and predisposing to juvenile myelomonocytic leukemia and vasculitis. Other features of the disorder include cardiac defects, postnatal growth delay, cryptorchidism, facial dysmorphisms, and predisposition to develop autoimmune disorders.

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  • Pathogenic variants in the Gαo gene, crucial for brain function, are associated with severe neurological disorders, including developmental delays and epilepsy.
  • A study utilized patient-derived induced pluripotent stem cells to investigate the effects of the p.G203R variant, discovering issues in cell development and differentiation into neurons, characterized by abnormal gene expression.
  • Functional tests revealed that neurons with the p.G203R mutation exhibited lower calcium levels, reduced activity, and impaired responses to neurotransmitters, indicating a significant impact on brain signaling and development.
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The state of Rio Grande do Norte, located in the Northeast region of Brazil, has areas of granites and pegmatites with minerals that have varying concentrations of uranium. Consequently, high concentrations of radon gas, a carcinogenic substance for humans, can occur. The present study aimed to assess the occurrence of cancer and its association with exposure to sources of natural radioactivity using geological and geophysical information in the aforementioned state.

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mutations underlie a spectrum of early-onset neurodevelopmental phenotypes having developmental delay/intellectual disability (ID), epilepsy, and movement disorders (MD) as major clinical features. encodes the widely expressed heavy polypeptide of clathrin, a major component of the coated vesicles mediating endocytosis, intracellular trafficking, and synaptic vesicle recycling. The underlying pathogenic mechanism is largely unknown.

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Aim: To evaluate clinical phenotype and molecular findings of 157 cases with GNAO1 pathogenic or likely pathogenic variants delineating the clinical spectrum, course, and response to treatments.

Method: Clinical phenotype, genetic data, and pharmacological and surgical treatment history of 11 novel cases and 146 previously published patients were analyzed.

Results: Complex hyperkinetic movement disorder (MD) characterizes 88% of GNAO1 patients.

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Article Synopsis
  • De novo mutations in the G protein α o subunit gene are linked to developmental delays, hyperkinetic movement disorders, and epilepsy in children.
  • The researchers created new gene-edited strains to study these mutations, observing varied effects on signaling and excessive neurotransmitter release leading to increased activity.
  • Caffeine was found to reduce hyperkinetic behavior across different mutations, showcasing its potential as a treatment, while another drug, istradefylline, had varying effectiveness based on the specific mutation.
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Over the last years, a constantly increasing number of genetic diseases associated with epilepsy and movement disorders have been recognized. An emerging group of conditions in this field is represented by genetic disorders affecting G-protein-coupled receptors (GPCRs)-cAMP signaling. This group of postsynaptic disorders includes genes encoding for proteins highly expressed in the central nervous system and involved in GPCR signal transduction and cAMP production (e.

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Krabbe disease (KD) is a rare lysosomal storage disorder caused by biallelic pathogenic variants in GALC. Most patients manifest the severe classic early-infantile form, while a small percentage of cases have later-onset types. We present two siblings with atypical clinical and neuroimaging phenotypes, compared to the classification of KD, who were found to carry biallelic loss-of-function GALC variants, including a recurrent 30 kb deletion and a previously unreported deep intronic variant that was identified by mRNA sequencing.

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Prompt diagnosis of complex phenotypes is a challenging task in clinical genetics. Whole exome sequencing has proved to be effective in solving such conditions. Here, we report on an unpredictable presentation of Werner Syndrome (WRNS) in a 12-year-old girl carrying a homozygous truncating variant in RECQL2, the gene mutated in WRNS, and a de novo activating missense change in PTPN11, the major Noonan syndrome gene, encoding SHP2, a protein tyrosine phosphatase positively controlling RAS function and MAPK signaling, which have tightly been associated with senescence in primary cells.

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Background: Pathogenic missense variants in cell division control protein 42 (CDC42) differentially affect protein function, causing a clinically wide phenotypic spectrum variably affecting neurodevelopment, hematopoiesis, and immune response. More recently, 3 variants at the C-terminus of CDC42 were proposed to similarly impact protein function and cause a novel autoinflammatory disorder.

Objectives: We sought to clinically and functionally classify these variants to improve patient management.

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Context: Genes causing familial forms of diabetes mellitus are only partially known.

Objective: We set out to identify the genetic cause of hyperglycemia in multigenerational families with an apparent autosomal dominant form of adult-onset diabetes not due to mutations in known monogenic diabetes genes.

Methods: Existing whole-exome sequencing (WES) data were used to identify exonic variants segregating with diabetes in 60 families from the United States and Italy.

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We developed a new class of inhibitors of protein-protein interactions of the SHP2 phosphatase, which is pivotal in cell signaling and represents a central target in the therapy of cancer and rare diseases. Currently available SHP2 inhibitors target the catalytic site or an allosteric pocket but lack specificity or are ineffective for disease-associated SHP2 mutants. Considering that pathogenic lesions cause signaling hyperactivation due to increased levels of SHP2 association with cognate proteins, we developed peptide-based molecules with nanomolar affinity for the N-terminal Src homology domain of SHP2, good selectivity, stability to degradation, and an affinity for pathogenic variants of SHP2 that is 2-20 times higher than for the wild-type protein.

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Article Synopsis
  • Dominant mutations in the GNAO1 gene lead to serious neurological disorders in children, including developmental delays and seizures, but effective treatments are lacking.
  • The study explored the functional impacts of two GNAO1 variants using the model organism Caenorhabditis elegans, finding that these mutations cause abnormal locomotion and increased neurotransmitter release in the worms.
  • Notably, caffeine was identified as a potential treatment, improving motor function in the affected C. elegans, suggesting a pathway for developing new therapies for GNAO1-related disorders.
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Chemosensory receptors play a crucial role in distinguishing the wide range of volatile/soluble molecules by binding them with high accuracy. Chemosensation is the main sensory modality in organisms lacking long-range sensory mechanisms like vision/hearing. Despite its low number of sensory neurons, the nematode Caenorhabditis elegans possesses several chemosensory receptors, allowing it to detect about as many odorants as mammals.

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  • Subcellular membranes are rich in dolichol, important for protein glycosylation, but its exact role in organelle function and the endosomal-lysosomal pathway is still unclear.
  • Variants in the DHDDS gene, which is essential for dolichol production, are linked to a form of retinitis pigmentosa and various neurodevelopmental disorders, causing symptoms like epilepsy and movement issues in affected patients.
  • Clinical studies showed that patients with DHDDS mutations experienced neurological decline, cognitive issues, and changes in their lysosomal function, suggesting that these variants primarily affect the enzyme's active site and disrupt normal cell processes.
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Neurofibromatosis 1 (NF1) is a disorder characterized by variable expressivity caused by loss-of-function variants in NF1, encoding neurofibromin, a protein negatively controlling RAS signaling. We evaluated whether concurrent variation in proteins functionally linked to neurofibromin contribute to the variable expressivity of NF1. Parallel sequencing of a RASopathy gene panel in 138 individuals with molecularly confirmed clinical diagnosis of NF1 identified missense variants in PTPN11, encoding SHP2, a positive regulator of RAS signaling, in four subjects from three unrelated families.

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The RASopathies are a family of clinically related disorders caused by mutations affecting genes participating in the RAS-MAPK signaling cascade. Among them, Noonan syndrome (NS) and Noonan syndrome with multiple lentigines (NSML) are allelic conditions principally associated with dominant mutations in PTPN11, which encodes the nonreceptor SH2 domain-containing protein tyrosine phosphatase SHP2. Individual PTPN11 mutations are specific to each syndrome and have opposite consequences on catalysis, but all favor SHP2's interaction with signaling partners.

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