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1
Inheritance
1
Pathophys.
8
Phenotypes
13
Pathograph
1
Genes
3
Treatments
1
References
1
Deep Research
👪

Inheritance

1
Autosomal dominant inheritance HP:0000006
Floating-Harbor syndrome is inherited in an autosomal dominant manner, and most affected individuals have a de novo SRCAP pathogenic variant.
Autosomal dominant inheritance
Show evidence (1 reference)
PMID:23193612 SUPPORT Other
"GENETIC COUNSELING: SRCAP-FHS is inherited in an autosomal dominant manner. The majority of affected individuals have a de novo pathogenic variant."
This directly supports autosomal dominant inheritance in SRCAP-related Floating-Harbor syndrome.

Pathophysiology

1
SRCAP truncation-driven chromatin dysregulation
Floating-Harbor syndrome is caused by heterozygous truncating SRCAP variants. Available review evidence supports a dominant-negative model with disrupted chromatin-associated transcriptional control.
SRCAP link
chromatin remodeling link ⚠ ABNORMAL regulation of transcription by RNA polymerase II link ⚠ ABNORMAL
Show evidence (1 reference)
DOI:10.3389/fgene.2022.846101 SUPPORT Human Clinical
"Finally, we suggested a new model of FHS pathogenesis which provides possible basis for the dominant negative nature of FHS-causing mutations and explains limited effects of GH treatment in FHS."
This supports a dominant-negative SRCAP disease mechanism underlying Floating-Harbor syndrome.

Pathograph

Use the checkboxes to hide or show graph categories. Hover nodes for evidence and cross-linked metadata.
Pathograph: causal mechanism network for Floating-Harbor syndrome Interactive directed graph showing how pathophysiology mechanisms, phenotypes, genetic factors and variants, experimental models, environmental triggers, and treatments relate through causal and linked edges.

Phenotypes

8
Head and Neck 1
Abnormal facial shape Abnormal facial shape (HP:0001999)
Show evidence (1 reference)
PMID:23193612 SUPPORT Other
"SRCAP-related Floating-Harbor syndrome (SRCAP-FHS) is characterized by typical craniofacial features; low birth weight, normal head circumference, and short stature;"
This directly supports a characteristic abnormal facial shape in Floating-Harbor syndrome.
Limbs 1
Brachydactyly Brachydactyly (HP:0001156)
Show evidence (1 reference)
PMID:23193612 SUPPORT Other
"SRCAP-related Floating-Harbor syndrome (SRCAP-FHS) is characterized by typical craniofacial features; low birth weight, normal head circumference, and short stature; bone age delay that normalizes between ages six and 12 years; skeletal anomalies (brachydactyly, broad fingertips, clinodactyly,..."
This directly supports brachydactyly as part of the skeletal phenotype in Floating-Harbor syndrome.
Musculoskeletal 1
Delayed skeletal maturation Delayed skeletal maturation (HP:0002750)
Show evidence (1 reference)
PMID:23193612 SUPPORT Other
"SRCAP-related Floating-Harbor syndrome (SRCAP-FHS) is characterized by typical craniofacial features; low birth weight, normal head circumference, and short stature; bone age delay that normalizes between ages six and 12 years; skeletal anomalies (brachydactyly, broad fingertips, clinodactyly,..."
This directly supports delayed skeletal maturation as a characteristic feature of Floating-Harbor syndrome.
Nervous System 2
Delayed speech and language development Delayed speech and language development (HP:0000750)
Show evidence (1 reference)
PMID:23193612 SUPPORT Other
"SRCAP-related Floating-Harbor syndrome (SRCAP-FHS) is characterized by typical craniofacial features; low birth weight, normal head circumference, and short stature; bone age delay that normalizes between ages six and 12 years; skeletal anomalies (brachydactyly, broad fingertips, clinodactyly,..."
This directly supports severe speech and language impairment as a core developmental feature.
Intellectual disability Intellectual disability (HP:0001249)
Show evidence (1 reference)
PMID:23193612 SUPPORT Other
"SRCAP-related Floating-Harbor syndrome (SRCAP-FHS) is characterized by typical craniofacial features; low birth weight, normal head circumference, and short stature; bone age delay that normalizes between ages six and 12 years; skeletal anomalies (brachydactyly, broad fingertips, clinodactyly,..."
This directly supports intellectual disability as a recurrent phenotype.
Growth 1
Short stature Short stature (HP:0004322)
Show evidence (1 reference)
PMID:23193612 SUPPORT Other
"SRCAP-related Floating-Harbor syndrome (SRCAP-FHS) is characterized by typical craniofacial features; low birth weight, normal head circumference, and short stature;"
This directly supports short stature as a core phenotype.
Other 2
Hypernasal speech Hypernasal speech (HP:0001611)
Show evidence (1 reference)
PMID:23193612 SUPPORT Other
"SRCAP-related Floating-Harbor syndrome (SRCAP-FHS) is characterized by typical craniofacial features; low birth weight, normal head circumference, and short stature; bone age delay that normalizes between ages six and 12 years; skeletal anomalies (brachydactyly, broad fingertips, clinodactyly,..."
This directly supports hypernasal speech as a characteristic voice phenotype in Floating-Harbor syndrome.
High-pitched voice Abnormally high-pitched voice (HP:0001620)
Show evidence (1 reference)
PMID:23193612 SUPPORT Other
"SRCAP-related Floating-Harbor syndrome (SRCAP-FHS) is characterized by typical craniofacial features; low birth weight, normal head circumference, and short stature; bone age delay that normalizes between ages six and 12 years; skeletal anomalies (brachydactyly, broad fingertips, clinodactyly,..."
This directly supports a high-pitched voice as a characteristic voice phenotype in Floating-Harbor syndrome.
🧬

Genetic Associations

1
SRCAP (Causal heterozygous truncating variant)
Show evidence (2 references)
DOI:10.3389/fgene.2022.846101 SUPPORT Human Clinical
"FHS is caused by heterozygous mutations in the SRCAP gene; however, little is known about the pathogenesis of FHS or the effectiveness of its treatment."
This directly supports SRCAP as the causal gene for Floating-Harbor syndrome.
"SRCAP | HGNC:16974 | Floating-Harbor syndrome | MONDO:0007621 | AD | Definitive"
ClinGen classifies the SRCAP-Floating-Harbor syndrome gene-disease relationship as definitive with autosomal dominant inheritance.
💊

Treatments

3
Growth hormone therapy
Action: human growth hormone replacement therapy MAXO:0000780
Recombinant human growth hormone has been used for short stature, but published evidence suggests only limited benefit in Floating-Harbor syndrome.
Target Phenotypes: Short stature
Show evidence (1 reference)
DOI:10.3389/fgene.2022.846101 SUPPORT Human Clinical
"We report the history of treatment of the proband with GH, which resulted in modest improvement in growth prior to puberty."
This supports growth hormone therapy as a used but only modestly effective treatment for short stature.
Developmental supportive care
Action: supportive care MAXO:0000950
Early intervention, special education, and related supportive services are recommended for developmental disability management.
Target Phenotypes: Delayed speech and language development Intellectual disability
Show evidence (1 reference)
PMID:23193612 SUPPORT Other
"Early intervention programs, special education, and vocational training to address developmental disabilities; communication rehabilitation with sign language or alternative means of communication; behavior management by a behavioral specialist / psychologist with consideration of medication as needed."
This directly supports developmental supportive care interventions in Floating-Harbor syndrome.
Speech and communication therapy
Action: speech therapy MAXO:0000930
Communication rehabilitation is recommended for the severe expressive and receptive language phenotype.
Target Phenotypes: Delayed speech and language development
Show evidence (1 reference)
PMID:23193612 SUPPORT Other
"Early intervention programs, special education, and vocational training to address developmental disabilities; communication rehabilitation with sign language or alternative means of communication; behavior management by a behavioral specialist / psychologist with consideration of medication as needed."
This directly supports communication-focused rehabilitation for language impairment in Floating-Harbor syndrome.
{ }

Source YAML

click to show
name: Floating-Harbor syndrome
creation_date: "2026-04-15T15:45:03Z"
updated_date: "2026-04-15T18:55:00Z"
description: >-
  Floating-Harbor syndrome is a rare SRCAP-related autosomal dominant
  developmental disorder characterized by short stature, delayed bone age,
  severe language impairment, and a recognizable craniofacial phenotype.
  Available evidence supports dominant-negative SRCAP disruption with
  downstream chromatin and transcriptional dysregulation.
category: Mendelian
parents:
- hereditary disease
disease_term:
  preferred_term: Floating-Harbor syndrome
  term:
    id: MONDO:0007621
    label: Floating-Harbor syndrome
inheritance:
- name: Autosomal dominant inheritance
  description: >-
    Floating-Harbor syndrome is inherited in an autosomal dominant manner, and
    most affected individuals have a de novo SRCAP pathogenic variant.
  inheritance_term:
    preferred_term: Autosomal dominant inheritance
    term:
      id: HP:0000006
      label: Autosomal dominant inheritance
  evidence:
  - reference: PMID:23193612
    reference_title: SRCAP-Related Floating-Harbor Syndrome.
    supports: SUPPORT
    evidence_source: OTHER
    snippet: >-
      GENETIC COUNSELING: SRCAP-FHS is inherited in an autosomal dominant
      manner. The majority of affected individuals have a de novo pathogenic
      variant.
    explanation: This directly supports autosomal dominant inheritance in SRCAP-related Floating-Harbor syndrome.
pathophysiology:
- name: SRCAP truncation-driven chromatin dysregulation
  description: >-
    Floating-Harbor syndrome is caused by heterozygous truncating SRCAP
    variants. Available review evidence supports a dominant-negative model with
    disrupted chromatin-associated transcriptional control.
  genes:
  - preferred_term: SRCAP
    term:
      id: hgnc:16974
      label: SRCAP
  biological_processes:
  - preferred_term: chromatin remodeling
    modifier: ABNORMAL
    term:
      id: GO:0006338
      label: chromatin remodeling
  - preferred_term: regulation of transcription by RNA polymerase II
    modifier: ABNORMAL
    term:
      id: GO:0006357
      label: regulation of transcription by RNA polymerase II
  evidence:
  - reference: DOI:10.3389/fgene.2022.846101
    reference_title: >-
      Molecular Genetics and Pathogenesis of the Floating Harbor Syndrome: Case
      Report of Long-Term Growth Hormone Treatment and a Literature Review
    supports: SUPPORT
    evidence_source: HUMAN_CLINICAL
    snippet: >-
      Finally, we suggested a new model of FHS pathogenesis which provides
      possible basis for the dominant negative nature of FHS-causing mutations
      and explains limited effects of GH treatment in FHS.
    explanation: This supports a dominant-negative SRCAP disease mechanism underlying Floating-Harbor syndrome.
  downstream:
  - target: Short stature
    description: Developmental transcriptional dysregulation contributes to impaired linear growth.
  - target: Delayed skeletal maturation
    description: Developmental dysregulation contributes to delayed bone age.
  - target: Abnormal facial shape
    description: Developmental dysregulation contributes to a recognizable craniofacial phenotype.
  - target: Brachydactyly
    description: Developmental dysregulation contributes to characteristic skeletal anomalies.
  - target: Intellectual disability
    description: Disrupted chromatin-associated developmental regulation contributes to neurocognitive impairment.
  - target: Delayed speech and language development
    description: Neurodevelopmental dysregulation contributes to severe speech and language impairment.
  - target: Hypernasal speech
    description: Developmental dysregulation contributes to the characteristic hypernasal voice quality.
  - target: High-pitched voice
    description: Developmental dysregulation contributes to the characteristic high-pitched voice quality.
phenotypes:
- name: Short stature
  category: Growth
  diagnostic: true
  description: Postnatal short stature is a defining clinical feature of Floating-Harbor syndrome.
  phenotype_term:
    preferred_term: Short stature
    term:
      id: HP:0004322
      label: Short stature
  evidence:
  - reference: PMID:23193612
    reference_title: SRCAP-Related Floating-Harbor Syndrome.
    supports: SUPPORT
    evidence_source: OTHER
    snippet: >-
      SRCAP-related Floating-Harbor syndrome (SRCAP-FHS) is characterized by
      typical craniofacial features; low birth weight, normal head
      circumference, and short stature;
    explanation: This directly supports short stature as a core phenotype.
- name: Delayed speech and language development
  category: Neurologic
  diagnostic: true
  description: Severe language impairment is one of the major developmental manifestations of Floating-Harbor syndrome.
  phenotype_term:
    preferred_term: Delayed speech and language development
    term:
      id: HP:0000750
      label: Delayed speech and language development
  evidence:
  - reference: PMID:23193612
    reference_title: SRCAP-Related Floating-Harbor Syndrome.
    supports: SUPPORT
    evidence_source: OTHER
    snippet: >-
      SRCAP-related Floating-Harbor syndrome (SRCAP-FHS) is characterized by
      typical craniofacial features; low birth weight, normal head
      circumference, and short stature; bone age delay that normalizes between
      ages six and 12 years; skeletal anomalies (brachydactyly, broad
      fingertips, clinodactyly, short thumbs, prominent joints, and clavicular
      abnormalities); severe receptive and expressive language impairment;
    explanation: This directly supports severe speech and language impairment as a core developmental feature.
- name: Delayed skeletal maturation
  category: Growth
  diagnostic: true
  description: Delayed bone age is a classic diagnostic feature of Floating-Harbor syndrome.
  phenotype_term:
    preferred_term: Delayed skeletal maturation
    term:
      id: HP:0002750
      label: Delayed skeletal maturation
  evidence:
  - reference: PMID:23193612
    reference_title: SRCAP-Related Floating-Harbor Syndrome.
    supports: SUPPORT
    evidence_source: OTHER
    snippet: >-
      SRCAP-related Floating-Harbor syndrome (SRCAP-FHS) is characterized by
      typical craniofacial features; low birth weight, normal head
      circumference, and short stature; bone age delay that normalizes between
      ages six and 12 years; skeletal anomalies (brachydactyly, broad
      fingertips, clinodactyly, short thumbs, prominent joints, and clavicular
      abnormalities); severe receptive and expressive language impairment;
    explanation: This directly supports delayed skeletal maturation as a characteristic feature of Floating-Harbor syndrome.
- name: Abnormal facial shape
  category: Morphological
  diagnostic: true
  description: Typical craniofacial features are a defining part of the Floating-Harbor syndrome phenotype.
  phenotype_term:
    preferred_term: Abnormal facial shape
    term:
      id: HP:0001999
      label: Abnormal facial shape
  evidence:
  - reference: PMID:23193612
    reference_title: SRCAP-Related Floating-Harbor Syndrome.
    supports: SUPPORT
    evidence_source: OTHER
    snippet: >-
      SRCAP-related Floating-Harbor syndrome (SRCAP-FHS) is characterized by
      typical craniofacial features; low birth weight, normal head
      circumference, and short stature;
    explanation: This directly supports a characteristic abnormal facial shape in Floating-Harbor syndrome.
- name: Brachydactyly
  category: Morphological
  description: Brachydactyly is a representative skeletal anomaly in Floating-Harbor syndrome.
  phenotype_term:
    preferred_term: Brachydactyly
    term:
      id: HP:0001156
      label: Brachydactyly
  evidence:
  - reference: PMID:23193612
    reference_title: SRCAP-Related Floating-Harbor Syndrome.
    supports: SUPPORT
    evidence_source: OTHER
    snippet: >-
      SRCAP-related Floating-Harbor syndrome (SRCAP-FHS) is characterized by
      typical craniofacial features; low birth weight, normal head
      circumference, and short stature; bone age delay that normalizes between
      ages six and 12 years; skeletal anomalies (brachydactyly, broad
      fingertips, clinodactyly, short thumbs, prominent joints, and clavicular
      abnormalities); severe receptive and expressive language impairment;
    explanation: This directly supports brachydactyly as part of the skeletal phenotype in Floating-Harbor syndrome.
- name: Intellectual disability
  category: Neurologic
  description: Intellectual disability is usually mild to moderate in affected individuals.
  phenotype_term:
    preferred_term: Intellectual disability
    term:
      id: HP:0001249
      label: Intellectual disability
  evidence:
  - reference: PMID:23193612
    reference_title: SRCAP-Related Floating-Harbor Syndrome.
    supports: SUPPORT
    evidence_source: OTHER
    snippet: >-
      SRCAP-related Floating-Harbor syndrome (SRCAP-FHS) is characterized by
      typical craniofacial features; low birth weight, normal head
      circumference, and short stature; bone age delay that normalizes between
      ages six and 12 years; skeletal anomalies (brachydactyly, broad
      fingertips, clinodactyly, short thumbs, prominent joints, and clavicular
      abnormalities); severe receptive and expressive language impairment;
      hypernasality and high-pitched voice; and intellectual disability that is
      typically mild to moderate.
    explanation: This directly supports intellectual disability as a recurrent phenotype.
- name: Hypernasal speech
  category: Otolaryngologic
  description: Hypernasality is a characteristic voice and speech feature in Floating-Harbor syndrome.
  phenotype_term:
    preferred_term: Hypernasal speech
    term:
      id: HP:0001611
      label: Hypernasal speech
  evidence:
  - reference: PMID:23193612
    reference_title: SRCAP-Related Floating-Harbor Syndrome.
    supports: SUPPORT
    evidence_source: OTHER
    snippet: >-
      SRCAP-related Floating-Harbor syndrome (SRCAP-FHS) is characterized by
      typical craniofacial features; low birth weight, normal head
      circumference, and short stature; bone age delay that normalizes between
      ages six and 12 years; skeletal anomalies (brachydactyly, broad
      fingertips, clinodactyly, short thumbs, prominent joints, and clavicular
      abnormalities); severe receptive and expressive language impairment;
      hypernasality and high-pitched voice; and intellectual disability that is
      typically mild to moderate.
    explanation: This directly supports hypernasal speech as a characteristic voice phenotype in Floating-Harbor syndrome.
- name: High-pitched voice
  category: Otolaryngologic
  description: A high-pitched voice is a characteristic voice phenotype in Floating-Harbor syndrome.
  phenotype_term:
    preferred_term: High-pitched voice
    term:
      id: HP:0001620
      label: Abnormally high-pitched voice
  evidence:
  - reference: PMID:23193612
    reference_title: SRCAP-Related Floating-Harbor Syndrome.
    supports: SUPPORT
    evidence_source: OTHER
    snippet: >-
      SRCAP-related Floating-Harbor syndrome (SRCAP-FHS) is characterized by
      typical craniofacial features; low birth weight, normal head
      circumference, and short stature; bone age delay that normalizes between
      ages six and 12 years; skeletal anomalies (brachydactyly, broad
      fingertips, clinodactyly, short thumbs, prominent joints, and clavicular
      abnormalities); severe receptive and expressive language impairment;
      hypernasality and high-pitched voice; and intellectual disability that is
      typically mild to moderate.
    explanation: This directly supports a high-pitched voice as a characteristic voice phenotype in Floating-Harbor syndrome.
biochemical: []
genetic:
- name: SRCAP
  association: Causal heterozygous truncating variant
  gene_term:
    preferred_term: SRCAP
    term:
      id: hgnc:16974
      label: SRCAP
  notes: >-
    Floating-Harbor syndrome is caused by heterozygous pathogenic SRCAP
    variants, especially truncating variants in exons 33 and 34.
  evidence:
  - reference: DOI:10.3389/fgene.2022.846101
    reference_title: >-
      Molecular Genetics and Pathogenesis of the Floating Harbor Syndrome: Case
      Report of Long-Term Growth Hormone Treatment and a Literature Review
    supports: SUPPORT
    evidence_source: HUMAN_CLINICAL
    snippet: >-
      FHS is caused by heterozygous mutations in the SRCAP gene; however,
      little is known about the pathogenesis of FHS or the effectiveness of its
      treatment.
    explanation: This directly supports SRCAP as the causal gene for Floating-Harbor syndrome.
  - reference: CGGV:assertion_5b414014-3a99-48f2-aac1-20903838af0f-2023-08-01T063000.000Z
    reference_title: "SRCAP / Floating-Harbor syndrome (Definitive)"
    supports: SUPPORT
    evidence_source: OTHER
    snippet: "SRCAP | HGNC:16974 | Floating-Harbor syndrome | MONDO:0007621 | AD | Definitive"
    explanation: ClinGen classifies the SRCAP-Floating-Harbor syndrome gene-disease relationship as definitive with autosomal dominant inheritance.
environmental: []
treatments:
- name: Growth hormone therapy
  description: >-
    Recombinant human growth hormone has been used for short stature, but
    published evidence suggests only limited benefit in Floating-Harbor
    syndrome.
  treatment_term:
    preferred_term: human growth hormone replacement therapy
    term:
      id: MAXO:0000780
      label: human growth hormone replacement therapy
  target_phenotypes:
  - preferred_term: Short stature
    term:
      id: HP:0004322
      label: Short stature
  evidence:
  - reference: DOI:10.3389/fgene.2022.846101
    reference_title: >-
      Molecular Genetics and Pathogenesis of the Floating Harbor Syndrome: Case
      Report of Long-Term Growth Hormone Treatment and a Literature Review
    supports: SUPPORT
    evidence_source: HUMAN_CLINICAL
    snippet: >-
      We report the history of treatment of the proband with GH, which resulted
      in modest improvement in growth prior to puberty.
    explanation: This supports growth hormone therapy as a used but only modestly effective treatment for short stature.
- name: Developmental supportive care
  description: Early intervention, special education, and related supportive services are recommended for developmental disability management.
  treatment_term:
    preferred_term: supportive care
    term:
      id: MAXO:0000950
      label: supportive care
  target_phenotypes:
  - preferred_term: Delayed speech and language development
    term:
      id: HP:0000750
      label: Delayed speech and language development
  - preferred_term: Intellectual disability
    term:
      id: HP:0001249
      label: Intellectual disability
  evidence:
  - reference: PMID:23193612
    reference_title: SRCAP-Related Floating-Harbor Syndrome.
    supports: SUPPORT
    evidence_source: OTHER
    snippet: >-
      Early intervention programs, special education, and vocational training to address developmental disabilities; communication rehabilitation with sign language or alternative means of communication; behavior management by a behavioral specialist / psychologist with consideration of medication as needed.
    explanation: This directly supports developmental supportive care interventions in Floating-Harbor syndrome.
- name: Speech and communication therapy
  description: Communication rehabilitation is recommended for the severe expressive and receptive language phenotype.
  treatment_term:
    preferred_term: speech therapy
    term:
      id: MAXO:0000930
      label: speech therapy
  target_phenotypes:
  - preferred_term: Delayed speech and language development
    term:
      id: HP:0000750
      label: Delayed speech and language development
  evidence:
  - reference: PMID:23193612
    reference_title: SRCAP-Related Floating-Harbor Syndrome.
    supports: SUPPORT
    evidence_source: OTHER
    snippet: >-
      Early intervention programs, special education, and vocational training to address developmental disabilities; communication rehabilitation with sign language or alternative means of communication; behavior management by a behavioral specialist / psychologist with consideration of medication as needed.
    explanation: This directly supports communication-focused rehabilitation for language impairment in Floating-Harbor syndrome.
diagnosis:
- name: SRCAP molecular genetic testing
  description: Molecular genetic testing for a heterozygous pathogenic SRCAP variant confirms the diagnosis.
  presence: Identification of a heterozygous pathogenic SRCAP variant establishes the diagnosis.
  diagnosis_term:
    preferred_term: molecular genetic testing
    term:
      id: MAXO:0000533
      label: molecular genetic testing
    qualifiers:
    - predicate:
        preferred_term: has participant
        term:
          id: RO:0000057
          label: has participant
      value:
        preferred_term: SRCAP
        term:
          id: hgnc:16974
          label: SRCAP
  evidence:
  - reference: PMID:23193612
    reference_title: SRCAP-Related Floating-Harbor Syndrome.
    supports: SUPPORT
    evidence_source: OTHER
    snippet: >-
      DIAGNOSIS/TESTING: The diagnosis is established in a proband with
      suggestive findings and a heterozygous SRCAP pathogenic variant
      identified by molecular genetic testing.
    explanation: This directly supports molecular genetic testing as the confirmatory diagnostic procedure.
differential_diagnoses: []
clinical_trials: []
datasets: []
notes: >-
  Asta deep research was completed for this disorder. Final curation combined
  the disease-specific pathogenesis review with GeneReviews for syndrome
  definition, diagnosis, and inheritance.
references:
- reference: PMID:23193612
  title: "SRCAP-Related Floating-Harbor Syndrome."
  tags:
  - GeneReviews
  findings: []
📚

References & Deep Research

References

1
SRCAP-Related Floating-Harbor Syndrome.
No top-level findings curated for this source.

Deep Research

1
Asta
Asta Literature Retrieval: Pathophysiology and clinical mechanisms of Floating-Harbor syndrome. Core disease mechanisms, molecular and cellular...
Asta Scientific Corpus Retrieval 20 citations 2026-04-15T11:53:45.874417

Asta Literature Retrieval: Pathophysiology and clinical mechanisms of Floating-Harbor syndrome. Core disease mechanisms, molecular and cellular...

This report is retrieval-only and is generated directly from Asta results.

  • Papers retrieved: 20
  • Snippets retrieved: 20

Relevant Papers

[1] New therapeutic targets in rare genetic skeletal diseases

  • Authors: M. Briggs, Peter A. Bell, M. Wright, K. A. Pirog
  • Year: 2015
  • Venue: Expert Opinion on Orphan Drugs
  • URL: https://www.semanticscholar.org/paper/1363107f71ae6d2d60abca471cddf3da5d13644b
  • DOI: 10.1517/21678707.2015.1083853
  • PMID: 26635999
  • PMCID: 4643203
  • Citations: 37
  • Influential citations: 1
  • Summary: An overview of disease mechanisms that are shared amongst groups of different GSDs and potential therapeutic approaches that are under investigation are described to generate critical mass for the identification and validation of novel therapeutic targets and biomarkers.
  • Evidence snippets:
  • Snippet 1 (score: 0.394) > proteins of the cartilage ECM such as type II collagen [50]. However, emerging knowledge suggests that the primary genetic defect may be less important than the cells' response to the expression of the mutant gene product [107]. Moreover, the largely overlooked response of a cell (i.e. chondrocyte) to the abnormal extracellular environment is also important for disease progression as illustrated by several GSDs discussed in this review. > It is important that 'omics'-based approaches and technologies are systematically applied to the study of rare GSDs so that definitive reference profiles and disease signatures are generated for each phenotype. These can then be used in a Systems Biology approach to identify both common and dissimilar pathological signatures and disease mechanisms. This approach is entirely dependent upon relevant in vitro and in vivo models (and also novel 'disease-mechanism phenocopies' [107]) for testing new diagnostic and prognostic tools and for determining the molecular mechanisms that underpin the pathophysiology so that effective therapeutic treatments can be developed and validated. This approach will eventually lead to personalized treatments and care strategies centred on shared disease mechanisms with the use of relevant biomarkers to monitor the efficacy of treatment and disease progression. > It is vital that all relevant stakeholders are involved from the outset in defining the appropriate outcomes of any potential therapeutic regime. The perceptions of a successful therapy can differ widely between the clinical academic community and the relevant patient-support groups and it is vital that there is engagement on all these issues. > In summary, the identification of causative genes and mutations for GSDs over the last 20 years, coupled with the generation and in-depth analysis of a plethora of relevant cell and mouse models, has derived new knowledge on disease mechanisms and suggested potential therapeutic targets. The fast-evolving hypothesis that clinically disparate diseases can share common disease mechanisms is a powerful concept that will generate critical mass for the identification and validation of novel therapeutic targets and biomarkers.

[2] Molecular Genetics and Pathogenesis of the Floating Harbor Syndrome: Case Report of Long-Term Growth Hormone Treatment and a Literature Review

  • Authors: M. Turkunova, Yury A. Barbitoff, E. Serebryakova, D. Polev, Olga S. Berseneva et al.
  • Year: 2022
  • Venue: Frontiers in Genetics
  • URL: https://www.semanticscholar.org/paper/c6abe440348c6d6c102726bfdc4f372c1f91f145
  • DOI: 10.3389/fgene.2022.846101
  • PMID: 35664296
  • PMCID: 9157637
  • Citations: 15
  • Influential citations: 2
  • Summary: A new model of FHS pathogenesis is suggested which provides possible basis for the dominant negative nature of F HS-causing mutations and explains limited effects of GH treatment in FHS.
  • Evidence snippets:
  • Snippet 1 (score: 0.391) > Molecular Genetics and Pathogenesis of the Floating Harbor Syndrome: Case Report of Long-Term Growth Hormone Treatment and a Literature Review

[3] Molecular insights into the premature aging disease progeria

  • Authors: Sandra Vidak, R. Foisner
  • Year: 2016
  • Venue: Histochemistry and Cell Biology
  • URL: https://www.semanticscholar.org/paper/60fb3b46bb7e42d5d08cc3b7cbc783b118300c31
  • DOI: 10.1007/s00418-016-1411-1
  • PMID: 26847180
  • PMCID: 4796323
  • Citations: 105
  • Influential citations: 3
  • Summary: Changes in mechanosignaling, altered chromatin organization and impaired genome stability, and changes in signaling pathways, leading to impaired regulation of adult stem cells, defective extracellular matrix production and premature cell senescence are discussed.
  • Evidence snippets:
  • Snippet 1 (score: 0.388) > The number of molecular biological studies aiming at the identification of lamin-mediated molecular disease mechanisms involved in HGPS increased tremendously following the surprising discovery that LMNA is causally linked to the premature aging disease HGPS in 2003. Despite numerous cellular pathways that were identified to be affected by the expression of the mutant lamin A protein (Fig. 2), the mechanistic details behind these effects are still unclear in most cases. Knowledge based on what was already known on lamin biology before the protein was linked to HGPS and findings on novel roles of lamins in diverse pathways in recent years allowed the launch of translational studies and the efficient search for drug targets and therapeutic approaches within a short time period. The results of the first clinical trials taught us that some improvements of the disease phenotypes can be achieved by FTI treatment, but they also made clear that we need a much better understanding of the underlying disease mechanisms to be able to tackle specific aspects of the disease in a more focused approach. It will also be important to elucidate which of the numerous pathways found to be impaired in HGPS are most relevant for and causally involved in the pathologies, and which ones are just bystanders.

[4] Renal ciliopathies: promising drug targets and prospects for clinical trials

  • Authors: L. Devlin, Praveen Dhondurao Sudhindar, J. Sayer
  • Year: 2023
  • Venue: Expert Opinion on Therapeutic Targets
  • URL: https://www.semanticscholar.org/paper/ab2155b6e12caba53d57ac0e8ce28860d69ec9fd
  • DOI: 10.1080/14728222.2023.2218616
  • PMID: 37243567
  • Citations: 10
  • Summary: The advances in basic science and clinical research into renal ciliopathies which have yielded promising small compounds and drug targets are reviewed, within both preclinical studies and clinical trials.
  • Evidence snippets:
  • Snippet 1 (score: 0.386) > Although renal ciliopathies can be classified into distinct syndromes, causative mutations in genes encoding proteins involved in the primary cilium or centrosome mean they may share overlapping mechanisms of disease, which may be amenable for therapeutic intervention (Figure 2). Abnormal functioning of proteins involved in ciliogenesis, such as CEP164, can prevent proper cilia formation, which will effect a myriad of downstream ciliary signaling pathways. Additionally, mutations in genes encoding for proteins involved in cargo trafficking or regulation, such as CEP290, will have implications for signal pathway transduction, as well as mutations in components of signaling pathways themselves, such as PKD1. In regard to renal ciliopathies, abnormalities in signaling pathways such as cAMP, Shh, Wnt, mTOR, and AMPK, likely cause misoriented cellular divisions, increased proliferation, increased fluid secretion and subsequent cystogenesis, consequently leading to further kidney damage. Ciliary and centriolar proteins which have roles in DDR and cell cycle regulation may also be driving a renal cystogenesis phenotype alongside increased fibrosis and apoptosis. Increased inflammation and dysfunctional mitochondria are also byproducts of dysregulated signaling pathways have been shown to contribute to the progression of renal ciliopathies. Extensive reviews of mechanisms of renal ciliopathy diseases have recently been performed [23,24]. Importantly, due to the wide range of cellular processes that primary cilia regulate, it is likely that in each syndrome there are multiple pathogenic drivers of disease. In some ways, this is advantageous as it offers many points for potential therapeutic targets. However, the cross talk between pathways and feedback loops introduces complications of changing one pathway without negatively affecting another. Further challenges arise with core biological pathways, such as Shh signaling, in which modification in vitro may be beneficial, but systemic treatment is unrealistic due to the expected severe side effects [18,24,116].

[5] Rare Monogenic Diseases: Molecular Pathophysiology and Novel Therapies

  • Authors: I. Condò
  • Year: 2022
  • Venue: International Journal of Molecular Sciences
  • URL: https://www.semanticscholar.org/paper/6aece75e6947f102b657851b74e8b96df5e654c1
  • DOI: 10.3390/ijms23126525
  • PMID: 35742964
  • PMCID: 9223693
  • Citations: 15
  • Influential citations: 2
  • Summary: A rare disease is defined by its low prevalence in the general population and its presence in a very small number of people.
  • Evidence snippets:
  • Snippet 1 (score: 0.381) > The selective expression or the particular role of specific genes in a single tissue explains the appearance of organ-specific inherited diseases. This is the case of genetic disorders of the kidney, which include dominant and recessive forms of cystic diseases, and renal tubulopathies. Mutations in polycystin-1 (PKD1) or -2 (PKD2) genes lead to autosomaldominant polycystic kidney disease (ADPKD), whose gender-dependent phenotype was analyzed in the study by Talbi et al. [9]. These results, obtained in mice lacking PKD1 expression, show the involvement of intracellular Ca2+ levels in the more severe phenotype affecting male ADPKD animals. Altogether, identification of the molecular mechanisms underlying enhanced Ca2+ signaling and proliferation in cells from male kidneys may contribute to develop novel therapeutics for ADPKD [9]. The autosomal-recessive form of polycystic kidney disease (ARPKD) mostly arises from defects in the gene named polycystic kidney and hepatic disease 1 (PKHD1), whereas a minority of cases is linked to a second causative gene DZIP1L. To examine the still unclear molecular pathophysiology of ARPKD, Cordido et al. recapitulate known molecular disease mechanisms and possible therapeutic approaches, from cellular and animal models to clinical trials [10]. The knowledge of ARPKD pathogenic pathways, involving the epidermal growth factor receptor (EGFR) axis, the production of adenylyl cyclase adenosine 3 ,5 -cyclic monophosphate (cAMP) and the activation of several protein kinases, begins to stimulate possible pharmacological interventions [10]. Inherited loss of function in various electrolyte transport proteins located along the nephron leads to two types of kidney tubulopathy with overlapping clinical symptoms: Gitelman and Bartter syndromes. The review by Nuñez-Gonzalez et al. aims to explain the different molecular basis of these difficult to diagnose monogenic syndromes. Moreover, the authors provide an overview of current therapeutic approaches and highlight the presence of common and specific options for Gitelman and Bartter patients [11].

[6] Role of Transcriptomics in Precision Oncology

  • Authors: Ruby Srivastava
  • Year: 2024
  • Venue: Reports of Radiotherapy and Oncology
  • URL: https://www.semanticscholar.org/paper/0bd862558bbb7286336111d9dfd232b5f905d3d9
  • DOI: 10.5812/rro-142195
  • Citations: 4
  • Summary: : Transcriptome profiling is one of the most widely used approaches in the field of multiomics research. It plays a crucial role in the prognostic, diagnostic, and predictive treatment of cancer patients. Novel next-generation sequencing (NGS) technologies permit the identification of cancer biomarkers, gene signatures, and their abnormal expression, affecting oncogenic and molecular targets and novel biomarkers for cancer therapies. Multiomics studies have changed the overall understanding o...
  • Evidence snippets:
  • Snippet 1 (score: 0.378) > : Transcriptome profiling is one of the most widely used approaches in the field of multiomics research. It plays a crucial role in the prognostic, diagnostic, and predictive treatment of cancer patients. Novel next-generation sequencing (NGS) technologies permit the identification of cancer biomarkers, gene signatures, and their abnormal expression, affecting oncogenic and molecular targets and novel biomarkers for cancer therapies. Multiomics studies have changed the overall understanding of cancer and opened a precise perspective for tumor diagnostics and therapy. The use of these approaches has strengthened our understanding of disease pathophysiology and classifications at the molecular level, including specific interference with drug mechanisms of action. Still, it has limited added value in the clinical setting. The omics data on precision medicine include the application of data from genes, transcripts, and proteins for diagnosis, monitoring of diseases, risk factor determination, counseling, and development of novel therapeutics. Bioinformatics applications have expanded statistics-based analysis toward deriving molecular pathways and process models for characterizing phenotypes and drug action mechanisms. In this review, we will discuss transcriptomics and interference analysis that allows the identification of predictive biomarkers at the molecular level to test drug response and analyze the molecular process interface of disease progression-relevant pathophysiology and mechanism of action to propose predictive biomarkers.

[7] Human Dermal Fibroblast: A Promising Cellular Model to Study Biological Mechanisms of Major Depression and Antidepressant Drug Response

  • Authors: P. Mesdom, R. Colle, É. Lebigot, S. Trabado, Eric Deflesselle et al.
  • Year: 2020
  • Venue: Current Neuropharmacology
  • URL: https://www.semanticscholar.org/paper/79368e365458486de96794333613c12a6063bf54
  • DOI: 10.2174/1570159X17666191021141057
  • PMID: 31631822
  • PMCID: 7327943
  • Citations: 12
  • Summary: This review highlights the great and still underused potential of HDF, which stands out as a very promising tool in the understanding of MDD and AD mechanisms of action.
  • Evidence snippets:
  • Snippet 1 (score: 0.375) > Background: Human dermal fibroblasts (HDF) can be used as a cellular model relatively easily and without genetic engineering. Therefore, HDF represent an interesting tool to study several human diseases including psychiatric disorders. Despite major depressive disorder (MDD) being the second cause of disability in the world, the efficacy of antidepressant drug (AD) treatment is not sufficient and the underlying mechanisms of MDD and the mechanisms of action of AD are poorly understood. Objective The aim of this review is to highlight the potential of HDF in the study of cellular mechanisms involved in MDD pathophysiology and in the action of AD response. Methods The first part is a systematic review following PRISMA guidelines on the use of HDF in MDD research. The second part reports the mechanisms and molecules both present in HDF and relevant regarding MDD pathophysiology and AD mechanisms of action. Results HDFs from MDD patients have been investigated in a relatively small number of works and most of them focused on the adrenergic pathway and metabolism-related gene expression as compared to HDF from healthy controls. The second part listed an important number of papers demonstrating the presence of many molecular processes in HDF, involved in MDD and AD mechanisms of action. Conclusion The imbalance in the number of papers between the two parts highlights the great and still underused potential of HDF, which stands out as a very promising tool in our understanding of MDD and AD mechanisms of action

[8] 5. Hereditary Kidney Disorders

  • Authors: A. Stavljenic-Rukavina
  • Year: 2009
  • Venue: EJIFCC
  • URL: https://www.semanticscholar.org/paper/3130ef69f6556fdfdd741e3495c85439e6146976
  • PMID: 27683325
  • PMCID: 4975268
  • Citations: 4
  • Summary: The global increasing number of patients with ESRD urges the identification of molecular pathways involved in renal pathophysiology in order to serve as targets for either prevention or intervention.
  • Evidence snippets:
  • Snippet 1 (score: 0.374) > Hereditary kidney disorders represent significant risk for the development of end stage renal desease (ESRD). Most of them are recognized in childhood, or prenataly particularly those phenotypicaly expressed as anomalies on ultrasound examination (US) during pregnancy. They represent almost 50% of all fetal malformations detected by US (1). Furthermore many of urinary tract malformations are associated with renal dysplasia which leeds to renal failure. > Recent advances in molecular genetics have made a great impact on better understanding of underlying molecular mechanisms in different kidney and urinary tract disorders found in childhood or adults. Even some of clinical syndromes were not recognized earlier as genetic one. In monogenic kidney diseases gene mutations have been identified for Alport syndrome and thin basement membrane disease, autosomal dominant polycystic kidney disease, and tubular transporter disorders. There is evident progress in studies of polygenic renal disorders as glomerulopathies and diabetic nephropathy. The expanded knowledge on renal physiology and pathophysiology by analyzing the phenotypes caused by defected genes might gain to earlier diagnosis and provide new diagnostic and prognostic tool. The global increasing number of patients with ESRD urges the identification of molecular pathways involved in renal pathophysiology in order to serve as targets for either prevention or intervention. Molecular genetics nowadays possess significant tools that can be used to identify genes involved in renal disease including gene expression arrays, linkage analysis and association studies.

[9] 18O-assisted dynamic metabolomics for individualized diagnostics and treatment of human diseases

  • Authors: E. Nemutlu, Song Zhang, N. Juranic, A. Terzic, S. Macura et al.
  • Year: 2012
  • Venue: Croatian Medical Journal
  • URL: https://www.semanticscholar.org/paper/880f053c7f060db4b990e447d0a22c4b69372ddb
  • DOI: 10.3325/cmj.2012.53.529
  • PMID: 23275318
  • PMCID: 3541579
  • Citations: 28
  • Summary: The potential use of dynamic phosphometabolomic platform for disease diagnostics currently under development at Mayo Clinic is described and discussed briefly.
  • Evidence snippets:
  • Snippet 1 (score: 0.373) > Living cells represent an integrated and interacting network of genes, transcripts, proteins, small signaling molecules, and metabolites that define cellular phenotype and function. Traditionally the focus of biomedical research was on individual genes, single protein targets, single metabolites, and metabolic or signaling pathways. This "molecular reductionist" paradigm was based on the assumption that identifying genetic variations and molecular components would lead to discovery of cures for human diseases. However, most of diseases are complex and multi-factorial and the disease phenotype is determined by the alterations of multiple genes, pathways, proteins and metabolites (at cellular, tissue, and organismal levels). Therefore, an integrated "omics" approach is more viable direction for uncovering alterations in metabolic networks, disease mechanisms, and mechanisms of drug effects. > Recent advent of large-scale metabolomics and fluxomic (metabolite dynamics and metabolic flux analysis) completed the "omics revolution" (Figure 1), where genomics, transcriptomics, proteomics, metabolomics, and fluxomics all together complement phenotype determination of living organism. Such integrated "omics" cascades provide a framework for advances in system and network biology, integrative physiology, and system medicine as well as system pharmacology and regenerative medicine. Noteworthy is the "reverse omic" approach or "metabolomicsinformed pharmacogenomics, " where discovery of specific metabolite changes have led to discovery of genetic alterations (2). Therefore, bringing new "omics" technologies to clinical practice will improve disease diagnostics and treatment by targeting drugs and procedures for each unique transcriptomic and metabolomic profiles.

[10] Nasopharyngeal Carcinoma Signaling Pathway: An Update on Molecular Biomarkers

  • Authors: W. Tulalamba, T. Janvilisri
  • Year: 2012
  • Venue: International Journal of Cell Biology
  • URL: https://www.semanticscholar.org/paper/307cb9186444d9dad6e2e3b53763be0de76de186
  • DOI: 10.1155/2012/594681
  • PMID: 22500174
  • PMCID: 3303613
  • Citations: 93
  • Influential citations: 5
  • Summary: The molecular signaling pathways in the NPC are discussed for the holistic view of NPC development and progression and the important insights toward NPC pathogenesis may offer strategies for identification of novel biomarkers for diagnosis and prognosis.
  • Evidence snippets:
  • Snippet 1 (score: 0.365) > In the pregenomic eras, highly integrated and complex circuitry of molecular signaling in NPC pathogenesis was only partially understood. Over the past decade, the knowledge of the molecular mechanisms in NPC carcinogenesis has been rapidly accumulated. Dysregulation and abnormal protein expression of molecules in certain signaling pathways involved in cellular functions including proliferation, adhesion, survival, and apoptosis has been demonstrated in the NPC cells. Detailed information on the complex network in signaling pathway leading to a coordinated pattern of gene expression and regulation in NPC will undoubtedly provide important clues to develop novel prognostic and therapeutic strategies for this cancer. Refining molecular markers into clinically relevant assays may assist in the detection of NPC in asymptomatic patients, as well as stage classification and monitoring disease progression and treatments. Furthermore, selective regulation of particular proteins targeting cancer cell proliferation, invasion, and apoptosis is a hopeful prospect for future anticancer therapy that slow disease progression and improve survival.

[11] Molecular Mechanisms and Risk Factors for the Pathogenesis of Hydrocephalus

  • Authors: Jing-wen Li, Xinjie Zhang, Jianfeng Guo, Chen Yu, Jun Yang
  • Year: 2022
  • Venue: Frontiers in Genetics
  • URL: https://www.semanticscholar.org/paper/d53bdf5f73f54a6d5a8be8777d23c465a13e9185
  • DOI: 10.3389/fgene.2021.777926
  • PMID: 35047005
  • PMCID: 8762052
  • Citations: 15
  • Influential citations: 2
  • Summary: Some possible fundamental molecular mechanisms and facilitating risk factors involved in the pathogenesis of hydrocephalus are elicited, and knowledge could be used to improve patient care in different ways, such as early precise diagnosis and effective therapeutic regimens.
  • Evidence snippets:
  • Snippet 1 (score: 0.365) > Cwh43 modifies the glycosylphosphatidylinositol-anchored proteins on the ependymal cells, and the mutant Cwh43 is related to iNPH in both humans and mice. The clinical features manifest as late-onset communicating hydrocephalus with symptoms of gait and balance dysfunction (Yang et al., 2021a). > The clinical manifestation and progression, as well as experimental investigations, indicate that hydrocephalus is a complex disease with polygenic involvement, rather than a simple CSF accumulation disorder. Although the current studies have revealed that some genetic mutations are involved in the pathogenesis of hydrocephalus, how these mutations are associated with the disorder of CSF circulation and their pathogenic roles in the pathological progression of hydrocephalus still remain largely unknown. Previous studies indicated that a lot of genetic mutations were relevant to the disorders of ciliary and/or centrosome, resulting in the dysfunction of the glymphatic system. However, how these mutations and their interactions contribute to the pathogenesis of hydrocephalus needs to be further elucidated. Moreover, there is still a lack of basic knowledge on the mechanisms underlying the cognitive functional impairment of hydrocephalus. Therefore, further extensive studies should be conducted to explore the underlying molecular mechanisms of identified and/or unidentified genes in the pathophysiology of hydrocephalus. Based on our knowledge, we propose that the genetic mutations relevant to ciliary and centrosomal proteins and the interaction between glymphatic system and ciliary/ centrosomal structures/functions may be a critical molecular mechanism in the pathophysiology of hydrocephalus. In addition, based on these fundamental molecular mechanisms, it is noteworthy that environmental and other acquired risks or etiological factors are also involved in the facilitation of ventricular enlargement.

[12] Towards Mutation-Specific Precision Medicine in Atypical Clinical Phenotypes of Inherited Arrhythmia Syndromes

  • Authors: T. Nakajima, S. Tamura, M. Kurabayashi, Y. Kaneko
  • Year: 2021
  • Venue: International Journal of Molecular Sciences
  • URL: https://www.semanticscholar.org/paper/3d299f57f344d42eff9d3565d1581dae7fb87a54
  • DOI: 10.3390/ijms22083930
  • PMID: 33920294
  • PMCID: 8069124
  • Citations: 6
  • Influential citations: 1
  • Summary: Since the epileptic phenotype appears to manifest prior to cardiac events in this mutation carrier, identifying KCND3 mutations in patients with epilepsy and providing optimal therapy will help prevent sudden unexpected death in epilepsy.
  • Evidence snippets:
  • Snippet 1 (score: 0.361) > Recent advances in molecular genetics have identified many causal genes for inherited arrhythmia syndromes (IASs) such as long QT syndrome (LQTS) [1], short QT syndrome (SQTS) [2], Brugada syndrome (BrS) [3,4] and early repolarization (ER) syndrome (ERS) [3,5]. Most causal genes for IASs encode cardiac ion channels or their related proteins. Genotype-phenotype studies and functional analyses of mutant genes, using heterologous expression systems and experimental animal models, have revealed the pathophysiology of IASs and enabled the establishment of causal gene-specific precision medicine [6][7][8]. Furthermore, analyses of patient-specific and/or genome-edited induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs) have provided further insights into the pathophysiology of IASs and novel promising therapeutic strategies for IASs, although there are still some limitations of using iPSC-CMs, such as immature structure and function and mixed population of atrial, ventricular, and nodal cells, as a standard technology [9]. > The altered function of causal genes that encode cardiac ion channels is caused by multiple mechanisms, including trafficking defects, producing non-functional channels, altered channel gating properties, and a combination thereof. These altered functions of mutant channels underly the clinical phenotypes of IASs [10][11][12]. Particularly, unique electrophysiological properties of mutant channels have been shown to be associated with the atypical clinical phenotypes of IASs [10,13]. Furthermore, the elucidation of the mechanisms underlying the atypical clinical phenotypes of IASs has raised the possibility of mutation-specific precision medicine. > We herein review the current knowledge of genotype-phenotype relationships, underlying molecular and cellular mechanisms, and established pharmacological therapies of IASs, including LQTS, SQTS, and J wave syndrome (BrS and ERS).

[13] Investigating the Transition of Pre-Symptomatic to Symptomatic Huntington’s Disease Status Based on Omics Data

  • Authors: Christiana C. Christodoulou, M. Zachariou, Marios Tomazou, E. Karatzas, C. Demetriou et al.
  • Year: 2020
  • Venue: International Journal of Molecular Sciences
  • URL: https://www.semanticscholar.org/paper/04a48e68a0a0ad9eca22aeffdb8c22c7fb41ed86
  • DOI: 10.3390/ijms21197414
  • PMID: 33049985
  • PMCID: 7582902
  • Citations: 26
  • Influential citations: 2
  • Summary: The genes, pathways and metabolites identified for each HD stage can provide a better understanding of the mechanisms that become altered in each disease stage, leading to an improvement in clinical symptoms and hopefully a delay in the age of onset.
  • Evidence snippets:
  • Snippet 1 (score: 0.359) > HD is a monogenetic and incurable disease and at the same time its molecular manifestations remain highly complex and involve multiple cellular processes, genes, and metabolites, which needs to be investigated to understand HD pathology. Systems bioinformatics (SB) allows the integration of different biological omics data to better understand the biological pathways, mechanisms, genes and metabolites involved in HD and lead to possible therapeutic treatments and biomarker discovery. > SB is an interdisciplinary field which combines the research fields of systems biology and bioinformatics. SB allows the integration of biological data across the omics categories such a genomics, transcriptomics, proteomics, metabolomics, lipidomics, epigenomics and several types of omics data [7]. > A major approach in this direction is the generation and construction of biological networks representing each level of omics data and their integration in a layered network that permits the exchange of information between and within the layers. The goal is to reveal synergistic relationships among numerous factors rather than explore each entity individually. This data integration approach results in the construction of highly complex molecular interaction networks. The biological data, obtained through large-scale omics analysis can provide a better understanding into biological mechanisms and pathways and how a dysfunction in these mechanisms and pathways can cause the disease [7]. Furthermore, the emerging importance of biological network-based approaches, allows for potential biological and clinical applications by suggesting an intuitive and trustworthy approach to explore the biological and molecular complexity of a disease of interest [8]. > The metabolome is defined as the complete set of small chemical molecules found within a biological samples (urine, cerebrospinal fluid (CSF), serum, plasma), tissues and cells. Changes and interactions in gene and protein expression and the environment are directly revealed in the metabolome making it more chemically and physically complex than the genome, transcriptome and proteome. Metabolites are affected by the upstream influence of the genome, proteome, environmental and lifestyle factors, as well as medication and underlying diseases [9]. > Metabolomics is an omics category focused in the study of metabolites. Metabolites are defined as small biological and low molecular weight (<1500 Da) compounds, they are the end-products of metabolism [10].

[14] ‘Breast Cancer Resistance Likelihood and Personalized Treatment Through Integrated Multiomics’

  • Authors: S. Mehmood, Muhammad Faheem, Hammad Ismail, S. M. Farhat, Mahwish Ali et al.
  • Year: 2022
  • Venue: Frontiers in Molecular Biosciences
  • URL: https://www.semanticscholar.org/paper/c542ec176c594aeddb3790bb3d10767598b86ae4
  • DOI: 10.3389/fmolb.2022.783494
  • PMID: 35495618
  • PMCID: 9048735
  • Citations: 19
  • Influential citations: 1
  • Summary: This review has summarized therapeutic resistance associated with BC and the techniques used for its management, and identifies the biomarkers of disease progression and treatment progress by collective characterization and quantification of pools of biological molecules within and among the cancerous cells.
  • Evidence snippets:
  • Snippet 1 (score: 0.358) > Breast cancer is a very complex and heterogeneous disorder with unique molecular and morphological features relative to a disease which involves only a single gene or protein in a simple signaling pathway contributing toward the progression of disease in an independent and autonomous manner (Organization 2019). Various studies had represented BC heterogeneity through the differential response of the same type of BC patients to treatment and risk of developing side effects. One of the major clinical complications in the treatment of breast carcinoma patients is the development of therapeutic resistance (Luque-Bolivar et al., 2020). Recently drug resistance in BC treatment is not properly addressed, rather to focus on molecular pathways deeply; an alternative strategy of using a different drug is commonly applied. In order to reduce the adverse effects of BC treatment including drug resistance, a profound understanding of the molecular mechanism of the disease and the response to the drug is needed. Multidrug resistance (MDR) and consequent relapse on therapy are prevalent issues related to breast carcinoma as our understanding is incomplete related to the molecular mechanism of breast carcinoma disease (Waks and Winer, 2019a). Therefore, elucidating the molecular mechanisms involved in drug resistance is critical. For the management of breast cancers, the treatment decision not only depends on the Treatment with exemestane alone or in combination with an mTOR inhibitor such as everolimus (Carlini et al., 2007Chin et al., 2007Geisler et al., 2008Bahrami et al. (2020) ER+/ HER2- assessment of prognosis factors but also on the evaluation of pathological and clinical factors. Integrated data assessments of these multiple factors of breast carcinoma through multiomics can provide significant insight and hope for making therapeutic decisions (Parsons and Francavilla 2020). Major BC treatment strategies rely on the tumor subtype, immunohistochemical evaluation of prognostic elements, and seek new genetic markers to improve the diagnostic strategies and to enhance treatment outcomes with minimal side effects.

[15] Novel genotypes and phenotypes among Chinese patients with Floating-Harbor syndrome

  • Authors: Shujie Zhang, Shaoke Chen, Haisong Qin, Haiming Yuan, Yalei Pi et al.
  • Year: 2019
  • Venue: Orphanet Journal of Rare Diseases
  • URL: https://www.semanticscholar.org/paper/e66c666a6b1cd2392e69443300336ea10e42e557
  • DOI: 10.1186/s13023-019-1111-8
  • PMID: 31200758
  • PMCID: 6570847
  • Citations: 17
  • Influential citations: 2
  • Summary: It was shown that about half of FHS patients exhibited modest to good response to GH treatment regardless of their respective GH deficiency status, and novel genotypes and phenotypes in a Chinese FHS patient cohort were described.
  • Evidence snippets:
  • Snippet 1 (score: 0.358) > Novel genotypes and phenotypes among Chinese patients with Floating-Harbor syndrome

[16] Clinical metabolomics in type 2 diabetes mellitus: from pathogenesis to biomarkers

  • Authors: Chuanxin Liu, Hetao Chen, Yujin Ma, Lei Zhang, Lulu Chen et al.
  • Year: 2025
  • Venue: Frontiers in Endocrinology
  • URL: https://www.semanticscholar.org/paper/36f8d26a208b7b96763df2e9aa3211e440031c0e
  • DOI: 10.3389/fendo.2025.1501305
  • PMID: 40070584
  • PMCID: 11893406
  • Citations: 11
  • Summary: The results facilitate understanding the pathophysiology and mechanism of type 2 diabetes mellitus and supports research in accurate diagnosis, risk prediction, curative effect, distinct stages, and prognosis judgment of T2DM.
  • Evidence snippets:
  • Snippet 1 (score: 0.356) > The metabolome is sensitive to a variety of genetic and environmental stimuli and susceptible to genetic, environmental, and gut microbiome pressures, so subtle differences between individuals can lead to large perturbations in metabolite concentrations and fluxes (15, 24). At present, cystatin C has become an ideal endogenous marker for evaluating glomerular filtration function because it is not affected by sex, age or muscle mass (25). In addition, more and more evidence shows that serum CysC is involved in the pathological process of vascular remodeling and neovascularization, which is closely related to the occurrence and development of diabetic microangiopathy (26). > Eighty-four papers were included in this review and obtained through database searches, namely, PubMed, Cochrane Library, China national knowledge internet(CNKI), General Purpose, and VIP Database. The keywords for the searches were "metabolomics" and "type 2 diabetes mellitus" and its complications. The papers were incorporated by reading and summarizing the literature according to the classification standards (27). The profound analysis of clinical differential metabolites identified in type 2 diabetes and its complications were conducted concerning composition, frequency of category, sample type, and pathways to explore the pathological mechanism of type 2 diabetes and its complications to provide a systematic basis for clinical diagnosis, risk stratification, comprehending disease progression, prognosis assessment, and drug efficacy. Our goal is to apply metabolomics to clinical diagnostic biomarkers, metabolic mechanisms, and prognostic observations, and early diagnosis can be made through metabolites to avoid progression to more serious complications.

[17] Drug Repurposing in Rare Diseases: An Integrative Study of Drug Screening and Transcriptomic Analysis in Nephropathic Cystinosis

  • Authors: F. Bellomo, Ester De Leo, A. Taranta, L. Giaquinto, G. di Giovamberardino et al.
  • Year: 2021
  • Venue: International Journal of Molecular Sciences
  • URL: https://www.semanticscholar.org/paper/5e45caf9d574a1dc3ebf53a7fcb57c10bb2373f8
  • DOI: 10.3390/ijms222312829
  • PMID: 34884638
  • PMCID: 8657658
  • Citations: 18
  • Summary: A drug repurposing strategy applied to nephropathic cystinosis, a rare inherited disorder belonging to the lysosomal storage diseases is shown, combining mechanism-based and cell-based screenings, coupled with an affordable computational analysis, which could result very useful to predict therapeutic responses at both molecular and system levels.
  • Evidence snippets:
  • Snippet 1 (score: 0.356) > Diagnosis and cure for rare diseases represent a great challenge for the scientific community who often comes up against the complexity and heterogeneity of clinical picture associated to a high cost and time-consuming drug development processes. Here we show a drug repurposing strategy applied to nephropathic cystinosis, a rare inherited disorder belonging to the lysosomal storage diseases. This approach consists in combining mechanism-based and cell-based screenings, coupled with an affordable computational analysis, which could result very useful to predict therapeutic responses at both molecular and system levels. Then, we identified potential drugs and metabolic pathways relevant for the pathophysiology of nephropathic cystinosis by comparing gene-expression signature of drugs that share common mechanisms of action or that involve similar pathways with the disease gene-expression signature achieved with RNA-seq.

[18] Investigating the role of NPR1 in dilated cardiomyopathy and its potential as a therapeutic target for glucocorticoid therapy

  • Authors: Yaomeng Huang, Tongxin Li, Shichao Gao, Shuyu Li, Xiaoran Zhu et al.
  • Year: 2023
  • Venue: Frontiers in Pharmacology
  • URL: https://www.semanticscholar.org/paper/be229f6f2059faab4c97ec0a04bd055adab9dfe1
  • DOI: 10.3389/fphar.2023.1290253
  • PMID: 38026943
  • PMCID: 10662320
  • Citations: 3
  • Summary: Natriuretic peptide receptor 1 (NPR1) was identified as a core gene associated with DCM through bioinformatics analysis and led to substantial improvements in cardiac and renal function, accompanied by an upregulation of NPR1 expression.
  • Evidence snippets:
  • Snippet 1 (score: 0.355) > Multiple pathways and molecules are involved in this process; however, the detailed underlying mechanisms remain unclear. In recent years, with the development of high-throughput sequencing and gene chip technologies, the use of bioinformatics technology to explore the occurrence, development, and prognosis of diseases has become a hot topic for scholars worldwide (Hwang et al., 2018;Nayor et al., 2019;Rinschen et al., 2019;Sturm et al., 2019;Montaner et al., 2020). > The present study aimed to use bioinformatics technology to screen for DCM-related genes and investigate their mechanisms, with the purpose of revealing the pathogenesis of DCM and seeking treatment methods. The GSE3586 dataset, containing expression profiles related to DCM, was selected from the Gene Expression Omnibus (GEO) database. This study aimed to predict the core genes that may play crucial roles in disease progression at the molecular level through the enrichment of relevant molecular pathways associated with DCM. Furthermore, the phenotype of the core genes was validated to further support the results of the bioinformatics analysis through basic and clinical experiments. Additionally, the role of glucocorticoids in DCM treatment is discussed in this article with the purpose of providing a theoretical and experimental basis for exploring the pathogenesis of DCM and elucidating therapeutic methods. This study also provides a theoretical reference for the interpretation, early diagnosis, and treatment of DCM.

[19] Recent Evidences of Epigenetic Alterations in Chronic Obstructive Pulmonary Disease (COPD): A Systematic Review

  • Authors: R. Ragusa, Pasquale Bufano, A. Tognetti, M. Laurino, Chiara Caselli
  • Year: 2025
  • Venue: International Journal of Molecular Sciences
  • URL: https://www.semanticscholar.org/paper/2660cdbbe1f205c631fe890e5c6a3c8d9b81ce5f
  • DOI: 10.3390/ijms26062571
  • PMID: 40141213
  • PMCID: 11942187
  • Citations: 4
  • Summary: A systematic review of the latest knowledge on epigenetic modifications that characterize COPD, summarizing epigenetic factors that could serve as potential novel biomarkers and therapeutic targets for the treatment of COPD patients.
  • Evidence snippets:
  • Snippet 1 (score: 0.355) > The papers included were clustered according to epigenetic mechanisms involved in COPD (molecular and cellular processes, as biomarker or therapeutic target). Tables 4-9 describe the extracted information, including the following: Study = name of first author et al., year; Country (Region) = where the study took place; Number of participants = sample size; Type of sample = biological sample employed; Gene affected = gene or group of genes whose expression can be "regulated" by epigenetic mechanisms; Epigenetic alteration = type of epigenetic alteration observed in the presence of disease; Activity in COPD = involvement of epigenetic elements in different molecular and cellular mechanisms associated with COPD; and Role of epigenetic mechanisms = epigenetic modifications that can be used to explain the pathophysiology of COPD or as biomarkers and therapeutic targets.

[20] Computational drug discovery approaches identify mebendazole as a candidate treatment for autosomal dominant polycystic kidney disease

  • Authors: P. Brownjohn, A. Zoufir, Daniel J O’Donovan, Saatviga Sudhahar, A. Syme et al.
  • Year: 2024
  • Venue: Frontiers in Pharmacology
  • URL: https://www.semanticscholar.org/paper/a595e78572ca02b8cb2897bfc4a989a2b021b279
  • DOI: 10.3389/fphar.2024.1397864
  • PMID: 38846086
  • PMCID: 11154008
  • Citations: 3
  • Summary: It is determined that the anthelmintic mebendazole was a potent anti-cystic agent in human cellular and in vivo models of ADPKD, and is likely acting through the inhibition of microtubule polymerisation and protein kinase activity.
  • Evidence snippets:
  • Snippet 1 (score: 0.355) > Targets and molecules were ultimately filtered for validation based on biological and chemical insights, and the potential for clinical translation.Earlier this year, Wilk et al., 2023 applied a similar transcriptomic approach to us, in that case making use of publicly available transcriptomic datasets to create Pkd2-specific ADPKD disease signatures, from which signature reversion was sought from the Library of Integrated Network-based Cellular Signatures (LINCs) drug signature database in order to identify drug repurposing candidates.While one group has previously made use of a knowledge graph-based approach to prioritise preclinically active compounds with the highest chance of clinical translation (Malas et al., 2019), to our knowledge, the current study provides the first combined application of transcriptomic and machine-learning approaches to identify and prioritise putative treatments for ADPKD, and further deconvolute potential mechanisms of action for experimental validation. > In summary we report, using computational, in vitro and in vivo approaches, that the anthelmintic drug mebendazole ameliorates disease-relevant phenotypes in cellular and animal models of ADPKD.We further show that this effect is likely primarily due to the inhibitory effect of mebendazole on the polymerisation of microtubules, which underlie cellular processes important in ADPKD, including cell proliferation, transport, and cilia signalling, and extends previous work linking the importance of the microtubule network to ADPKD pathophysiology.We also describe the inhibitory profile of mebendazole on known and novel protein kinase targets, some of which have previously been implicated in ADPKD, suggesting mebendazole may be acting via polypharmacology to impact disease mechanisms.We acknowledge that further experimental efforts will be required to confirm the actions of mebendazole on these putative targets in relevant disease model systems.It would be particularly informative to investigate these mechanisms in dedicated in vivo studies, where the effects of mebendazole on a wider range of ADPKD-relevant cell types and phenotypes could be evaluated.

Notes

  • This provider combines search_papers_by_relevance with snippet_search.
  • No synthesis or second-stage model call is performed.