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Neurological manifestation of lysosomal storage disorders
Májovská, Jitka ; Magner, Martin (advisor) ; Fajkusová, Lenka (referee) ; Aulická, Štefania (referee)
Objective: Lysosomal storage disorders (LSD) represent a rare cause of neurologic impairment in childhood and adulthood. The aim of our study was to characterize patients with late-onset form of Tay-Sachs disease (LOTS) and alpha-mannosidosis (AM) and to identify typical brain MRI findings. Methods: Patients with a genetically or enzymatically confirmed diagnosis of LOTS or AM and at least one brain MRI examination were included in the study. Results: We have characterized the clinical manifestation in a unique cohort of 14 Czech patients with LOTS. As results of international cooperation, we also published analysis of neuroradiological findings in 16 patients with LOTS disease and 14 patients with AM. Patients with LOTS clinically manifested by cerebellar symptoms, progressive motor neuron disease and psychiatric symptoms. A novel pathogenic variant c.754C˃T in HEXA gene was described in two brothers. Disease was outlined by the slower disease course, milder weakness of lower limbs, milder cerebellar symptomatology and normal cognitive function in them. The hallmark of neuroradiological findings was the cerebellar atrophy in both LOTS and AM. It was the pontocerebellar atrophy in LOTS, the finding which is also typical for spinocerebellar ataxia or multiple system atrophy. The concurrent presence...
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Changes in placental angiogenesis and their impact on fetal intrauterine growth restriction
Kudějová, Alena ; Švandová, Ivana (advisor) ; Magner, Martin (referee)
Any pathological interference with normal vascular development of placenta may have a critical impact on fetal growth and development. The proliferation and differentiation of several cell types play a very important role in the vascular system of placenta. The main factors taking part in the vascular development of placenta include cell elements (e.g. trofoblast, stromal chorion cells, haemangiogenic progenitors), the extracellular matrix, growth factors and cytokines (e.g. VEGF, PlGF, Ang-1,2 and bFGF). The extrinsic factors may also influence the partial oxygen pressure, nutritients availability, and/or the blood perfusion in placenta. Placental ischaemia leading to the worsening of uteroplacentar perfusion is the most common cause of the intrauterine growth retardation (IUGR). The IUGR development is then the result of insufficient prolongation, branching, and dilatation of capillary loops during the formation of terminal villi. Published studies focusing on growth factors in placentas from physiological pregnancies and pregnancies with IUGR do not give clear results. This BSc. Thesis is a review focused on up-to-date-known data concerning changes in placental angiogenesis and their impact on IUGR. Key words: placenta, angiogenesis, IUGR, pregnancy
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Význam laktátu v diagnostice mitochondriálních onemocnění u dětí
Magner, Martin ; Zeman, Jiří (advisor) ; Baxová, Alice (referee) ; Procházková, Dagmar (referee)
The lactate level assesment in various body fluids plays an important role in the diagnostics of mitochondrial disorders in children. However, the interpretation of lactate level is often difficult due to its unspecificity and variability even in particular mitochondrial disorders. Three specific aims have been stated in this PhD Thesis: 1. To analyse the role of lactate examination in the differential diagnosis between children with mitochondrial disorders and children with other diseases. 2. To study the lactate level differences in various mitochondrial syndromes. 3. To characterise the clinical and laboratory data of neonates with mitochondrial disorders and to suggest new diagnostic algorhytms. Clinical and laboratory data from patients hospitalized in the Department of Pediatrics were collected. Laboratory methods were provided in the cooperation with the Mitochondrial laboratory of the Department of Pediatrics and Institute of Inherited Metabolic Disorders. The study with lactate levels in 107 patients documented that brief seizures lasting less than 2 minutes did not increase lactate concentration in the CSF. CSF-lactate was a relialable marker in differential diagnosis in the children with mitochondrial disorders against children with epilepsy. 2. The severity of particular phenotype is more...
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Changes in placental angiogenesis and their impact on fetal intrauterine growth restriction
Kudějová, Alena ; Švandová, Ivana (advisor) ; Magner, Martin (referee)
Any pathological interference with normal vascular development of placenta may have a critical impact on fetal growth and development. The proliferation and differentiation of several cell types play a very important role in the vascular system of placenta. The main factors taking part in the vascular development of placenta include cell elements (e.g. trofoblast, stromal chorion cells, haemangiogenic progenitors), the extracellular matrix, growth factors and cytokines (e.g. VEGF, PlGF, Ang-1,2 and bFGF). The extrinsic factors may also influence the partial oxygen pressure, nutritients availability, and/or the blood perfusion in placenta. Placental ischaemia leading to the worsening of uteroplacentar perfusion is the most common cause of the intrauterine growth retardation (IUGR). The IUGR development is then the result of insufficient prolongation, branching, and dilatation of capillary loops during the formation of terminal villi. Published studies focusing on growth factors in placentas from physiological pregnancies and pregnancies with IUGR do not give clear results. This BSc. Thesis is a review focused on up-to-date-known data concerning changes in placental angiogenesis and their impact on IUGR. Key words: placenta, angiogenesis, IUGR, pregnancy
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Mitochondrial RNA in mammalian cell
Balvín, Sebastian ; Ježek, Petr (advisor) ; Magner, Martin (referee)
Mitochondrion is an important organelle maintaining energy metabolism of the cell and participating in signalization, cell cycle and apoptosis. It's pathology causes several diseases. Replication, transcription and translation take place in mitochondria, similarly like in nucleus, though there are only 13 protein coding genes. However, these processes, as well as mitochondrial DNA and RNA, vary significantly from those present in nucleus. Mitochondrial DNA is circular and both strands are replicated separately. Mitochondria form polycistronic transcripts, which are subsequently processed by tRNA. Mitochondrial ribosome evolved from prokaryotic one, but contains only half as much rRNA. Missing rRNAs are replaced by ribosomal proteins. These ribosomes contain even more proteins compared to much larger cytoplasmatic eukaryotic ones. This work is focused on current topic of mitochondrial molecular genetics: mitochondrial rRNA and ribosome, especially ribosomal assembly. In this process mitochondrial rRNAs interact with nuclear encoded proteins. The whole process probably takes place on the inner mitochondrial membrane close to the nucleoid. Our understanding to whole mechanism can help us to find a way how to cure mitochondrial pathologies.
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Význam laktátu v diagnostice mitochondriálních onemocnění u dětí
Magner, Martin ; Zeman, Jiří (advisor) ; Baxová, Alice (referee) ; Procházková, Dagmar (referee)
The lactate level assesment in various body fluids plays an important role in the diagnostics of mitochondrial disorders in children. However, the interpretation of lactate level is often difficult due to its unspecificity and variability even in particular mitochondrial disorders. Three specific aims have been stated in this PhD Thesis: 1. To analyse the role of lactate examination in the differential diagnosis between children with mitochondrial disorders and children with other diseases. 2. To study the lactate level differences in various mitochondrial syndromes. 3. To characterise the clinical and laboratory data of neonates with mitochondrial disorders and to suggest new diagnostic algorhytms. Clinical and laboratory data from patients hospitalized in the Department of Pediatrics were collected. Laboratory methods were provided in the cooperation with the Mitochondrial laboratory of the Department of Pediatrics and Institute of Inherited Metabolic Disorders. The study with lactate levels in 107 patients documented that brief seizures lasting less than 2 minutes did not increase lactate concentration in the CSF. CSF-lactate was a relialable marker in differential diagnosis in the children with mitochondrial disorders against children with epilepsy. 2. The severity of particular phenotype is more...
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