1 00:00:05,160 --> 00:00:10,600 >>WELCOME TO THE NIH DNA 2 00:00:10,600 --> 00:00:12,200 REPAIR INTEREST GROUP VIDEO 3 00:00:12,200 --> 00:00:14,400 CONFERENCE. 4 00:00:14,400 --> 00:00:17,400 I'M KEN KRAEMER, MY COHORT WILL 5 00:00:17,400 --> 00:00:21,760 BOHR IS NOT AVAILABLE NOW BUT HE 6 00:00:21,760 --> 00:00:23,480 WILL BE BACK NEXT MONTH. 7 00:00:23,480 --> 00:00:26,800 WE DO HAVE OUR MONTHLY VIDEO 8 00:00:26,800 --> 00:00:29,720 CONFERENCES NEXT MONTH AND JUNE 9 00:00:29,720 --> 00:00:32,280 DR. TOM KONKLE FROM NIEHS WILL 10 00:00:32,280 --> 00:00:33,880 BE SPEAKING ABOUT EXTRINSIC 11 00:00:33,880 --> 00:00:36,560 PROOF READING OF DNA REPLICATION 12 00:00:36,560 --> 00:00:36,920 ERRORS. 13 00:00:36,920 --> 00:00:39,880 WE WILL NOT BE HAVING SEMINARS 14 00:00:39,880 --> 00:00:42,480 IN JULY AND AUGUST. 15 00:00:42,480 --> 00:00:47,160 AND WE WILL RESUME IN SEPTEMBER 16 00:00:47,160 --> 00:00:49,360 AND DR. MARK WILL BE SPEAKING AT 17 00:00:49,360 --> 00:00:51,720 THIS POINT. 18 00:00:51,720 --> 00:00:56,280 THOSE OF YOU WHO KNOW ABOUT 19 00:00:56,280 --> 00:00:56,880 THIS--IF YOU'RE NOT--IF YOU 20 00:00:56,880 --> 00:01:00,200 WOULD LIKE TO KNOW ABOUT ALL OF 21 00:01:00,200 --> 00:01:01,760 THESE SEMINARS YOU CAN GET ON 22 00:01:01,760 --> 00:01:05,960 THE DNA REPAIR INTEREST GROUP 23 00:01:05,960 --> 00:01:13,760 E-MAIL LIST AND JUST WRITE TO ME 24 00:01:13,760 --> 00:01:15,360 AT KRAEMERK@NIHBNT GOFF. 25 00:01:15,360 --> 00:01:20,400 SO OUR SPEAKER TODAY IS 26 00:01:20,400 --> 00:01:21,360 DR. DONATA ORIOLI, FROM ITALY. 27 00:01:21,360 --> 00:01:28,160 SHE WAS FROM ITALY AND DID GET 28 00:01:28,160 --> 00:01:29,240 HER UNDERGRADUATE DEGREE AT 29 00:01:29,240 --> 00:01:31,320 UNIVERSITY OF P A VIA WHERE SHE 30 00:01:31,320 --> 00:01:35,080 IS NOW, BUT SHE WENT TO GERMANY 31 00:01:35,080 --> 00:01:38,880 AND GOT HER Ph.D. AT THE 32 00:01:38,880 --> 00:01:40,080 UNIVERSITY OF HIDELE BERG AND 33 00:01:40,080 --> 00:01:42,080 THEN CAME BACK TO P A VIA AND 34 00:01:42,080 --> 00:01:46,640 WORKED IN THE LABORATORY OF 35 00:01:46,640 --> 00:01:49,600 DR. MARIA [INDISCERNIBLE] ON 36 00:01:49,600 --> 00:01:51,240 GENETIC DNA REPAIR DEFICIENCY 37 00:01:51,240 --> 00:01:54,360 DISEASES FOR MANY YEARS. 38 00:01:54,360 --> 00:01:57,240 THAT WAS THE LABORATORY THAT WAS 39 00:01:57,240 --> 00:01:58,600 IDENTIFYING ALL THOSE IN THE 40 00:01:58,600 --> 00:02:02,640 COUNTRY OF ITALY AND THEY FOUND 41 00:02:02,640 --> 00:02:04,280 PATIENTS WITH 0 DERMA AND FOR 42 00:02:04,280 --> 00:02:06,880 THE FIRST TIME PATIENTS WITH 43 00:02:06,880 --> 00:02:11,600 [INDISCERNIBLE] DYSTROPHY. 44 00:02:11,600 --> 00:02:14,240 SO TODAY, DR. STEFANNI, ACTUALLY 45 00:02:14,240 --> 00:02:15,840 GIVE A TALK IN THIS SERIES IN 46 00:02:15,840 --> 00:02:17,960 1998 AND THAT IS ARCHIVED FOR 47 00:02:17,960 --> 00:02:22,440 THOSE WHO WOULD LIKE TO SEE IT 48 00:02:22,440 --> 00:02:27,760 ON THE VIDEOCAST.NIH.GOV 49 00:02:27,760 --> 00:02:28,000 WEBSITE. 50 00:02:28,000 --> 00:02:30,560 SO THEY WILL SPEAKING ABOUT THE 51 00:02:30,560 --> 00:02:35,160 MULTIFACETED ROLE OF THE NER 52 00:02:35,160 --> 00:02:37,320 PROTEINS AND THEIR IMPLICATIONS 53 00:02:37,320 --> 00:02:38,080 IN HUMAN PATHOLOGY. 54 00:02:38,080 --> 00:02:39,400 IF YOU HAVE ANY QUESTIONS PLEASE 55 00:02:39,400 --> 00:02:42,520 PUT THEM IN THE CHAT BOX AND I 56 00:02:42,520 --> 00:02:44,280 WILL READ THEM LATER. 57 00:02:44,280 --> 00:02:47,400 THANK YOU VERY MUCH. 58 00:02:47,400 --> 00:02:49,400 >> THANK YOU KEN, THANK YOU FOR 59 00:02:49,400 --> 00:02:52,480 THE PRESENTATION, THA YOU BOTH 60 00:02:52,480 --> 00:02:55,200 TO YOU TO YOU AND WILL FOR THE 61 00:02:55,200 --> 00:02:59,480 INVITATIONS TO GIVE A TALK HERE. 62 00:02:59,480 --> 00:03:01,560 BECAUSE THESE GIVES A GREAT 63 00:03:01,560 --> 00:03:02,680 OPPORTUNITY TO PRESENT WHAT IS 64 00:03:02,680 --> 00:03:03,680 OUR CONTRIBUTION IN THE FIELD OF 65 00:03:03,680 --> 00:03:04,080 THE NOW NEURODEFECTIVE 66 00:03:04,080 --> 00:03:05,520 DISORDERS. 67 00:03:05,520 --> 00:03:07,040 SO, THE NUCLEOTIDE 68 00:03:07,040 --> 00:03:08,600 EXCISION REPAIR, WE SAID WE KNOW 69 00:03:08,600 --> 00:03:12,080 THE DNA REPAIR PATHWAY THAT 70 00:03:12,080 --> 00:03:15,720 REMOVES THE BARRIER AND THIS 71 00:03:15,720 --> 00:03:16,400 INCLUDES ALSO THE 72 00:03:16,400 --> 00:03:19,960 [INDISCERNIBLE] USE OF LESIONS. 73 00:03:19,960 --> 00:03:22,960 THERE ARE MANY PROTEINS THAT 74 00:03:22,960 --> 00:03:25,040 CODE THE NER PROTEINS THAT ARE 75 00:03:25,040 --> 00:03:26,880 IMPORTANT IN THIS MECHANISM 76 00:03:26,880 --> 00:03:29,760 STARTING FROM THE DNA DAMAGE 77 00:03:29,760 --> 00:03:32,600 RECOGNITION AND BASICALLY LIES 78 00:03:32,600 --> 00:03:35,120 ON DIFFERENT MOTIVES DEPENDING 79 00:03:35,120 --> 00:03:38,040 ON THE SUBPATHWAYS THAT ARE 80 00:03:38,040 --> 00:03:40,080 USING GENOME REPAIR, RECOGNIZING 81 00:03:40,080 --> 00:03:43,080 THE LESION THAT ARE DISTRIBUTED 82 00:03:43,080 --> 00:03:53,440 ENTIRE GENOME WHAT IS 83 00:03:54,440 --> 00:03:55,360 TRANSCRIPTIONAL COUPLED REPAIR. 84 00:03:55,360 --> 00:03:58,560 AFTER THE DNA DAMAGE 85 00:03:58,560 --> 00:03:59,760 RECOGNITION, THE 2 SUBPATHWAY 86 00:03:59,760 --> 00:04:02,520 JOIN IN THE UNIQUE PATHWAY AND 87 00:04:02,520 --> 00:04:04,240 THE NEXT, THE FOLLOWING STEP IS 88 00:04:04,240 --> 00:04:06,000 THE FORMATION OF THE OPEN 89 00:04:06,000 --> 00:04:09,040 COMPLEX AND THIS IS THANKS TO 90 00:04:09,040 --> 00:04:09,880 THE HELIX ACTIVITY OF THE 91 00:04:09,880 --> 00:04:13,720 COMPLEX THAT WE ARE GOING TO 92 00:04:13,720 --> 00:04:15,240 SPEAK ABOUT TODAY. 93 00:04:15,240 --> 00:04:17,280 AND AFTER THE INFORMATION OF THE 94 00:04:17,280 --> 00:04:18,920 OPEN COMPLEX, SO THEN THERE IS 95 00:04:18,920 --> 00:04:21,600 THE EXCISION OF THE DNA FRAGMENT 96 00:04:21,600 --> 00:04:26,120 THAT CONTAINED LESIONS AND THE 97 00:04:26,120 --> 00:04:27,480 FRAGMENTED GETS EXCISED, 98 00:04:27,480 --> 00:04:29,240 ELIMINATED AND WITH THE ANSWER 99 00:04:29,240 --> 00:04:32,560 WE HAVE THE DE NOVO SENTH SIS 100 00:04:32,560 --> 00:04:35,000 WHERE THE POLYMERASE USES THE 101 00:04:35,000 --> 00:04:37,280 UNDAMAGED STRAPPED AS A TEMPLATE 102 00:04:37,280 --> 00:04:38,400 TO PERFORM THE SYNTHESIS. 103 00:04:38,400 --> 00:04:41,640 SO AS I WAS SAYING, MANY GENES 104 00:04:41,640 --> 00:04:43,840 WITH THE EXCISION REPAIR, MANY 105 00:04:43,840 --> 00:04:45,920 PROTEINS, SO THE MUTATIONS IN 106 00:04:45,920 --> 00:04:51,000 SEVERAL OF THE GENES THAT ARE 107 00:04:51,000 --> 00:04:56,960 RESPONSIBLE FOR A 108 00:04:56,960 --> 00:05:00,160 [INDISCERNIBLE] DISORDER. 109 00:05:00,160 --> 00:05:04,120 OKAY, SO, THE AMOUNT IS OVER, WE 110 00:05:04,120 --> 00:05:05,920 CAN DISTINGUISH THE DERMA 111 00:05:05,920 --> 00:05:09,120 PIGMENTOSE UMKC, WHICH IS A 112 00:05:09,120 --> 00:05:10,080 BONES, SORE SKIN TUMORS IN THE 113 00:05:10,080 --> 00:05:11,600 AREA OF THE SKIN THAT ARE 114 00:05:11,600 --> 00:05:17,440 EXPOSED TO THE SUN AND THEN THE 115 00:05:17,440 --> 00:05:23,320 COCKAYNE SYNDROME AND 116 00:05:23,320 --> 00:05:24,160 TRICHOTHIODYSTROPHY, BOTH 117 00:05:24,160 --> 00:05:26,720 PATIENTS, THEY BOTH REPRESENT 118 00:05:26,720 --> 00:05:28,880 SIGN OF PREMATURE AGING 119 00:05:28,880 --> 00:05:34,520 INCLUDING SPECIAL IN THE CASE OF 120 00:05:34,520 --> 00:05:36,800 COCKAYNE'S SYNDROME FOR 121 00:05:36,800 --> 00:05:42,520 NEURODEGENERATION, THERE ARE 122 00:05:42,520 --> 00:05:44,560 MULTISYSTEMIC DISORDERS, THEY 123 00:05:44,560 --> 00:05:46,560 HAVE A WILD AMOUNT OF CLINICAL 124 00:05:46,560 --> 00:05:49,200 FEATURES BUT IN THE PATIENTS AND 125 00:05:49,200 --> 00:05:51,560 THE PATIENT WE CAN SAY THAT THEY 126 00:05:51,560 --> 00:05:57,240 ALSO ARE CHARACTERIZED BY A WIDE 127 00:05:57,240 --> 00:05:57,800 SPECTRUM OF SEVERITY. 128 00:05:57,800 --> 00:06:01,640 BOAGHTD THE CS AND THE TTD, THE 129 00:06:01,640 --> 00:06:03,240 CLINICAL HALLMARK THAT 130 00:06:03,240 --> 00:06:06,960 CHARACTERIZE THIS PATIENT IS THE 131 00:06:06,960 --> 00:06:07,920 FAYE NAIL [INDISCERNIBLE] 132 00:06:07,920 --> 00:06:09,480 BECAUSE THEA PATIENTS ARE 133 00:06:09,480 --> 00:06:14,320 CHARACTERIZED BY DEFECTS SO THEY 134 00:06:14,320 --> 00:06:16,200 HAVE [INDISCERNIBLE], THEY 135 00:06:16,200 --> 00:06:18,480 EASILY THEY HAVE REDUCED CONTENT 136 00:06:18,480 --> 00:06:19,280 WITHED [INDISCERNIBLE] AND 137 00:06:19,280 --> 00:06:20,840 DEVELOPMENT FOR THE ASPECT IS 138 00:06:20,840 --> 00:06:22,760 WHEN THEY ARE ANALYZED UNDER THE 139 00:06:22,760 --> 00:06:25,680 LIGHT OF THE POLARIZING SCOPE OF 140 00:06:25,680 --> 00:06:28,480 THE HAIR AS SHOWN A SPECIFIC 141 00:06:28,480 --> 00:06:30,240 PATTERN THAT IS CALLED THE THEME 142 00:06:30,240 --> 00:06:36,080 PATTERN AND I WOULD SHE YOU A 143 00:06:36,080 --> 00:06:36,520 PICTURE AFTERWARDS. 144 00:06:36,520 --> 00:06:40,760 SO BUT CS AND TTD, THEY ARE BOTH 145 00:06:40,760 --> 00:06:42,440 FACTOR IN THE EXCISION REPAIRS 146 00:06:42,440 --> 00:06:46,200 SO THEY ACCUMULATE IN THE GENOME 147 00:06:46,200 --> 00:06:49,040 AND THEN AND REPAIR THE LESIONS, 148 00:06:49,040 --> 00:06:51,320 BUT THE DIFFERENT 3 FROM THESE 149 00:06:51,320 --> 00:06:53,440 PATIENT DO NOT SHOW ANY CANCER 150 00:06:53,440 --> 00:06:55,680 BONE IN THIS, IN THE AREA OF 151 00:06:55,680 --> 00:06:57,680 THIS SCHEME THAT ARE SUPPOSED TO 152 00:06:57,680 --> 00:06:59,920 BE THERE, SO THIS OPENS THE 153 00:06:59,920 --> 00:07:02,000 QUESTION, HOW THEY ARE CAN GIVE 154 00:07:02,000 --> 00:07:05,960 RISE TO SUCH DISEASE OF 155 00:07:05,960 --> 00:07:07,360 HETEROGENERATED AITY, WHICH 156 00:07:07,360 --> 00:07:08,840 PATIENTS PRESENT AN OPPOSITE 157 00:07:08,840 --> 00:07:12,520 SKIN CANCER AND ALSO WITH SUCH 158 00:07:12,520 --> 00:07:23,000 DIFFERENT APPEARANCE OF THE 159 00:07:34,360 --> 00:07:44,800 FEATURES AND SO IN PARTICULAR 160 00:08:00,760 --> 00:08:02,960 WITH THE GENE--THIS DISEASE 161 00:08:02,960 --> 00:08:09,320 OBSERVED ALLOW US TO ANALYZE A 162 00:08:09,320 --> 00:08:12,960 LARGER COHORT, SO IF WE LOOK AT 163 00:08:12,960 --> 00:08:15,960 THE MUTATIONS, AT THE TOP, 164 00:08:15,960 --> 00:08:17,720 FOUNDER IN THE PPD PATIENTS WE 165 00:08:17,720 --> 00:08:22,440 CAN OBSERVE THAT THERE SEEMS TO 166 00:08:22,440 --> 00:08:24,560 BE A DISEASE SPECIFIC MINORITY 167 00:08:24,560 --> 00:08:26,400 THAT ARE DISTINCT AND THERE ARE 168 00:08:26,400 --> 00:08:31,400 ACTIVITY AND THERE ARE BOTH OF 169 00:08:31,400 --> 00:08:32,720 THEM DISTRIBUTED OVER KD--SALLY 170 00:08:32,720 --> 00:08:33,840 TO THE PROTEIN. 171 00:08:33,840 --> 00:08:35,920 THIS IS A SUBUNIT FOR THE 172 00:08:35,920 --> 00:08:38,480 TRANSCRIPTION FACTOR TO AGE, IT 173 00:08:38,480 --> 00:08:39,320 HAS AN ATPASE AND 174 00:08:39,320 --> 00:08:40,480 [INDISCERNIBLE] ACTIVITY AND AS 175 00:08:40,480 --> 00:08:42,480 I WAS SAYING THAT THE MUTATIONS 176 00:08:42,480 --> 00:08:47,280 IN THIS GENE CAN BE RESPONSIBLE 177 00:08:47,280 --> 00:08:50,440 FOR HPNTT, CONCERNING THE HBP 178 00:08:50,440 --> 00:08:52,280 UNITS, THIS HAS ATPASE AND 179 00:08:52,280 --> 00:08:54,600 TRANSLO CASE ACTIVITY AND 180 00:08:54,600 --> 00:08:57,440 SIMILAR TO XPD, MUTATION IN THE 181 00:08:57,440 --> 00:09:00,040 SUPPORTING GENE CAN BE 182 00:09:00,040 --> 00:09:02,360 RESPONSIBLE BOTH FOR 183 00:09:02,360 --> 00:09:02,720 EXPERIENCES. 184 00:09:02,720 --> 00:09:04,000 WHEREAS THE MUTATIONS IN THE 185 00:09:04,000 --> 00:09:07,440 GENE THAT ENCODES THE ATPASE, 186 00:09:07,440 --> 00:09:11,840 ARE RESPONSIBLE FOR THE TTD 187 00:09:11,840 --> 00:09:15,120 DIVISIONS, IN ADDITION, THE WAGE 188 00:09:15,120 --> 00:09:20,440 ALSO SHOW A KINASE ACTIVITY 189 00:09:20,440 --> 00:09:22,400 SUPERIOR TO THE COMPLEX. 190 00:09:22,400 --> 00:09:24,480 SO AS I SAID IT IS A GENERAL 191 00:09:24,480 --> 00:09:25,560 TRANSCRIPTION FACTOR THAT BINDS 192 00:09:25,560 --> 00:09:31,840 TO THE GENE PROMOTERS, AND WE 193 00:09:31,840 --> 00:09:36,600 THINK THAT THE ACTIVATE THAT CAN 194 00:09:36,600 --> 00:09:37,640 PHOSPHORALATE, AND IT'S PART OF 195 00:09:37,640 --> 00:09:39,240 THE COMPLEX AND WHEN IT IS 196 00:09:39,240 --> 00:09:42,560 ASSEMBLED ON THE GENE, THROUGH 197 00:09:42,560 --> 00:09:45,280 THE KINASE ACTIVITY, TF2 H 198 00:09:45,280 --> 00:09:46,320 PHOSPHORALATE THE TERMINAL 199 00:09:46,320 --> 00:09:48,080 DOMAIN OF CANNED WHAT. 200 00:09:48,080 --> 00:09:50,360 SO IT ACTIVATES TRANSCRIPTION. 201 00:09:50,360 --> 00:09:53,160 BUT AS I WAS SAYING BEFORE TF2 H 202 00:09:53,160 --> 00:09:56,320 IS ALSO IMPORTANT KEY FACTOR IN 203 00:09:56,320 --> 00:09:59,640 THE NUCLEOTIDE EXCISION REPAIR, 204 00:09:59,640 --> 00:10:06,480 SO THANKS TO IN THE KAITION OFEA 205 00:10:06,480 --> 00:10:08,120 IN THE REGION, THAT MUCH STRAND 206 00:10:08,120 --> 00:10:09,920 IN THE REGION THAT CONTAINS THE 207 00:10:09,920 --> 00:10:12,320 LESION IN THE WAY THAT OTHER 208 00:10:12,320 --> 00:10:15,600 PROTEINS THEN CAN STABILIZE AND 209 00:10:15,600 --> 00:10:16,640 CREATE AN OPEN COMPLEX. 210 00:10:16,640 --> 00:10:20,080 SO WHAT IT HAS BEEN SHOWN IN THE 211 00:10:20,080 --> 00:10:21,960 YOU HADITATIONS THAT THE FACT 212 00:10:21,960 --> 00:10:25,120 THAT THAT ARE RESPONSIBLE FOR 213 00:10:25,120 --> 00:10:27,440 BOTH EXPERIENCE TTD, RESULTING 214 00:10:27,440 --> 00:10:31,760 IN THE ACTIVITY OF TF2 H WITH 215 00:10:31,760 --> 00:10:36,320 THE CARE, SO EXPERIENCED TTD 216 00:10:36,320 --> 00:10:37,320 PATIENTS REPAIR AND ACCUMULATE 217 00:10:37,320 --> 00:10:39,240 IT IN THEIR GENOME. 218 00:10:39,240 --> 00:10:42,480 THEY CAN EXPLAIN THE BONUS OF 219 00:10:42,480 --> 00:10:43,480 SERVING THESE PATIENTS. 220 00:10:43,480 --> 00:10:48,520 BUT IT DOESN'T EXPLAIN WHY TTD 221 00:10:48,520 --> 00:10:51,480 PATIENTS MUTATED IN THE 222 00:10:51,480 --> 00:10:52,160 [INDISCERNIBLE]. 223 00:10:52,160 --> 00:10:55,400 SO POSSIBLE EXPLANATION FOR THAT 224 00:10:55,400 --> 00:10:56,800 CAN BE PROVIDED IF WE THINK 225 00:10:56,800 --> 00:10:58,960 ABOUT THAT MUTATION SO THAT THAT 226 00:10:58,960 --> 00:11:01,280 WAS RESPONSIBLE FOR TTT, MIGHT 227 00:11:01,280 --> 00:11:04,680 ALSO IMPAIR THE TRANSCRIPTION 228 00:11:04,680 --> 00:11:06,840 ACTIVITY OF TFIIH, SO THE MORE 229 00:11:06,840 --> 00:11:10,160 TTD THAN THE XP MAY HAVE A FACT 230 00:11:10,160 --> 00:11:11,960 IN THE TRANSCRIPTION OF TTD, AND 231 00:11:11,960 --> 00:11:13,040 THERE ARE SEVERAL EVIDENCE THAT 232 00:11:13,040 --> 00:11:14,080 MIGHT BE PROVIDED THAT THIS 233 00:11:14,080 --> 00:11:15,280 MIGHT BE THE CASE AND THAT'S 234 00:11:15,280 --> 00:11:17,240 WHAT WE'RE TRYING TO SHOW TODAY. 235 00:11:17,240 --> 00:11:18,560 SO THE FIRST EVIDENCE, THE DRIVE 236 00:11:18,560 --> 00:11:20,880 FROM WORK THAT HAS BEEN 237 00:11:20,880 --> 00:11:22,280 PERFORMED--PART OF THOSE STUDIES 238 00:11:22,280 --> 00:11:25,480 THAT HAVE BEEN PERFORMED IN OUR 239 00:11:25,480 --> 00:11:30,240 LAB BY ANOTHER DOCTOR AND IN THE 240 00:11:30,240 --> 00:11:32,400 LAB [INDISCERNIBLE] THEY BOTH 241 00:11:32,400 --> 00:11:36,200 SHOWED THAT THE FIBRO BLAST FROM 242 00:11:36,200 --> 00:11:37,720 TTD PATIENTS INDEPENDENTLYOT 243 00:11:37,720 --> 00:11:40,560 GENE, MUTATED GENE, THEY ALL 244 00:11:40,560 --> 00:11:43,160 SHOW A REDUCED [INDISCERNIBLE] 245 00:11:43,160 --> 00:11:45,120 OF THE TF2 H, SO THIS CARRIES 246 00:11:45,120 --> 00:11:49,200 MUTATION BUT ALSO ALL THE OTHER 247 00:11:49,200 --> 00:11:50,760 SUBUNITS OF THE [INDISCERNIBLE]. 248 00:11:50,760 --> 00:11:52,840 THIS INDICATES THAT THESE 249 00:11:52,840 --> 00:11:55,840 CONTAIN A REDUCED AMOUNT OF 250 00:11:55,840 --> 00:11:57,440 MUTATED [INDISCERNIBLE] 251 00:11:57,440 --> 00:11:59,160 TRANSCRIPTION FACTOR. 252 00:11:59,160 --> 00:12:00,840 SO TRYING TO--WITH THE ATTEMPT 253 00:12:00,840 --> 00:12:02,760 TO DEMONSTRATE THAT THE 254 00:12:02,760 --> 00:12:04,160 TRANSCRIPTION DEFACT ARE REALLY 255 00:12:04,160 --> 00:12:06,840 RESPONSIBLE FOR TTD, WE DECIDED 256 00:12:06,840 --> 00:12:09,440 TO PERFORM A GENE EXPRESSION 257 00:12:09,440 --> 00:12:12,640 ANALYSIS BY USING THE RNA SEQ 258 00:12:12,640 --> 00:12:15,960 APPROACH AND WE SEQUENCE THE RNA 259 00:12:15,960 --> 00:12:22,360 FIBRO BLAST FROM TTD PATIENT AND 260 00:12:22,360 --> 00:12:23,960 TO EXPENSIVE LINKS, ALL 261 00:12:23,960 --> 00:12:25,400 [INDISCERNIBLE] IN TTD, AND WE 262 00:12:25,400 --> 00:12:28,600 DECIDED TO DO A 2 CLONE PAIR 263 00:12:28,600 --> 00:12:30,760 WITH THE PATIENT EXPRESSION WITH 264 00:12:30,760 --> 00:12:32,280 THE CORRESPONDING 265 00:12:32,280 --> 00:12:32,640 [INDISCERNIBLE]. 266 00:12:32,640 --> 00:12:39,880 WE USE IT IN ALL PATIENTS, ALL 267 00:12:39,880 --> 00:12:50,160 FEMALES, TO ORDER TO LIMIT THE 268 00:12:50,160 --> 00:12:51,400 DIFFERENT [INDISCERNIBLE]. 269 00:12:51,400 --> 00:12:52,600 --IS HIGHER MUCH HIGHER IN THE 270 00:12:52,600 --> 00:12:55,760 NUMBER OF GENES THAT ARE 271 00:12:55,760 --> 00:12:58,440 REGULATED AND THE MORJORRITY OF 272 00:12:58,440 --> 00:13:00,280 THE TTD REGULATED GENE ARE DOWN 273 00:13:00,280 --> 00:13:01,840 REGULATED AS WE OBSERVE THE BLUE 274 00:13:01,840 --> 00:13:03,600 BAR, BUT AS YOU CAN SEE, THERE 275 00:13:03,600 --> 00:13:05,320 IS AN EQUAL NUMBER OF GENES THAT 276 00:13:05,320 --> 00:13:10,240 ARE DOWN REGULATED OR 277 00:13:10,240 --> 00:13:11,520 UPREGULATED. 278 00:13:11,520 --> 00:13:13,320 SO THE SAME WE HAVE IT EVEN IF 279 00:13:13,320 --> 00:13:14,840 THE GENE CELL IS DIFFERENT, WE 280 00:13:14,840 --> 00:13:17,600 HAVE IT IF WE LOOK HERE AT 281 00:13:17,600 --> 00:13:20,440 THIS--THE EXPRESSION OF 282 00:13:20,440 --> 00:13:22,800 REGULATION AFTER UV RADIATION 283 00:13:22,800 --> 00:13:23,840 WITH THESE FIBERS. 284 00:13:23,840 --> 00:13:26,960 SO WE CAN THINK AND WE CAN SAY 285 00:13:26,960 --> 00:13:28,600 THAT BY LOOKING AT THESE AT THE 286 00:13:28,600 --> 00:13:30,360 NUMBER OF REGULATED GENE THAT 287 00:13:30,360 --> 00:13:33,600 TTD MORE THAN THE XP5 ROUGH ATOM 288 00:13:33,600 --> 00:13:37,840 BLASTIN ARE AFFECTED BY WIDE 289 00:13:37,840 --> 00:13:38,400 TRANSCRIPTIONAL IMPAIRMENTS. 290 00:13:38,400 --> 00:13:39,520 SO THEN WHEN WE TRY TO LOOK AT 291 00:13:39,520 --> 00:13:42,840 ALL THE GENES THAT WE FOUND THAT 292 00:13:42,840 --> 00:13:44,800 ARE REGULATED, THOSE IN THE 293 00:13:44,800 --> 00:13:46,320 CONDITION OR UV RADIATION AND WE 294 00:13:46,320 --> 00:13:49,920 DID THE ANALYSIS IN A LARGER 295 00:13:49,920 --> 00:13:53,360 COHORT OF PATIENTS, ALL MUTATED 296 00:13:53,360 --> 00:13:55,480 IN XPD, FOR EITHER TTD OR XP AND 297 00:13:55,480 --> 00:13:59,400 AS A CONTROL WE USE THE 298 00:13:59,400 --> 00:14:00,400 CORRESPONDING [INDISCERNIBLE] 299 00:14:00,400 --> 00:14:02,920 AND THE RESULT WAS THAT WE 300 00:14:02,920 --> 00:14:05,680 OBTAIN A REDUCED NUMBER OF GENE, 301 00:14:05,680 --> 00:14:09,040 A HALF OF THEM, GENE THAT 302 00:14:09,040 --> 00:14:12,120 RESPONDS TO THE UV RADIATION 303 00:14:12,120 --> 00:14:13,520 BECAUSE WE CAN OBSERVE IN THE 304 00:14:13,520 --> 00:14:15,680 CONTROL FIBRO BLAST IN THE 305 00:14:15,680 --> 00:14:18,920 CURRENT THAT THE GENE BECOMES 306 00:14:18,920 --> 00:14:21,760 EITHER UPREGULATED OR DOWN 307 00:14:21,760 --> 00:14:24,240 REGULATED AFTER UV REGULATION. 308 00:14:24,240 --> 00:14:26,080 THESE REGULATION NORMALLY IS 309 00:14:26,080 --> 00:14:28,960 LOST IN TTD AND IN SOME OF--FOR 310 00:14:28,960 --> 00:14:31,600 SOME OF THE GENE TRANSCRIPTION 311 00:14:31,600 --> 00:14:33,240 REGULATION, ALSO IS CLEAR IN THE 312 00:14:33,240 --> 00:14:35,760 XP PATIENTS THAT IN OTHER CASES 313 00:14:35,760 --> 00:14:40,560 SEEMS TO ONLY AFFECT THE TTD AND 314 00:14:40,560 --> 00:14:41,360 NOT THE [INDISCERNIBLE]. 315 00:14:41,360 --> 00:14:43,400 SO WE DECIDED TO GO FURTHER AND 316 00:14:43,400 --> 00:14:45,960 TO UNDERSTAND WHETHER THE 317 00:14:45,960 --> 00:14:46,920 TRANSCRIPTION REGULATION CAN 318 00:14:46,920 --> 00:14:48,080 REALLY HAVE AN IMPACT ON THE 319 00:14:48,080 --> 00:14:50,480 CLINICAL FEATURE OF THE PATIENTS 320 00:14:50,480 --> 00:14:52,640 THAT WE EXPECT TO HAVE AN 321 00:14:52,640 --> 00:14:56,240 ALTERATION OF THE LEVEL OF THE 322 00:14:56,240 --> 00:14:57,280 PROTEIN COMPETENT, BUT TO OUR 323 00:14:57,280 --> 00:15:01,360 SURPRISE WHEN WE CHECKED THE 324 00:15:01,360 --> 00:15:05,360 AMOUNT OF PROTEIN OF THE 325 00:15:05,360 --> 00:15:06,280 DISREGULATED GENES, EVEN THOUGH 326 00:15:06,280 --> 00:15:09,400 TOO SHOW A VERY HIGH 327 00:15:09,400 --> 00:15:11,520 TRANSCRIPTION REGULATION, WE 328 00:15:11,520 --> 00:15:13,160 COULD NOT [INDISCERNIBLE] ANY 329 00:15:13,160 --> 00:15:15,000 DIFFERENT, DIFFERENCE BETWEEN 330 00:15:15,000 --> 00:15:18,320 THE TTD, THE XP OR THE CONTROL. 331 00:15:18,320 --> 00:15:23,080 INDICATING THAT MOST OF THE 332 00:15:23,080 --> 00:15:24,320 TRANSCRIPTION REGULATIONS, THE 333 00:15:24,320 --> 00:15:26,480 SIMILAR LEVEL EITHER BY PROTEINS 334 00:15:26,480 --> 00:15:29,120 THROUGH THE PROTEIN STABILITY. 335 00:15:29,120 --> 00:15:31,840 NEVERTHELESS, WE WERE ABLE TO 336 00:15:31,840 --> 00:15:32,640 IDENTIFY SOME TRANSCRIPTION 337 00:15:32,640 --> 00:15:34,840 REGULATION THAT THE SPECIFICALLY 338 00:15:34,840 --> 00:15:39,000 A FACTOR TO TTD PATIENTS, THE 339 00:15:39,000 --> 00:15:39,280 TTD CELLS. 340 00:15:39,280 --> 00:15:43,680 IN THE FIRST GENE WE IDENTIFIED 341 00:15:43,680 --> 00:15:48,320 WAS SOMETIMES GOING IN 2013 IT'S 342 00:15:48,320 --> 00:15:51,800 A COLLAGEN 6 A 1 GENE THAT IS 343 00:15:51,800 --> 00:15:54,080 ALSO WITH THE COLLAGEN 6, WE 344 00:15:54,080 --> 00:15:58,320 OBSERVE THAT FIBRO BLASTS WHEN 345 00:15:58,320 --> 00:16:00,120 FRESHLY CULTURED AT CONFLUENCE 346 00:16:00,120 --> 00:16:01,840 OF THE FIBRO BLAST REACH THE 347 00:16:01,840 --> 00:16:04,320 CONFLEW ENSEL, THE TTD FIBRO 348 00:16:04,320 --> 00:16:07,320 BLAST ARE EXTREMELY REUSE DOOD 349 00:16:07,320 --> 00:16:11,760 AMOUNT OF TYPE 6 COMPARED TO THE 350 00:16:11,760 --> 00:16:13,840 CONTROL BUT THE DEFACTOR IS NOT 351 00:16:13,840 --> 00:16:15,800 OBSERVED IN THE CULTURE IN 352 00:16:15,800 --> 00:16:17,640 DENSITY SO WE INVESTIGATED THE 353 00:16:17,640 --> 00:16:19,160 MECHANISM THAT WAS RESPONSIBLE 354 00:16:19,160 --> 00:16:19,760 FOR THIS TRANSCRIPTION 355 00:16:19,760 --> 00:16:21,640 REGULATION AND WE WERE ABLE TO 356 00:16:21,640 --> 00:16:23,840 OBSERVE THAT IN NORMAL FIBRO 357 00:16:23,840 --> 00:16:25,600 BLASTOT PROMOTER OF THE COLLAGEN 358 00:16:25,600 --> 00:16:29,440 6 IS PRESENT FOR THE COALESCE 359 00:16:29,440 --> 00:16:30,240 BP1, WHICH MAINTAINS THE 360 00:16:30,240 --> 00:16:33,040 PRESENCE OF THE PROTEIN, 361 00:16:33,040 --> 00:16:34,920 MAINTAINS LOW RATE OF 362 00:16:34,920 --> 00:16:36,160 TRANSCRIPTION. 363 00:16:36,160 --> 00:16:37,960 WHEN THE FIBRO BLAST REACH THE 364 00:16:37,960 --> 00:16:39,960 CELL, AND THE TF2 H 365 00:16:39,960 --> 00:16:40,960 PHOSPHORALATE, AND THE PROTEIN 366 00:16:40,960 --> 00:16:42,160 IS RELEASED FROM THE PROMOTER 367 00:16:42,160 --> 00:16:45,800 AND NOW THE PROMOTER CAN START 368 00:16:45,800 --> 00:16:50,280 TO TRANSCRIBE AT A HIGH RATE. 369 00:16:50,280 --> 00:16:52,120 IN TTD, NOT EXPRESS, 370 00:16:52,120 --> 00:16:55,000 SOPHISTICATED THE TTD SPECIFIC 371 00:16:55,000 --> 00:16:58,160 MUTATION IN TF2 H, WE OBSERVE 372 00:16:58,160 --> 00:17:03,240 THAT THE CELL DENSITY, SREBP1 IS 373 00:17:03,240 --> 00:17:04,400 PRESENT SO THE AGENT CANNOT GET 374 00:17:04,400 --> 00:17:07,720 TO THE PROTEIN SO THE GENE IS 375 00:17:07,720 --> 00:17:09,400 NOT UPREGULATED. 376 00:17:09,400 --> 00:17:12,160 BESIDE COLLAGEN 6, WE ALSO FOUND 377 00:17:12,160 --> 00:17:15,880 THIS QUESTION, IN TTD WITH THE 1 378 00:17:15,880 --> 00:17:17,200 GENE, THIS IS 1 OF THE GENE OF 379 00:17:17,200 --> 00:17:23,080 THE FEW GENES THAT WE SHOW A 380 00:17:23,080 --> 00:17:23,680 TRANSCRIPTION UPREGULATION IN 381 00:17:23,680 --> 00:17:25,720 TDRKS, IT IS SPECIFIC FOR TDRKS, 382 00:17:25,720 --> 00:17:29,960 IT IS ALSO THE FIBRO BLAST AND 383 00:17:29,960 --> 00:17:31,960 THE DMP1 AND THE COLLIN ACE THAT 384 00:17:31,960 --> 00:17:34,760 HAS THE ABILITY TO DEGRADE THE 385 00:17:34,760 --> 00:17:36,560 SPECIFIC COLLAGENS IN 386 00:17:36,560 --> 00:17:40,240 PARTICULAR, IN THIS CASE, THE 387 00:17:40,240 --> 00:17:41,200 COLLAGEN AND FURTHER WHEN WE 388 00:17:41,200 --> 00:17:44,080 LOOK AT NORMAL CULTURE, 389 00:17:44,080 --> 00:17:45,560 THE,AMOUNT OF THE COLLAGEN TYPE 390 00:17:45,560 --> 00:17:48,840 1, WE CAN SEE THAT THE TTD, BUT 391 00:17:48,840 --> 00:17:51,640 NOT XP FIBRO BLAST CONTAIN THE 392 00:17:51,640 --> 00:17:53,800 REDUCED AMOUNT OF THIS TYPE OF 393 00:17:53,800 --> 00:17:55,120 COLLAGEN COMPARED TO THE 394 00:17:55,120 --> 00:17:55,440 CONTROL. 395 00:17:55,440 --> 00:17:57,400 WHEREAS RGTD TYPES OF COLLAGENS 396 00:17:57,400 --> 00:18:01,480 ARE PRESENT IN THE TTD FIEB 397 00:18:01,480 --> 00:18:01,960 PROBLAST. 398 00:18:01,960 --> 00:18:03,400 THIS IS ALSO CLEAR WHEN WE LOOK 399 00:18:03,400 --> 00:18:05,400 AT THE 3 B CULTURES IN WHICH THE 400 00:18:05,400 --> 00:18:07,880 FIBRO BLAST ARE EMBEDDED IN THE 401 00:18:07,880 --> 00:18:09,200 METRICS THAT CONTAIN THE 402 00:18:09,200 --> 00:18:10,520 COLLAGEN TYPE 1. 403 00:18:10,520 --> 00:18:12,360 THE COLLAGEN IS FISCHERIBLE BY 404 00:18:12,360 --> 00:18:16,280 THE BLUE AND GREEN COLOR, AND 405 00:18:16,280 --> 00:18:18,800 CLEARLY IN THE OTHER THAT 406 00:18:18,800 --> 00:18:20,040 SURROUNDS THE TTD FIBRO BLAST, 407 00:18:20,040 --> 00:18:22,560 BUT THE CONTROL, WE LOSE THE 408 00:18:22,560 --> 00:18:23,600 BLUE STAINING INDICATING THAT 409 00:18:23,600 --> 00:18:26,000 THE THERE IS A LOSS OF COLLAGEN 410 00:18:26,000 --> 00:18:26,560 TYPE 1. 411 00:18:26,560 --> 00:18:30,880 SO, WE ALSO LOOKED AT THE DERMAL 412 00:18:30,880 --> 00:18:33,440 LAYER OF THE SKIN BIOPSIES OF 413 00:18:33,440 --> 00:18:34,760 FORMER TTD PATIENTS AND WE CAN 414 00:18:34,760 --> 00:18:37,240 CLEARLY OBSERVE THAT THERE IS A 415 00:18:37,240 --> 00:18:38,840 REDUCED CONTENT OF COLLAGEN TYPE 416 00:18:38,840 --> 00:18:41,880 1, BUT NOT AT A REDUCED COUNT OF 417 00:18:41,880 --> 00:18:45,040 OTHER TYPE OF COLLAGENS AND THE 418 00:18:45,040 --> 00:18:46,640 REDUCTION, WE OBSERVED THE 419 00:18:46,640 --> 00:18:49,520 REDUCTION COMPARED POETIC THE 420 00:18:49,520 --> 00:18:51,280 AMOUNT OF COLLAGEN TYPE THAT WE 421 00:18:51,280 --> 00:18:52,760 OBSERVE IN KNOWN TTD 422 00:18:52,760 --> 00:18:53,760 INDIVIDUALSEE USE DIFFERENT AGES 423 00:18:53,760 --> 00:18:58,160 BECAUSE WE HAVE TO REMEMBER THAT 424 00:18:58,160 --> 00:19:03,320 THE TTD IS A PROTEIN DISORDER, 425 00:19:03,320 --> 00:19:06,000 SO IT'S AFFECTED BY A PREMATURE 426 00:19:06,000 --> 00:19:06,240 AGENT. 427 00:19:06,240 --> 00:19:08,240 SO THIS INDICATES THAT THE TTD 428 00:19:08,240 --> 00:19:10,440 FIBRO BLAST IN THE AREA THAT 429 00:19:10,440 --> 00:19:12,080 SURROUNDS THE FIEB PROBLAST NEXT 430 00:19:12,080 --> 00:19:13,880 IN THE EXTRA CELLULAR REGION 431 00:19:13,880 --> 00:19:19,200 THAT IS THE PRESENCE OF A LOOSE 432 00:19:19,200 --> 00:19:28,560 COLLAGEN AMOUNT SO IT IS A 433 00:19:28,560 --> 00:19:39,040 REDUCED COLLEGIA GENERATED 434 00:19:41,000 --> 00:19:48,320 AMOUNT THEY ALL CONTROL FIBRO 435 00:19:48,320 --> 00:19:51,960 BLAST, USING THOSE THAT MIGRATE 436 00:19:51,960 --> 00:19:57,800 MIGRATE AT THE LOW RATE AND WE 437 00:19:57,800 --> 00:19:59,960 CULTURE THEM MAINTAINING 438 00:19:59,960 --> 00:20:01,720 EITHER--SORRY WE CULTURE THEM 439 00:20:01,720 --> 00:20:04,520 WITH A NORMAL FIBRO BLAST OR 440 00:20:04,520 --> 00:20:07,200 FIBRO BLAST MAINTAINING THE XP 441 00:20:07,200 --> 00:20:09,560 AND THE SECOND FIBRO BLAST IN 442 00:20:09,560 --> 00:20:12,160 THE SAME MEDIUM. 443 00:20:12,160 --> 00:20:21,520 WE COULD OBSERVE THAT 1 444 00:20:21,520 --> 00:20:23,640 EXPERIENCE WHEN THEY ARE CO 445 00:20:23,640 --> 00:20:25,160 CULTURE WITH THE FORMAL FIBRO 446 00:20:25,160 --> 00:20:25,360 BLAST. 447 00:20:25,360 --> 00:20:27,720 SO THIS INDICATES THAT THE TTD 448 00:20:27,720 --> 00:20:29,720 SECRETE AND PRODUCE THE FACTORS 449 00:20:29,720 --> 00:20:34,320 THAT CAN INFLUENCE THE MIGRATION 450 00:20:34,320 --> 00:20:37,080 RATE OF THE FIBRO BLAST, SO 451 00:20:37,080 --> 00:20:39,480 THOSE SAY THAT THIS SECRETE 452 00:20:39,480 --> 00:20:42,560 FACTOR IS INDEED AN NP 1 AND WE 453 00:20:42,560 --> 00:20:53,240 USE AN INHIBITOR OF DMT, AND 454 00:20:53,240 --> 00:20:55,320 ENZYMES THAT THE WE CAN ALSO 455 00:20:55,320 --> 00:20:58,160 SLOW DOWN THE FIBRO BLAST 456 00:20:58,160 --> 00:20:58,720 SURROUNDED BY TTP. 457 00:20:58,720 --> 00:21:01,640 SO BECAUSE THE MUTATION IN THE 458 00:21:01,640 --> 00:21:04,120 COLLAGEN TYPE 6 GENES THAT ARE 459 00:21:04,120 --> 00:21:07,000 IN THE COLLAGEN TYPE 1 GENES ARE 460 00:21:07,000 --> 00:21:09,320 RESPONSIBLE FOR HUMAN GENETIC 461 00:21:09,320 --> 00:21:13,960 DISORDERS THAT WE DECIDED TO 462 00:21:13,960 --> 00:21:16,400 COMPARE THE PHENOTYPE OF THE 463 00:21:16,400 --> 00:21:17,760 COLLAGEN 6 PATIENTS, THEY ARE 464 00:21:17,760 --> 00:21:20,400 AFFECTED BY THE CONGENIT ONAL 465 00:21:20,400 --> 00:21:30,920 MUSCLE, OR THE MUSCLE DYSTROPHY, 466 00:21:34,680 --> 00:21:36,720 SO WE ARE NOW WONDERING AND ASK 467 00:21:36,720 --> 00:21:38,360 WHETHER THE TRANSCRIPTION 468 00:21:38,360 --> 00:21:40,200 REGULATION, COLLAGEN 6 THAT WE 469 00:21:40,200 --> 00:21:45,920 OBSERVE ONLY SPECIFIC CELL 470 00:21:45,920 --> 00:21:47,320 CULTURE CONDITION MAY AFFECT FOR 471 00:21:47,320 --> 00:21:50,440 THE JOIN CHAPTERS THAT BEEN 472 00:21:50,440 --> 00:21:52,640 REPORTED THAT MEAN SOME TO TCB 473 00:21:52,640 --> 00:21:54,240 PATIENTS AND WHETHER THE 474 00:21:54,240 --> 00:21:57,920 OVEREXPRESSION OF AN NTP 1 COULD 475 00:21:57,920 --> 00:21:59,640 EXPLAIN THE PROGRESSIVE BONE 476 00:21:59,640 --> 00:22:02,480 ACTIVATIONS THAT HAVE BEEN 477 00:22:02,480 --> 00:22:03,280 DESCRIBED IN TTD. 478 00:22:03,280 --> 00:22:06,160 A THIRD GENE THAT WE FOUND 479 00:22:06,160 --> 00:22:15,800 TRANSCRIPTIONOT REGULATOR SYSTEM 480 00:22:15,800 --> 00:22:18,000 PPGIS AND THIS IS COMPARED TO 481 00:22:18,000 --> 00:22:20,200 THE CONTROL FIBRO PLAOF THE AND 482 00:22:20,200 --> 00:22:22,760 A REDUCED PROTEIN AMOUNT IN THE 483 00:22:22,760 --> 00:22:25,240 TTD PATIENTS, MOVING MUTATION 484 00:22:25,240 --> 00:22:28,960 BUT NOT IN THE EAST MUTATION. 485 00:22:28,960 --> 00:22:34,280 SO THIS ENZYME BELONGS TO 486 00:22:34,280 --> 00:22:37,480 PATHWAY THAT'S AGE 2 AS A 487 00:22:37,480 --> 00:22:40,120 PRECURSOR AND THEN USES THE 488 00:22:40,120 --> 00:22:44,000 LAMINA A2 AS A SUBSET THE PROOF 489 00:22:44,000 --> 00:22:47,640 THE O GLANDIN I2, SO THOSE ARE 490 00:22:47,640 --> 00:22:51,720 THE ACTIVE THAT ARE IMPORTANT 491 00:22:51,720 --> 00:22:54,920 FOR FUNCTION THIS HAS BEEN SHOWN 492 00:22:54,920 --> 00:22:56,880 TO HAVE IMPORTANT AS AN 493 00:22:56,880 --> 00:23:00,240 IMPORTANT REGULATOR OF THE 494 00:23:00,240 --> 00:23:02,240 CARDIOVASCULAR SYSTEM, IT IS AN 495 00:23:02,240 --> 00:23:06,600 INHIBITOR OF THE PLACE OF 496 00:23:06,600 --> 00:23:08,600 OBLIGATIONS, AND IT ALSO 497 00:23:08,600 --> 00:23:10,040 IMPORTANT IT IS IMPORTANT 498 00:23:10,040 --> 00:23:18,080 ENDOGENOUS VASE O DILATOR. 499 00:23:18,080 --> 00:23:21,160 PLGA2 HAS SHOWN IT CAN BE IN THE 500 00:23:21,160 --> 00:23:22,880 IMMUNE SYSTEM, THE INNATE AND 501 00:23:22,880 --> 00:23:24,440 INDUSTRIOUSIVE IMMUNE SYSTEM AS 502 00:23:24,440 --> 00:23:28,120 WELL AS A FACTOR ON THE OLIGIO 503 00:23:28,120 --> 00:23:30,720 CITES DIFFERENTIATION AND IT HAS 504 00:23:30,720 --> 00:23:33,880 BEEN FOUND OVER A SPLICE IN THE 505 00:23:33,880 --> 00:23:35,040 STROMA THAT SURROUNDS A SPECIFIC 506 00:23:35,040 --> 00:23:38,360 TYPE OF TUMOR CELL, MAINLY AT 507 00:23:38,360 --> 00:23:43,040 THE LEVEL OF THE LUNGS. 508 00:23:43,040 --> 00:23:45,040 SO CONSIDERING THAT TTD, THE 509 00:23:45,040 --> 00:23:51,560 FREQUENTLY PRESENT A WEAK IMMUNE 510 00:23:51,560 --> 00:23:53,920 SYSTEM AND THEY ALSO CANNOT 511 00:23:53,920 --> 00:23:56,320 ACCUMULATE THE SUBCUTANEOUS 512 00:23:56,320 --> 00:23:56,720 FACT. 513 00:23:56,720 --> 00:24:03,200 WE ARE NOW WONDERING WHETHER THE 514 00:24:03,200 --> 00:24:04,000 PGIS TRANSCRIPTION REGULATION 515 00:24:04,000 --> 00:24:06,240 WILL SOMEHOW ACCOUNT FOR THIS 516 00:24:06,240 --> 00:24:10,920 FEATURE IN TD, AND THEN 517 00:24:10,920 --> 00:24:11,640 EVENTUALLY IT WILL SOMEHOW 518 00:24:11,640 --> 00:24:13,960 CONTRIBUTE TO THE LACK OF CANCER 519 00:24:13,960 --> 00:24:15,280 FORMATION IN T, TD. 520 00:24:15,280 --> 00:24:17,160 SO IN TRYING TO UNDERSTAND IT 521 00:24:17,160 --> 00:24:19,560 AND PARTIALLY ADDRESS THIS 522 00:24:19,560 --> 00:24:21,120 QUESTION, WE EXTENDED THE 523 00:24:21,120 --> 00:24:22,720 ANALYSIS TO ANOTHER GROUP OF 524 00:24:22,720 --> 00:24:26,040 PATIENTS, THESE ARE TTD PATIENTS 525 00:24:26,040 --> 00:24:27,360 BECAUSE THEY PRESENT THE TIGER 526 00:24:27,360 --> 00:24:30,840 TAIL OF THE PATH, BUT THEY ARE 527 00:24:30,840 --> 00:24:34,600 NOT MUTATED IN THE COMPLEX, THIS 528 00:24:34,600 --> 00:24:37,160 REPRESENT IN A NORMAL NUCLEOTIDE 529 00:24:37,160 --> 00:24:39,440 EXCISION REPAIR ACTIVITY AND THE 530 00:24:39,440 --> 00:24:42,080 CELLS RESPOND NORMALLY TO THE UV 531 00:24:42,080 --> 00:24:43,920 RADIATION. 532 00:24:43,920 --> 00:24:45,320 SO, WE OBSERVED THE AMOUNT OF 533 00:24:45,320 --> 00:24:49,640 THIS PATIENT THAT IS A WIDE 534 00:24:49,640 --> 00:24:52,000 HETEROGENERATEDDITY THAT CAN BE 535 00:24:52,000 --> 00:24:52,840 MUTATE INDEED SEVERAL DIFFERENT 536 00:24:52,840 --> 00:24:55,000 GENES AND WE COULD OBSERVE THAT 537 00:24:55,000 --> 00:24:57,520 BOTH THE PROTEIN LEVEL AND THE 538 00:24:57,520 --> 00:24:58,320 TRANSCRIPT LEVEL INDEPENDENTLY 539 00:24:58,320 --> 00:25:00,200 ON THE GENE, THE MUTATED GENE, 540 00:25:00,200 --> 00:25:05,480 THE CELLS OF THE PATIENT CONTAIN 541 00:25:05,480 --> 00:25:08,040 REDUCED AMOUNT OF THE PLGIS, AND 542 00:25:08,040 --> 00:25:10,400 THIS IS CANNED WHAT BY 543 00:25:10,400 --> 00:25:13,560 RECRUITMENT OF BOTH THE TF2 H 544 00:25:13,560 --> 00:25:15,160 AND THE OLIGMERACE 2 ON THE GENE 545 00:25:15,160 --> 00:25:15,440 PROMOTER. 546 00:25:15,440 --> 00:25:18,360 BOTH IN THE PATIENTS, MUTATING 547 00:25:18,360 --> 00:25:20,080 ACTIVATE AND ALSO IN THE 548 00:25:20,080 --> 00:25:21,880 PATIENTS THAT ARE NOT MUTATING. 549 00:25:21,880 --> 00:25:24,680 SO THEY HAVE A NORMAL--DNA 550 00:25:24,680 --> 00:25:27,000 REPAIR ACTIVITY. 551 00:25:27,000 --> 00:25:28,320 SO INDICATING THAT THIS IS THE 552 00:25:28,320 --> 00:25:34,760 FIRST TIME AND THATY WE FOUND A 553 00:25:34,760 --> 00:25:36,760 TRANSCRIPTION D-FACTOR THAT 554 00:25:36,760 --> 00:25:38,720 ACCOUNTS AND IS PRESERVED, THE 555 00:25:38,720 --> 00:25:43,040 REGULATION IN ALL TTD PATIENTS. 556 00:25:43,040 --> 00:25:46,360 SO, IT'S WHAT WE CALL A GOLD 557 00:25:46,360 --> 00:25:47,520 STANDARD MARKER FOR THIS 558 00:25:47,520 --> 00:25:48,880 DISORDER AND WE HOPE THAT IT 559 00:25:48,880 --> 00:25:54,480 MIGHT CONTRIBUTE TO THE CLINICAL 560 00:25:54,480 --> 00:25:55,320 DIAGNOSIS. 561 00:25:55,320 --> 00:25:57,920 CONCERNING THE PATIENT, THE TTD 562 00:25:57,920 --> 00:26:00,960 PATIENTS PRESENT NORMAL DNA 563 00:26:00,960 --> 00:26:01,720 REPAIR ACTIVITY. 564 00:26:01,720 --> 00:26:03,920 IMPORTANT STUDIES HAVE BEEN 565 00:26:03,920 --> 00:26:05,920 PERFORMED AND IN SUPPORT OF THE 566 00:26:05,920 --> 00:26:10,600 FACT THAT TTD CAN REALLY BE 567 00:26:10,600 --> 00:26:11,640 ASSOCIATED WITH TRANSCRIPTIONAL 568 00:26:11,640 --> 00:26:12,760 IMPAIRMENT THIS CAME FROM A 569 00:26:12,760 --> 00:26:16,000 STUDY THAT WE HAVE PERFORMED IN 570 00:26:16,000 --> 00:26:19,880 COLLABORATION WITH KEN KRAEMER, 571 00:26:19,880 --> 00:26:21,640 WE BOTH FOUND PATIENTS THAT WERE 572 00:26:21,640 --> 00:26:23,040 MUTATING WITH THE GENE, WE FOUND 573 00:26:23,040 --> 00:26:26,120 2 CASES OTHERS BOTH CONTAINING 574 00:26:26,120 --> 00:26:29,480 THE PATIENT TO SHOW THE 575 00:26:29,480 --> 00:26:30,880 DIFFICULT TYPE OF 576 00:26:30,880 --> 00:26:33,080 [INDISCERNIBLE] AND THE 2 577 00:26:33,080 --> 00:26:34,760 PATIENTS WERE HOMOZYGOUS FOR 578 00:26:34,760 --> 00:26:36,720 THIS MUTATION IN THE SAME GENE 579 00:26:36,720 --> 00:26:39,960 WHICH IS THE GTF2 E2 GENE WHICH 580 00:26:39,960 --> 00:26:43,920 IS ENCODES THE BETA UNITS OF THE 581 00:26:43,920 --> 00:26:44,520 TRANSCRIPTION FACTDOR 3. 582 00:26:44,520 --> 00:26:46,640 SO THE TRANSCRIPTION FACTOR 3 583 00:26:46,640 --> 00:26:49,600 MADE THE SUBUNITS AND IS ALSO 584 00:26:49,600 --> 00:26:53,120 LIKE TF2 H AND IMPORTANT AND 585 00:26:53,120 --> 00:26:54,240 ESSENTIAL ELEMENT IN THE 586 00:26:54,240 --> 00:26:55,960 FORMATION OF THE INITIATION 587 00:26:55,960 --> 00:26:57,720 COMPLEX, THE INTERACTION BETWEEN 588 00:26:57,720 --> 00:26:59,760 TF2 H AND EXTREMELY IMPORTANT 589 00:26:59,760 --> 00:27:02,240 ALSO TO ACTIVATE THE KINASE 590 00:27:02,240 --> 00:27:06,120 ACTIVITY OF TF2 H AND THEN THE 591 00:27:06,120 --> 00:27:07,840 SUBSEQUENT PHOSPHORYLATION AND 592 00:27:07,840 --> 00:27:09,040 ACTIVATION OF [INDISCERNIBLE]. 593 00:27:09,040 --> 00:27:10,800 SO TOGETHER WE CAN, WE ARE ABLE 594 00:27:10,800 --> 00:27:13,680 TO DEMONSTRATE THAT THE 595 00:27:13,680 --> 00:27:16,640 MUTATIONS, BOTH MUTATIONS 596 00:27:16,640 --> 00:27:17,560 AFFECTING, AFFECTERRING THE 597 00:27:17,560 --> 00:27:20,280 STABILITY OF THE TF2 BETA UNIT 598 00:27:20,280 --> 00:27:23,800 BUT ALSO THE TF2 IN OUR SUBUNIT, 599 00:27:23,800 --> 00:27:25,520 INDICATING THAT SIMILARLY TO THE 600 00:27:25,520 --> 00:27:28,040 TF2 H AND MUTATED THE CELLS, 601 00:27:28,040 --> 00:27:31,000 ALSO IN THIS CASE, THERE IS A 602 00:27:31,000 --> 00:27:33,200 REDUCED AMOUNT OF THE BASAL 603 00:27:33,200 --> 00:27:36,880 TRANSCRIPTION FACTOR. 604 00:27:36,880 --> 00:27:38,360 SO THESE WERE SURPRISING SOME 605 00:27:38,360 --> 00:27:40,920 SUPPORT AND SUGGESTING THAT TTD 606 00:27:40,920 --> 00:27:42,000 CLINICAL FEATURE ARE REALLY 607 00:27:42,000 --> 00:27:45,800 RELATED TO THE TRANSCRIPTIONAL 608 00:27:45,800 --> 00:27:46,160 DEFECT. 609 00:27:46,160 --> 00:27:48,560 BUT THEN IMMEDIATELY AFTER THAT, 610 00:27:48,560 --> 00:27:53,880 IN OUR LAB, AND IN COLLABORATION 611 00:27:53,880 --> 00:27:56,840 WITH [INDISCERNIBLE] IN THE 612 00:27:56,840 --> 00:27:57,560 [INDISCERNIBLE] LAB, IDENTIFY 613 00:27:57,560 --> 00:27:59,640 ANOTHER FEW CASES OF THE 614 00:27:59,640 --> 00:28:01,240 PATIENTS THAT ARE NOW PROFICIENT 615 00:28:01,240 --> 00:28:05,440 SO THEY DON'T HAVE 616 00:28:05,440 --> 00:28:05,840 [INDISCERNIBLE]. 617 00:28:05,840 --> 00:28:09,600 THEY PRESENT THE TIGER TAIL PAIR 618 00:28:09,600 --> 00:28:10,880 OF ABNORMALITY AND THESE FEW 619 00:28:10,880 --> 00:28:13,280 CASES OF PATIENTS ARE MUTATED IN 620 00:28:13,280 --> 00:28:15,120 GENES SO THAT ENCODE FOR A GROUP 621 00:28:15,120 --> 00:28:18,120 OF PROTEIN THAT ARE CALLED THE 622 00:28:18,120 --> 00:28:21,160 TRNA PIECE, THE SPECIFIC TRNA 623 00:28:21,160 --> 00:28:22,160 SYNTH TAIS INHIBITORS HAVE BEEN 624 00:28:22,160 --> 00:28:24,240 FOUND MUTATED AND THESE ARE 625 00:28:24,240 --> 00:28:26,800 ENZYMES SO THAT ARE EASIER TO 626 00:28:26,800 --> 00:28:29,600 UPLOAD THE PROGRAM CORRECT AMINO 627 00:28:29,600 --> 00:28:31,520 ACIDS ON THE CORRESPONDING TRNA, 628 00:28:31,520 --> 00:28:34,000 SO WHEN THE TRNA IS CHARGED WITH 629 00:28:34,000 --> 00:28:38,200 THE IMMUNO, IT'S USED TO--IN THE 630 00:28:38,200 --> 00:28:39,480 PROTEIN SYNTHESIS PROCESS BY THE 631 00:28:39,480 --> 00:28:41,760 RIBOSOMES FOR THE PROTEIN 632 00:28:41,760 --> 00:28:42,200 SYNTHESIS. 633 00:28:42,200 --> 00:28:45,760 SO WHAT WE OBSERVE IS THAT THE 634 00:28:45,760 --> 00:28:47,320 OTHER YOU HADITATIONS THAT WE 635 00:28:47,320 --> 00:28:48,600 HAVE IDENTIFIED IN THESE 636 00:28:48,600 --> 00:28:51,600 PATIENTS ALSO RESULT IN REDUCED 637 00:28:51,600 --> 00:28:52,360 PROTEIN SYNTHESIS. 638 00:28:52,360 --> 00:28:56,760 SO THESE CELLS CONTAIN REDUCED 639 00:28:56,760 --> 00:29:00,240 AMOUNT OF THE [INDISCERNIBLE] 640 00:29:00,240 --> 00:29:01,040 TRA SYNTH TAIS INHIBITOR, BUT 641 00:29:01,040 --> 00:29:04,600 BECAUSE OF THAT WE HAD TO 642 00:29:04,600 --> 00:29:06,160 RECONSIDER AND REVISE OUR IDEA 643 00:29:06,160 --> 00:29:07,560 OF CHILD DYSTROPHY AND NOW WE 644 00:29:07,560 --> 00:29:09,560 ARE USING A BROADER DEFINITION 645 00:29:09,560 --> 00:29:11,760 SAYING THAT TTD IS NOT ONLY 646 00:29:11,760 --> 00:29:15,160 TRANSCRIPTIONAL BUT THE GENE 647 00:29:15,160 --> 00:29:16,560 EXPRESSION DISORDER. 648 00:29:16,560 --> 00:29:20,880 AND THE SECOND PART OF MY TALK, 649 00:29:20,880 --> 00:29:24,880 I WOULD LIKE TO FOCUS ON THE 650 00:29:24,880 --> 00:29:26,600 THIRD, THE DISORDER ASSOCIATED 651 00:29:26,600 --> 00:29:30,560 WITH DNA REPAIR FACTOR WHICH IS 652 00:29:30,560 --> 00:29:33,840 THE COCKAYNE SYNDROME, IT'S THE 653 00:29:33,840 --> 00:29:36,160 MAJORITY OF PATIENTS ARE CSA OR 654 00:29:36,160 --> 00:29:38,520 CSG GENE AND THESE PLAY AN 655 00:29:38,520 --> 00:29:41,640 IMPORTANT ROLE IN TRANSCRIPTION 656 00:29:41,640 --> 00:29:42,920 REPAIR, SO THEY ARE SHOWN TO 657 00:29:42,920 --> 00:29:44,440 REMOVE IT, TO RECOGNIZE THE 658 00:29:44,440 --> 00:29:47,800 LESIONS THAT INTERFERE WITH THE 659 00:29:47,800 --> 00:29:48,360 TRANSCRIPTIONAL PROCESS. 660 00:29:48,360 --> 00:29:52,000 IF WE LOOK HERE AT THE PICTURES 661 00:29:52,000 --> 00:29:56,240 OF THE CS PATIENTS, OF THE SAME 662 00:29:56,240 --> 00:29:58,320 PATIENTS OVER THE EAR, WE CAN 663 00:29:58,320 --> 00:29:59,800 CLEARLY OBSERVE THE APPEARANCE 664 00:29:59,800 --> 00:30:01,160 OF THE GENERAL FEATURES THAT 665 00:30:01,160 --> 00:30:03,480 AFFECT THE PATIENTS, SO THIS IS 666 00:30:03,480 --> 00:30:05,240 AN ITALIAN PATIENT, SO THAT'S 667 00:30:05,240 --> 00:30:07,480 CARRYING A MUTATION IN THE CSA 668 00:30:07,480 --> 00:30:09,800 GENE, SHE DIED AROUND THE AGE 669 00:30:09,800 --> 00:30:11,920 EVER 18 YEARS, WITH THE PROBLEMS 670 00:30:11,920 --> 00:30:16,800 THAT MANY DIFFERENT ORGANS. 671 00:30:16,800 --> 00:30:18,280 SO WOO CAN--BASED ON THAT BY 672 00:30:18,280 --> 00:30:19,600 LOOKING AT THE PROGRESSION OF 673 00:30:19,600 --> 00:30:23,480 THE DISORDER WE CAN CLAIRLY SAY 674 00:30:23,480 --> 00:30:26,920 THAT CSA AND IN A SIMILAR WAY 675 00:30:26,920 --> 00:30:32,120 CSB PLAY AN IMPORTANT ROLE IN 676 00:30:32,120 --> 00:30:34,200 PRESERVING THE FEATURE AND THE 677 00:30:34,200 --> 00:30:36,160 ORGAN FUNCTIONALITY AND THEY 678 00:30:36,160 --> 00:30:39,600 COME TO THE APPEARANCE OF THE 679 00:30:39,600 --> 00:30:41,160 DEGENERATIVE FEATURES. 680 00:30:41,160 --> 00:30:44,640 BUT HOWEVER, WE WERE VERY 681 00:30:44,640 --> 00:30:48,520 SURPRISED THAT WHEN IN 2009, 682 00:30:48,520 --> 00:30:50,520 ANOTHER NOW IN COLLABORATION 683 00:30:50,520 --> 00:30:52,320 WITH THE [INDISCERNIBLE]. 684 00:30:52,320 --> 00:30:55,680 THEY WERE CHARACTERIZING A 685 00:30:55,680 --> 00:30:56,680 PATIENT [INDISCERNIBLE] PATIENT 686 00:30:56,680 --> 00:30:59,200 THAT WAS CLASSIFIED AS A UV 687 00:30:59,200 --> 00:31:04,800 SENSITIVE, AFFECTED BY THE UV 688 00:31:04,800 --> 00:31:09,640 SYNDROME, BECAUSE THE ONLY ONLY 689 00:31:09,640 --> 00:31:11,040 SHOWED SEBSATIVITY AND AND THEN 690 00:31:11,040 --> 00:31:12,680 THE PATIENTS SHOW A NORMAL 691 00:31:12,680 --> 00:31:15,080 PHYSICAL AND MENTAL DEVELOPMENT. 692 00:31:15,080 --> 00:31:17,640 BUT WHEN THEY PERFORM, WHEN IN 693 00:31:17,640 --> 00:31:20,400 THE LAB THEY PERFORM THE 694 00:31:20,400 --> 00:31:23,040 ANALYSIS TO IDENTIFY WHICH GENE 695 00:31:23,040 --> 00:31:25,080 WAS RESPONSIBLE FOR THESE NEW 696 00:31:25,080 --> 00:31:26,720 SENSITIVITY, SHE FOUND OUT THAT 697 00:31:26,720 --> 00:31:31,040 LIMITATION WAS IN THE CSA GENE, 698 00:31:31,040 --> 00:31:33,120 IN PARTICULAR IT WAS NOVEL 699 00:31:33,120 --> 00:31:35,720 MUTATIONS THAT WAS FOUND IN 700 00:31:35,720 --> 00:31:39,760 HOMOSIGNIFY SWROGGITY IN THE 701 00:31:39,760 --> 00:31:42,560 PATIENTS AND IT'S LOCATED IN THE 702 00:31:42,560 --> 00:31:53,040 C-TERMINAL OF THE PROTEIN. 703 00:31:55,200 --> 00:31:59,720 SHE LOOKED AT THE AND THE 704 00:31:59,720 --> 00:32:09,120 SENSITIVITY TO A RADIATION 705 00:32:09,120 --> 00:32:19,600 HOWEVER, THE CELLS THAT ARE 706 00:32:23,440 --> 00:32:25,400 DAMAGE INDICATING THE SPECIFIC 707 00:32:25,400 --> 00:32:28,160 MUTATION SOMEHOW CAN AFFECT THE 708 00:32:28,160 --> 00:32:29,440 TRANSCRIPTION CAP LANREPAIR BUT 709 00:32:29,440 --> 00:32:31,240 IT DOESN'T AFFECT OTHER PATHWAY 710 00:32:31,240 --> 00:32:35,080 IN THAT IN WHICH THE CSA IS 711 00:32:35,080 --> 00:32:35,320 INVOLVED. 712 00:32:35,320 --> 00:32:37,760 SO, WE CAN ALSO SAY THAT BASED 713 00:32:37,760 --> 00:32:40,640 ON THAT, THAT THE DEFECTIVE CNA 714 00:32:40,640 --> 00:32:41,920 PROBABLY MAINLY RESULTS IN THE 715 00:32:41,920 --> 00:32:46,080 ACTIVATION BUT WE HAVE TO 716 00:32:46,080 --> 00:32:49,160 CONSIDER THE POSSIBILITY THAT IT 717 00:32:49,160 --> 00:32:51,960 WAS MOTOR LOGICAL AND PHYSICAL 718 00:32:51,960 --> 00:32:52,800 DETERIORATIONS AND PREMATURE 719 00:32:52,800 --> 00:32:54,800 AGING FEATURES THAT WE SEE IN 720 00:32:54,800 --> 00:32:56,400 THE CS PATIENTS, THEY PROBABLY 721 00:32:56,400 --> 00:32:58,560 REFLECT ADDITIONAL ROLES THAT 722 00:32:58,560 --> 00:33:02,320 THE CSA PLAYS OUTSIDE 723 00:33:02,320 --> 00:33:05,240 TRANSCRIPTION REPAIR, SO WITH 724 00:33:05,240 --> 00:33:06,760 THE IDEA TO ADDRESS, WELL, FIRST 725 00:33:06,760 --> 00:33:10,720 I HAVE TO SAY THAT THERE IS THE 726 00:33:10,720 --> 00:33:13,880 FACT THAT THE CS PROBING LATER 727 00:33:13,880 --> 00:33:15,520 ROLE OUTSIDE TRANSCRIPTION HAS 728 00:33:15,520 --> 00:33:18,160 BEEN DEMONSTRATED AND TESTED BY 729 00:33:18,160 --> 00:33:22,680 THE WORK OF MANY DIFFERENT 730 00:33:22,680 --> 00:33:25,560 GROUPS, IN FACT, THE CS PROTEIN 731 00:33:25,560 --> 00:33:28,240 ARE INVOLVED IN TRANSCRIPTION 732 00:33:28,240 --> 00:33:30,240 BOTH DNA POLYMERASE AND RNA 733 00:33:30,240 --> 00:33:31,400 POLYMERASE 1, THEY HAVE BEEN 734 00:33:31,400 --> 00:33:34,760 SHOWN TO PLAY AN IMPORTANT ROLE 735 00:33:34,760 --> 00:33:38,600 IN THE FUNCTIONALITY BECAUSE OF 736 00:33:38,600 --> 00:33:40,120 THE CSA PATIENT, ACCUMULATING 737 00:33:40,120 --> 00:33:42,920 THE POLARIZED MITOCHONDRIA O 738 00:33:42,920 --> 00:33:45,800 CHONDRIAL AND MITOCHONDRIAL FRAG 739 00:33:45,800 --> 00:33:46,760 M-TEBURKEULOSEISATIONS, CSB 740 00:33:46,760 --> 00:33:49,120 IMPACTS SO WITH A KEY PLAYER IN 741 00:33:49,120 --> 00:33:50,840 THE BASIC EXCISION REPAIR, AND 742 00:33:50,840 --> 00:33:52,840 MORE SIMPLY IT HAS BEEN 743 00:33:52,840 --> 00:33:53,720 DEMONSTRATED THAT CSB AND ALSO 744 00:33:53,720 --> 00:33:56,240 PLAY A ROLE IN THE MITOTIC 745 00:33:56,240 --> 00:33:58,760 PROCESS, SO IT IS NOT SURPRISING 746 00:33:58,760 --> 00:34:02,800 TO THINK THAT THEY PLAY A ROLE 747 00:34:02,800 --> 00:34:03,600 OUTSIDE TRANSCRIPTION REPAIR, 748 00:34:03,600 --> 00:34:08,800 BUT PROBABLY WHAT WE CAN LEARN 749 00:34:08,800 --> 00:34:11,040 FROM THE SPECIFICALLY SENSITIVE 750 00:34:11,040 --> 00:34:15,280 PATIENT IS THAT CSA PROBABLY 751 00:34:15,280 --> 00:34:17,280 INTERACTS WITH DIFFERENT 752 00:34:17,280 --> 00:34:18,320 PLATFORMS AND THE INVITATION 753 00:34:18,320 --> 00:34:20,040 WITH THE TERMINAL REGION WITH 754 00:34:20,040 --> 00:34:25,960 THE FACT OF CSA, WE ARE NORMALLY 755 00:34:25,960 --> 00:34:27,320 INTERACTING IN TRANSCRIPTION CAP 756 00:34:27,320 --> 00:34:29,640 LANREPAIR BUT DOESN'T AFFECT THE 757 00:34:29,640 --> 00:34:31,360 INTERACTION OF CSA WITH OTHER 758 00:34:31,360 --> 00:34:33,360 PARTNERS, THAT ARE RELEVANT FOR 759 00:34:33,360 --> 00:34:35,560 THE OUTER FUNCTION OF CSA. 760 00:34:35,560 --> 00:34:39,120 >> SO WITH THE IDEA TO IDENTIFY 761 00:34:39,120 --> 00:34:41,240 WHICH ARE OTHER PROTEINS 762 00:34:41,240 --> 00:34:44,760 INTERACTING PROTEINS WITH THE 763 00:34:44,760 --> 00:34:47,680 CSA FOR C SA FUNCTIONALITY, WE 764 00:34:47,680 --> 00:34:52,400 DEVELOP THE PANEL OF ISOGENIC 765 00:34:52,400 --> 00:34:54,240 CELLS, WE--BY USING FIRST WE USE 766 00:34:54,240 --> 00:34:58,120 THE FOUND EFFECTIVE IN CSA, AND 767 00:34:58,120 --> 00:35:03,200 ORGANIZE THE CELLS AND WE 768 00:35:03,200 --> 00:35:08,040 INTEGRATED A SINGLE POSSIBILITY 769 00:35:08,040 --> 00:35:11,520 OF THE CHROMOSOME 9, THAT 770 00:35:11,520 --> 00:35:13,240 CONTAINS THAT INCLUDING THE WILD 771 00:35:13,240 --> 00:35:14,280 TYPE FORM OF CSA. 772 00:35:14,280 --> 00:35:16,280 WE ALSO USE THE SAME APPROACH TO 773 00:35:16,280 --> 00:35:18,400 EXPRESS THE MUTATED SPECIFICALLY 774 00:35:18,400 --> 00:35:20,160 MUTATED OF CSA, BUT TODAY I WILL 775 00:35:20,160 --> 00:35:23,280 ONLY FOCUS ON THE WILD TYPE CSA. 776 00:35:23,280 --> 00:35:27,120 SO WE FIRST VERIFY THIS QUESTION 777 00:35:27,120 --> 00:35:32,320 OF THE COMBINATION OF THE TOPIC 778 00:35:32,320 --> 00:35:32,680 GENE. 779 00:35:32,680 --> 00:35:34,320 THE TRANSGENE WE VERIFIED THAT 780 00:35:34,320 --> 00:35:35,760 PROPOSED DISCLOSURE TEEN WAS 781 00:35:35,760 --> 00:35:37,960 LOCALIZING IN THE CASE, AND WE 782 00:35:37,960 --> 00:35:39,760 SHOULD CHECK THE FUNCTIONALITY 783 00:35:39,760 --> 00:35:44,000 OF THIS PROTEIN, BECAUSE THE C 784 00:35:44,000 --> 00:35:45,320 SA DEFACTOR CELLS IN THE WILD 785 00:35:45,320 --> 00:35:49,080 TYPE FORM OF CSA, COULD RECOVER 786 00:35:49,080 --> 00:35:52,840 BOTH OF THE UV SENSITIVITY AND 787 00:35:52,840 --> 00:35:56,400 ALSO THE SENSITIVITY TOWARDS THE 788 00:35:56,400 --> 00:35:56,880 STEPS. 789 00:35:56,880 --> 00:35:58,800 SO, THE PROTEIN IS FUNCTIONAL 790 00:35:58,800 --> 00:36:02,400 AND THANKS TO THE FACT THAT THE 791 00:36:02,400 --> 00:36:05,520 PROTEIN HAS DUAL TARGET ON THE 792 00:36:05,520 --> 00:36:08,360 C-TERMINAL REGION. 793 00:36:08,360 --> 00:36:09,760 WE COULD PERFORM 794 00:36:09,760 --> 00:36:13,000 AUTHENTIFICATIONS TO IDENTIFY 795 00:36:13,000 --> 00:36:16,400 AND ISOLATE CSA INTERACTION AND 796 00:36:16,400 --> 00:36:19,120 THEN BY MASS SPEC TROMETRY WE 797 00:36:19,120 --> 00:36:20,720 IDENTIFY WHICH PROTEINS INTERACT 798 00:36:20,720 --> 00:36:23,840 WITH THE CSA, WE END UP WITH A 799 00:36:23,840 --> 00:36:25,960 CONSIDERABLE NUMBER OF CSA 800 00:36:25,960 --> 00:36:27,600 INTERACTIVES, ALL THE PROTEINS 801 00:36:27,600 --> 00:36:30,800 THAT HAVE KNOWN TO ISHT ACT WITH 802 00:36:30,800 --> 00:36:31,920 THE CSA TRANSCRIPTION REPAIR 803 00:36:31,920 --> 00:36:33,040 HAVE BEEN IDENTIFIED BUT ALSO 804 00:36:33,040 --> 00:36:36,920 SEVERAL OF THE NOVEL PROTEINS 805 00:36:36,920 --> 00:36:41,120 AND AMOUNT THEM THE FIBRO 806 00:36:41,120 --> 00:36:43,040 CHELATASE, SO THAT WAS AN 807 00:36:43,040 --> 00:36:45,240 INTERESTING PROTEIN CLASS 808 00:36:45,240 --> 00:36:46,880 BECAUSE IT IS FIRST AS A MIGHT 809 00:36:46,880 --> 00:36:48,960 ON CHONDRIAL PROTEIN AND IT IS 810 00:36:48,960 --> 00:36:56,760 KNOWN, IT'S AN ENZYME THAT IS 811 00:36:56,760 --> 00:36:58,920 IMPORTANT TO UPLOAD THE 812 00:36:58,920 --> 00:36:59,960 [INDISCERNIBLE] INTO THE 2 TEEN 813 00:36:59,960 --> 00:37:03,560 9 SO IT CATALYZES AND MEDIATES 814 00:37:03,560 --> 00:37:06,680 THE BIOSIPGHT SIS OF THE LAST 815 00:37:06,680 --> 00:37:07,040 [INDISCERNIBLE]. 816 00:37:07,040 --> 00:37:08,320 THE MUTATION IN FACT ARE FOUND 817 00:37:08,320 --> 00:37:12,320 IN PATIENTS AFFECTED BY THE 818 00:37:12,320 --> 00:37:12,720 [INDISCERNIBLE]. 819 00:37:12,720 --> 00:37:15,160 THE PATIENT SHOW SEVERE AND PAIN 820 00:37:15,160 --> 00:37:17,240 EMPLOY PHOTO TOXIC REACTIONS SO 821 00:37:17,240 --> 00:37:18,520 THEY ARE PHOTO SENSITIVE, BOTH 822 00:37:18,520 --> 00:37:20,000 AT THE LEVEL OF THE SKIN BUT 823 00:37:20,000 --> 00:37:22,240 ALSO THE LEVEL OF THE LIVER. 824 00:37:22,240 --> 00:37:24,400 AND THIS IS PROBABLY BECAUSE IT 825 00:37:24,400 --> 00:37:31,480 IS DUE TO THE FACT THAT THE 826 00:37:31,480 --> 00:37:32,240 PATIENTS ACCUMULATE 827 00:37:32,240 --> 00:37:34,840 [INDISCERNIBLE] IN THEIR BLOOD. 828 00:37:34,840 --> 00:37:39,720 SO WE DECIDE TO INVESTIGATE THE 829 00:37:39,720 --> 00:37:42,800 INTERACTIONS BETWEEN FECH AND 830 00:37:42,800 --> 00:37:45,520 THE DNA, OOH EXPOO FOUND IT'S 831 00:37:45,520 --> 00:37:47,920 NOT SO MUCH INSIDE THE 832 00:37:47,920 --> 00:37:50,800 MITOCHONDRIA, BUT MORE OCCURRING 833 00:37:50,800 --> 00:37:53,040 OUTSIDE THE MITOCHONDRIA, BY 834 00:37:53,040 --> 00:37:54,360 FORMING THE LIGATION ASSAY, 835 00:37:54,360 --> 00:37:56,400 THERE IS INTERACTION BETWEEN THE 836 00:37:56,400 --> 00:37:58,200 2 PROTEINS INSIDE AND IN 837 00:37:58,200 --> 00:38:02,000 PARTICULARLY IN THE AREA THAT 838 00:38:02,000 --> 00:38:03,040 THE [INDISCERNIBLE]. 839 00:38:03,040 --> 00:38:09,200 SO WE WENT FURTHER AND 840 00:38:09,200 --> 00:38:10,840 WE--VERIFIED THAT FACTOR WAS IN 841 00:38:10,840 --> 00:38:13,640 FACT PRESENT INSIDE THE 842 00:38:13,640 --> 00:38:14,000 [INDISCERNIBLE]. 843 00:38:14,000 --> 00:38:16,320 AND THEN WE WENT BACK TO OUR 844 00:38:16,320 --> 00:38:17,920 MASS [INDISCERNIBLE] ANALYSIS, 845 00:38:17,920 --> 00:38:20,160 TO SEE WHETHER OTHER PROTEINS 846 00:38:20,160 --> 00:38:25,240 INTERACT WITH CSA THAT WERE ALSO 847 00:38:25,240 --> 00:38:26,600 FOUND INSIDE [INDISCERNIBLE], 848 00:38:26,600 --> 00:38:29,600 AND WE FOUND SOME SPECIFIC 849 00:38:29,600 --> 00:38:31,400 RIBOSOMAL PROTEIN THAT BELONGED 850 00:38:31,400 --> 00:38:34,840 TO THE SMALL SUBUNIT OF THE 851 00:38:34,840 --> 00:38:36,320 RIBOSOME [INDISCERNIBLE], SO WE 852 00:38:36,320 --> 00:38:39,720 STARTED TO CHECK THE INFECTION 853 00:38:39,720 --> 00:38:41,920 BETWEEN FECH AND THESE RIBOSOMAL 854 00:38:41,920 --> 00:38:44,840 UNITS BUT ALSO THE POSSIBLE 855 00:38:44,840 --> 00:38:48,000 INTERACTION BETWEEN FECH AND DNA 856 00:38:48,000 --> 00:38:50,800 POLYMERASE 1 AND BY PERFORMING A 857 00:38:50,800 --> 00:38:56,160 2 STEP [INDISCERNIBLE] IN THE 858 00:38:56,160 --> 00:39:06,680 OUTER--BY USING THE CHROMATINS 859 00:39:12,720 --> 00:39:15,320 AND [AUDIO CUTS OUT ] WE WANT TO 860 00:39:15,320 --> 00:39:17,680 SHOW THAT ON THE CHROMATIN OF 861 00:39:17,680 --> 00:39:19,440 NORMAL FIBRO BLAST, THERE IS THE 862 00:39:19,440 --> 00:39:24,080 PRESENCE OF THE PROTEIN COMPLEX, 863 00:39:24,080 --> 00:39:26,960 WHICH CONTAINS BOTH THE 864 00:39:26,960 --> 00:39:30,480 [INDISCERNIBLE] CSA, CSB AND THE 865 00:39:30,480 --> 00:39:32,680 SPECIFIC RIBOSOMA PROTEIN. 866 00:39:32,680 --> 00:39:35,800 BY PERFORMING OF THESE 867 00:39:35,800 --> 00:39:36,400 PRECIPITATION EXPERIMENTS WE 868 00:39:36,400 --> 00:39:38,240 WERE ABLE TO OBSERVE THAT THE 869 00:39:38,240 --> 00:39:40,880 COMPLEX IS BOUND TO THE 870 00:39:40,880 --> 00:39:42,960 CHROMATIN, BUT WHEN CSA IS 871 00:39:42,960 --> 00:39:45,000 MISSING IT ALSO BINDS DUE TO 872 00:39:45,000 --> 00:39:46,480 CHROMATIN BUT THE AMOUNT OF THE 873 00:39:46,480 --> 00:39:48,160 COMPLEX IS REDUCED AS WE CAN 874 00:39:48,160 --> 00:39:52,360 OBSERVE WHEN WE CONVERT THE WIDE 875 00:39:52,360 --> 00:39:56,640 BAR THAT ARE THE FACTOR WITH C 876 00:39:56,640 --> 00:39:58,120 SA COMPARED TO THE BLACK BAR OF 877 00:39:58,120 --> 00:40:02,400 THE WILD TYPE CSA PROTEIN. 878 00:40:02,400 --> 00:40:04,760 BEFORE WE DO THE UV LIGHT WE 879 00:40:04,760 --> 00:40:05,760 OBSERVE THAT NORMAL FIBRO BLAST 880 00:40:05,760 --> 00:40:09,160 THERE IS A PARTIAL DESEGREGATION 881 00:40:09,160 --> 00:40:11,520 OF THE CONFLICTS AS WE CAN 882 00:40:11,520 --> 00:40:16,400 OBSERVE BY REDUCTION IN ALL 883 00:40:16,400 --> 00:40:19,480 THE--IN ALL THE ELEMENT OF THE 884 00:40:19,480 --> 00:40:22,400 COMPLEX, WHEREAS IN 1 CSA IS 885 00:40:22,400 --> 00:40:23,560 DEFECTIVE, THERE IS NO 886 00:40:23,560 --> 00:40:27,120 ALTERATION IN THE AMOUNT 887 00:40:27,120 --> 00:40:28,320 OF--THERE IS NO DESEGREGATION, 888 00:40:28,320 --> 00:40:31,400 SO THE FACT THAT THE CSA IS 889 00:40:31,400 --> 00:40:32,960 IMPORTANT FOR THE FORMATION OF 890 00:40:32,960 --> 00:40:34,800 THE PROTEIN OF THIS PROTEIN 891 00:40:34,800 --> 00:40:37,360 COMPLEX ON THE KRONISHEMMA TIN, 892 00:40:37,360 --> 00:40:41,320 IT HAS ALSO BEEN DEMONSTRATED BY 893 00:40:41,320 --> 00:40:42,000 PERFORMING THE PRECIPITATION, 894 00:40:42,000 --> 00:40:44,600 WHERE WE CAN OBSERVE THE 895 00:40:44,600 --> 00:40:45,840 EQUIVALENCY OF THE DNA 896 00:40:45,840 --> 00:40:48,320 POLYMERASE 1 ON THE RIBOSOMAL 897 00:40:48,320 --> 00:40:50,480 DNA, AND CLEARLY WE CAN OBSERVE 898 00:40:50,480 --> 00:40:52,440 THAT 1 CSA IS EXPRESSED, THE 899 00:40:52,440 --> 00:40:56,000 BLACK BARS, THERE IS A HIGHER 900 00:40:56,000 --> 00:40:57,400 [INDISCERNIBLE] OF DNA 901 00:40:57,400 --> 00:40:59,280 POLYMERASE, SO IN NORMAL CELLS 902 00:40:59,280 --> 00:41:02,840 IF WE SILENCE CSA, WE ALSO AGAIN 903 00:41:02,840 --> 00:41:05,040 FIND A REDUCTION IN THESE 904 00:41:05,040 --> 00:41:05,520 OTHERS. 905 00:41:05,520 --> 00:41:07,320 BUT THE SAME RESULT WE OBTAIN 906 00:41:07,320 --> 00:41:09,800 WHEN WE SILENCE THE FACT DURING 907 00:41:09,800 --> 00:41:11,920 THE CANNED WHAT INDICATING THAT 908 00:41:11,920 --> 00:41:14,200 MULTIPLE CSA, BUT ALSO THE 909 00:41:14,200 --> 00:41:16,120 [INDISCERNIBLE] ARE IMPORTANT 910 00:41:16,120 --> 00:41:18,400 FOR THE FORMATION OF THE RNA 911 00:41:18,400 --> 00:41:21,720 POLYMERASE COMPLEX ON THE 912 00:41:21,720 --> 00:41:24,240 RIBOSOMAL DNA. 913 00:41:24,240 --> 00:41:25,720 HOWEVER, WHEN WE CONTINUE THE 914 00:41:25,720 --> 00:41:28,400 EXPERIMENT TO VERIFY WHAT IF 915 00:41:28,400 --> 00:41:30,120 THERE WAS A REDUCTION IN THE 916 00:41:30,120 --> 00:41:31,680 SYNTHESIS OF THE ROBO STUDIES OF 917 00:41:31,680 --> 00:41:35,520 MULTIPLE ENDOCRINAL RNA, WE WERE 918 00:41:35,520 --> 00:41:37,320 SURPRISED TO OBSERVE THAT WHEN 919 00:41:37,320 --> 00:41:38,920 WE SILENCE CSA, IN FACT, WE 920 00:41:38,920 --> 00:41:41,720 OBLIGATIONS STAIN A REDUCTION IN 921 00:41:41,720 --> 00:41:44,800 THE RNA SIPGHT SIS, BUT WHEN WE 922 00:41:44,800 --> 00:41:47,040 SILENCE THAT, WE OBSERVE AN 923 00:41:47,040 --> 00:41:48,960 ACCUMULATION AND INCREASE AMOUNT 924 00:41:48,960 --> 00:41:51,960 OF RIBOSOMAL KD--SALLY RNA. 925 00:41:51,960 --> 00:41:53,600 SO THE SIM THING IF WE LOOK IN 926 00:41:53,600 --> 00:41:55,760 PATIENT CELLS SO THESE ARE 927 00:41:55,760 --> 00:41:59,880 PRIMARY FIBRO BLAST FROM EITHER 928 00:41:59,880 --> 00:42:01,680 NORMAL INDIVIDUAL OR PATIENTS 929 00:42:01,680 --> 00:42:03,200 WITH CSA AND CLEAR WE WE HAVE A 930 00:42:03,200 --> 00:42:07,400 REDUCTION IN THE RNA SYNTHESIS 931 00:42:07,400 --> 00:42:09,080 AND THESE WAS EXPECTED BECAUSE 932 00:42:09,080 --> 00:42:12,560 IT WAS PREVIOUSLY DEMONSTRATED 933 00:42:12,560 --> 00:42:14,920 BY A GROUP, EVEN THEY ALL SHOW 934 00:42:14,920 --> 00:42:20,720 THAT THE CS CELLS CONTAINA A 935 00:42:20,720 --> 00:42:22,040 REDUCED RIBOSOMAL TRANSCRIPTION. 936 00:42:22,040 --> 00:42:23,960 BUT AGAIN, WHEN WE LOOK AT THE 937 00:42:23,960 --> 00:42:25,520 MUTATIONS OF THOSE IN THE GENE, 938 00:42:25,520 --> 00:42:28,600 WE CAN OBSERVE AN INCREASE 939 00:42:28,600 --> 00:42:29,400 AMOUNT OF RIBOSOMAL 940 00:42:29,400 --> 00:42:30,080 [INDISCERNIBLE]. 941 00:42:30,080 --> 00:42:33,480 SO THIS IS IN COMONT WITH WHAT 942 00:42:33,480 --> 00:42:35,160 WE OBSERVE FOR THE RNA 943 00:42:35,160 --> 00:42:36,600 POLYMERASE 1 ON THE PROMOTER SO 944 00:42:36,600 --> 00:42:40,800 TRY TO UNDERSTAND THAT THE 945 00:42:40,800 --> 00:42:42,120 REASON OF THIS FREQUENCY, WE 946 00:42:42,120 --> 00:42:45,720 WE--WE--YOU FORM A REALTIME PC R 947 00:42:45,720 --> 00:42:47,960 ANALYSIS, IN PATIENTS FIBRO 948 00:42:47,960 --> 00:42:51,720 BLAST, AND THAT WE COULD CLEARLY 949 00:42:51,720 --> 00:42:56,720 OBSERVE THAT WHEN WE TRACK THE 950 00:42:56,720 --> 00:42:58,480 EXPRESSION OF THE 47 AS A 951 00:42:58,480 --> 00:43:01,240 RECURSOR OF THE RIBOSOMAL RNA, 952 00:43:01,240 --> 00:43:04,640 WE ARE REDUCED SYNTHESIS, BOTH 953 00:43:04,640 --> 00:43:06,840 EFFECTIVE AND CSA EFFECTIVE 954 00:43:06,840 --> 00:43:07,080 CELLS. 955 00:43:07,080 --> 00:43:11,920 BUT HOWEVER, WHEN WE CHECK THE 956 00:43:11,920 --> 00:43:14,720 AMOUNT OF THE 18 S RIBOSOMAL 957 00:43:14,720 --> 00:43:17,520 RNA, WE CAN OBSERVE IN FACT 958 00:43:17,520 --> 00:43:21,240 PATIENT NOT CSA AND ACCUMULATION 959 00:43:21,240 --> 00:43:23,960 OF THE THE SPECIFIC 960 00:43:23,960 --> 00:43:24,360 [INDISCERNIBLE]. 961 00:43:24,360 --> 00:43:27,160 A SIMILAR RESULT HAVE BEEN 962 00:43:27,160 --> 00:43:28,560 ACHIEVED BY PERFORMING THE 963 00:43:28,560 --> 00:43:31,280 NORTHERN BLOT ANALYSIS IN THE 964 00:43:31,280 --> 00:43:33,560 LOCALIZED CELLS IN WHICH WE 965 00:43:33,560 --> 00:43:35,880 SILENCE EITHER THE FACT GENE OR 966 00:43:35,880 --> 00:43:36,200 CSA. 967 00:43:36,200 --> 00:43:38,320 THE NORTHERN BLOT HAS BEEN DONE 968 00:43:38,320 --> 00:43:39,400 IN COLLABORATION WITH 969 00:43:39,400 --> 00:43:41,880 [INDISCERNIBLE], AND WE CAN 970 00:43:41,880 --> 00:43:44,680 OBSERVE THAT THERE IS REDUCED 971 00:43:44,680 --> 00:43:46,600 AMOUNT OF THE 47 [INDISCERNIBLE] 972 00:43:46,600 --> 00:43:48,200 RNA RECURSOR BUT WITH WE COMPARE 973 00:43:48,200 --> 00:43:50,880 AND WE ANALYZE THE AMOUNT OF THE 974 00:43:50,880 --> 00:43:52,520 18 S COMPARED TO THE AMOUNT OF 975 00:43:52,520 --> 00:43:55,040 THE 47 S, WE CAN AGAIN OBSERVE 976 00:43:55,040 --> 00:43:59,160 THE TENDENCY IN CELLS THAT ARE 977 00:43:59,160 --> 00:44:02,000 DEFECTIVE, TO ACCUMULATION THE 978 00:44:02,000 --> 00:44:03,160 18 S [INDISCERNIBLE]. 979 00:44:03,160 --> 00:44:07,440 SO, WE CAN SAY THAT BOTH THE CSA 980 00:44:07,440 --> 00:44:09,760 IN FACT PLAY A ROLE IN 981 00:44:09,760 --> 00:44:11,240 REGULATING THAT DNA POLYMERASE 1 982 00:44:11,240 --> 00:44:14,000 AND IN THE CASE OF CSA, IT'S 983 00:44:14,000 --> 00:44:20,520 ALSO PLACING AN IMPORTANT ROLE 984 00:44:20,520 --> 00:44:22,920 IN THE RESPONSE TO UV 985 00:44:22,920 --> 00:44:23,800 IRRADIATION, HOWEVER, THEY ARE 986 00:44:23,800 --> 00:44:27,280 BOTH FOR THE COMPLEX CS AND THE 987 00:44:27,280 --> 00:44:31,600 TTD PATIENTS SO WE SEE DIFFERENT 988 00:44:31,600 --> 00:44:32,280 RIBOSOMAL BIOGENESIS 989 00:44:32,280 --> 00:44:32,640 [INDISCERNIBLE]. 990 00:44:32,640 --> 00:44:36,000 SO CONSIDERING AND KNOWING THAT 991 00:44:36,000 --> 00:44:39,800 THE CS, AND EPP STRESS AND THE 992 00:44:39,800 --> 00:44:41,240 RIBOSOME BIOGENESIS ALERATIONS 993 00:44:41,240 --> 00:44:43,400 ARE EARLY EPIIMENETTIC EVENT 994 00:44:43,400 --> 00:44:45,400 THAT ARE CHARACTERIZED BY EITHER 995 00:44:45,400 --> 00:44:47,120 A GENERATIONAL MATURE AGING 996 00:44:47,120 --> 00:44:52,040 FEATURES, WE ARE NOW DEALING 997 00:44:52,040 --> 00:44:52,680 WITH THESE--THESE PREROGATIVE 998 00:44:52,680 --> 00:44:53,920 QUESTIONS WHETHER THEY ARE A 999 00:44:53,920 --> 00:45:01,160 FUNCTION OF CS PROTEIN INSIDE 1000 00:45:01,160 --> 00:45:01,680 THE NUCLEOULAR. 1001 00:45:01,680 --> 00:45:04,240 SO I WILL CONCLUDE MY TALK AND I 1002 00:45:04,240 --> 00:45:05,640 WOULD WILL WOULD LIKE TO THANK 1003 00:45:05,640 --> 00:45:06,720 ALL THE PEOPLE THAT CONTRIBUTED 1004 00:45:06,720 --> 00:45:07,960 TO THE WORK BUT BEFORE DOING 1005 00:45:07,960 --> 00:45:11,000 THAT, I WOULD LIKE TO THANKS TO 1006 00:45:11,000 --> 00:45:12,560 GIVE A SPECIAL THANKS TO 1007 00:45:12,560 --> 00:45:14,800 [INDISCERNIBLE] BECAUSE SHE IS 1008 00:45:14,800 --> 00:45:20,200 THE PERSON WHO STARTED THE GROUP 1009 00:45:20,200 --> 00:45:21,720 WORKING ON DEFECTIVE DISORDERS 1010 00:45:21,720 --> 00:45:24,400 HERE IN P A VIA, AND SHEES ALSO 1011 00:45:24,400 --> 00:45:26,480 THE 1 WHO STARTED TO CREATE THE 1012 00:45:26,480 --> 00:45:27,160 IMPORTANT NETWORK OF 1013 00:45:27,160 --> 00:45:28,760 COLLABBUATION WITH THE 1014 00:45:28,760 --> 00:45:30,600 CLINICIANS AND SCIENTISTS AND 1015 00:45:30,600 --> 00:45:35,360 ALSO THE PATIENT FAMILIES. 1016 00:45:35,360 --> 00:45:38,000 I WOULD LIKE TO ACKNOWLEDGE A 1017 00:45:38,000 --> 00:45:38,920 NUMBER OF [INDISCERNIBLE]. 1018 00:45:38,920 --> 00:45:41,760 SHE MADE A GREAT WORK HERE WITH 1019 00:45:41,760 --> 00:45:43,080 THE TTD PATIENTS. 1020 00:45:43,080 --> 00:45:46,480 BOTH OF THOSE THAT HAVE YOU 1021 00:45:46,480 --> 00:45:48,040 HADITATION IN TF2 H AND MORE 1022 00:45:48,040 --> 00:45:49,760 RECENTLY THOSE THAT ARE NOT 1023 00:45:49,760 --> 00:45:53,200 MUTATED IN TF2 H AND 1024 00:45:53,200 --> 00:45:54,400 [INDISCERNIBLE] THEY BOTH WORK 1025 00:45:54,400 --> 00:45:57,160 ON THE CS, AND THE RIEB OR 1026 00:45:57,160 --> 00:46:01,600 STUDIES OF MULTIPLE ENDOCRINE 1027 00:46:01,600 --> 00:46:02,840 ALTERATIONS IN CS. 1028 00:46:02,840 --> 00:46:04,320 MANUELA WAS A Ph.D. STUDENT IN 1029 00:46:04,320 --> 00:46:06,320 THE LAB AND HE DID HER FIRST 1030 00:46:06,320 --> 00:46:11,560 POST DOCKER WITH ME, WORKING ON 1031 00:46:11,560 --> 00:46:12,160 THE [INDISCERNIBLE] CSA 1032 00:46:12,160 --> 00:46:14,200 INTERACTION AND THEN AFTER A 1033 00:46:14,200 --> 00:46:18,320 PERIOD ABROAD, SHE WENT TO 1034 00:46:18,320 --> 00:46:19,480 BASUL, NOW SHE'S BEEN THERE, AND 1035 00:46:19,480 --> 00:46:21,240 SHE'S BACK NOW AND SHE HAS A 1036 00:46:21,240 --> 00:46:24,480 PERMANENT POSITION HERE WITH US 1037 00:46:24,480 --> 00:46:25,240 AT [INDISCERNIBLE]. 1038 00:46:25,240 --> 00:46:27,000 JULIA HAS FINISHED HER Ph.D. 1039 00:46:27,000 --> 00:46:29,960 AND NOW SHE'S STARTED--SHE'S 1040 00:46:29,960 --> 00:46:31,880 STARTING THE POST DOC TO TRYING 1041 00:46:31,880 --> 00:46:33,640 TO CHARACTERIZE THE RIBOSOME 1042 00:46:33,640 --> 00:46:37,800 BIODPEN SIS ALTERATION IN CS, 1043 00:46:37,800 --> 00:46:38,600 AND APP PATIENTS. 1044 00:46:38,600 --> 00:46:41,080 ERICA IS A NEW Ph.D. STUDENT 1045 00:46:41,080 --> 00:46:42,480 THAT JUST JOINED US AND SHE'S 1046 00:46:42,480 --> 00:46:46,360 WORKING ON THE XP PATIENTS. 1047 00:46:46,360 --> 00:46:48,400 TIZIA NA I HAVE TO GREATLY 1048 00:46:48,400 --> 00:46:50,160 ACKNOWLEDGE HER FOR ALL THE WORK 1049 00:46:50,160 --> 00:46:54,120 SHE HAS ALWAYS DOEN WITH THE 1050 00:46:54,120 --> 00:46:54,480 PATIENTS. 1051 00:46:54,480 --> 00:47:00,080 THOSE ARE TO DEFINE THE--WHICH 1052 00:47:00,080 --> 00:47:01,800 THE CELLULAR DEFECT OF THE 1053 00:47:01,800 --> 00:47:04,880 PATIENT THAT ARE ALSO, SHE'S 1054 00:47:04,880 --> 00:47:07,960 VERY MUCH INVOLVED IN THE 1055 00:47:07,960 --> 00:47:11,880 IDENTIFICATION OF POSSIBLE NOVEL 1056 00:47:11,880 --> 00:47:13,680 CAUSATIVE GENES. 1057 00:47:13,680 --> 00:47:16,280 WE HAVE TO PERFORM THE MOLECULAR 1058 00:47:16,280 --> 00:47:19,400 ANALYSIS TO IEE, AUDIENCE 1059 00:47:19,400 --> 00:47:21,400 DENTIFY THE MUTATIONS IN THE 1060 00:47:21,400 --> 00:47:21,640 PATIENTS. 1061 00:47:21,640 --> 00:47:23,600 AND I ALWAYS HAVE TO THANK THE 1062 00:47:23,600 --> 00:47:28,680 PAST MEMBER IN THE LAB, LAVENIA, 1063 00:47:28,680 --> 00:47:32,080 WITH HER CONTRIBUTION IN THE 1064 00:47:32,080 --> 00:47:33,200 [INDISCERNIBLE] WORKING AND 1065 00:47:33,200 --> 00:47:35,280 ANITA LOMBARDI FOR THE WORK ON 1066 00:47:35,280 --> 00:47:39,080 THE PGIS AND DEBORAH AND MARTINA 1067 00:47:39,080 --> 00:47:40,280 WHO GAVE STRONG CONTRIBUTION TO 1068 00:47:40,280 --> 00:47:43,200 THE LAB EVEN IF I HAD NO TIME 1069 00:47:43,200 --> 00:47:47,560 TODAY TO SPEAK ABOUT THEIR WORK. 1070 00:47:47,560 --> 00:47:50,560 OUR COLLABORATORS ARE IGM, 1071 00:47:50,560 --> 00:47:51,080 [INDISCERNIBLE] AND 1072 00:47:51,080 --> 00:47:53,080 [INDISCERNIBLE] AND A SPECIAL 1073 00:47:53,080 --> 00:47:54,480 THANKS TO ALL OUR SEVERAL 1074 00:47:54,480 --> 00:47:55,760 COLLABORATORS AND MANY OF THEM 1075 00:47:55,760 --> 00:47:57,480 HAVE ALREADY BEEN MENTIONED BUT 1076 00:47:57,480 --> 00:47:59,600 I WILL JUST REMEMBER IN ADDITION 1077 00:47:59,600 --> 00:48:03,240 TO THE PREVIOUS PLAN, 1078 00:48:03,240 --> 00:48:04,840 [INDISCERNIBLE] THEY HAVE BEEN A 1079 00:48:04,840 --> 00:48:09,080 GREAT SUPPORTER IN DEFINING THE 1080 00:48:09,080 --> 00:48:12,200 AGE TO ALTER THE MECHANISM THAT 1081 00:48:12,200 --> 00:48:14,680 OUR RESPONSIBILITY FOR THE JEERN 1082 00:48:14,680 --> 00:48:20,760 EXPRESSION REGULATION, AND THEN 1083 00:48:20,760 --> 00:48:22,040 [INDISCERNIBLE] FROM THE UK, 1084 00:48:22,040 --> 00:48:24,320 BECAUSE THEY ARE GREAT SUPPORT 1085 00:48:24,320 --> 00:48:26,200 AND ALSO FOR THE--BECAUSE THEY 1086 00:48:26,200 --> 00:48:28,800 SHARED, THAT WE'VE LIFE--THEY 1087 00:48:28,800 --> 00:48:30,120 FREQUENTLY SHARE DATA WITH US. 1088 00:48:30,120 --> 00:48:33,640 AND I WANT TO THANK 1089 00:48:33,640 --> 00:48:38,200 [INDISCERNIBLE] BECAUSE HE HAS 1090 00:48:38,200 --> 00:48:39,600 PERFORMED EXOME SEQUENCING IN 1091 00:48:39,600 --> 00:48:43,720 SEVERAL OF OUR STILL UNSOLVED 1092 00:48:43,720 --> 00:48:44,080 CASES. 1093 00:48:44,080 --> 00:48:46,680 OF COURSE BIG THANKS TO ALL THE 1094 00:48:46,680 --> 00:48:47,280 COLLABORATORS, CLINICIANS, 1095 00:48:47,280 --> 00:48:49,280 PATIENTS AND I WOULD LIKE ALSO 1096 00:48:49,280 --> 00:48:51,960 TO MENTION THE ITALIAN 1097 00:48:51,960 --> 00:48:53,040 ASSOCIATION OF XP PATIENT THAT 1098 00:48:53,040 --> 00:48:55,040 WAS BORN LESS THAN 3 YEARS AGO 1099 00:48:55,040 --> 00:48:57,600 BUT IT WORKS QUITE NICELY AND IN 1100 00:48:57,600 --> 00:49:01,120 THE LAST FIELD, THEY WERE ALSO 1101 00:49:01,120 --> 00:49:03,600 ABLE TO SUPPORT AS IF FROM THE 1102 00:49:03,600 --> 00:49:06,400 ECONOMICAL POINT OF VIEW AND ALL 1103 00:49:06,400 --> 00:49:07,440 THE OTHER URGENCY THAT SUPPORT 1104 00:49:07,440 --> 00:49:08,680 [INDISCERNIBLE]. 1105 00:49:08,680 --> 00:49:19,160 AND THANK YOU FOR ATTENDING. 1106 00:49:21,000 --> 00:49:23,440 >> OKAY, THANK YOU SO MUCH FOR 1107 00:49:23,440 --> 00:49:25,040 THIS WONDERFUL TALK. 1108 00:49:25,040 --> 00:49:25,400 >> THANK YOU. 1109 00:49:25,400 --> 00:49:27,560 >> THERE ARE A COUPLE QUESTIONS 1110 00:49:27,560 --> 00:49:31,240 HERE 1 WAS FROM JOHN DEAD WHAT, 1111 00:49:31,240 --> 00:49:33,760 FANTASTIC TALK, THE ABNORMALITY 1112 00:49:33,760 --> 00:49:37,320 IN PROOF THE GLANDIN I2 THAT YOU 1113 00:49:37,320 --> 00:49:42,000 SHOWED IN TTD, IS PROBABLY 1114 00:49:42,000 --> 00:49:42,440 CLINICALLY IMPORTANT. 1115 00:49:42,440 --> 00:49:43,680 DO THE PATIENTS WITH MUTATIONS 1116 00:49:43,680 --> 00:49:48,760 IN THE LESS COMMON TTD GENES 1117 00:49:48,760 --> 00:49:54,800 SPECIFICALLY TTD A, TRNA SYNTH 1118 00:49:54,800 --> 00:49:58,160 TAIS INHIBITORS, XPV, R113 A, 1119 00:49:58,160 --> 00:50:02,280 GTFEE2, DO THESE PATES ALSO HAVE 1120 00:50:02,280 --> 00:50:05,880 AN ABNORMALITY IN THE GOLD 1121 00:50:05,880 --> 00:50:08,520 STANDARD OF PROOF THE GLANDIN 1122 00:50:08,520 --> 00:50:08,680 I2? 1123 00:50:08,680 --> 00:50:10,240 >> GOOD QUESTION. 1124 00:50:10,240 --> 00:50:13,440 YES, WE CHECK THEM AND ALSO 1125 00:50:13,440 --> 00:50:15,200 THOSE [INDISCERNIBLE] IN THE 1126 00:50:15,200 --> 00:50:16,480 TRNA SYNTH TAIS INHIBITOR THEY 1127 00:50:16,480 --> 00:50:20,000 HAVE A DEFECT IN THE TGIS. 1128 00:50:20,000 --> 00:50:23,280 ALSO THOSE MUTATED IN THE TF3 OR 1129 00:50:23,280 --> 00:50:25,680 TBN 1 SO THEY ALL SHOW THE 1130 00:50:25,680 --> 00:50:27,600 DEFAULT, ALL 3 OF THOSE THAT WE 1131 00:50:27,600 --> 00:50:33,200 HAVE ANALYZED, SO THERE IS A 1132 00:50:33,200 --> 00:50:33,560 REDUCED AMOUNT. 1133 00:50:33,560 --> 00:50:35,760 SO FOR THAT REASON, I REALLY 1134 00:50:35,760 --> 00:50:37,840 HOPE THAT IT MIGHT BE RELEVANT 1135 00:50:37,840 --> 00:50:41,840 FOR THE CLINICAL FUTURES. 1136 00:50:41,840 --> 00:50:42,120 >> OKAY. 1137 00:50:42,120 --> 00:50:43,760 LET'S SEE WHAT'S HAPPENING HERE. 1138 00:50:43,760 --> 00:50:46,680 OH, HERE WE GO. 1139 00:50:46,680 --> 00:50:50,240 IT SAYS FROM ALAN, I ASSUME 1140 00:50:50,240 --> 00:50:51,840 THAT'SAL AN LAMAN, THANKS FOR 1141 00:50:51,840 --> 00:50:53,960 THE VERY NICE TALK. 1142 00:50:53,960 --> 00:50:56,000 TWO QUESTIONS. 1143 00:50:56,000 --> 00:50:58,480 ONE, DO NONPHOTO SENTHATIVE 1144 00:50:58,480 --> 00:51:04,320 TTDs SHOW THE SAME COLLAGEN 1145 00:51:04,320 --> 00:51:05,640 DEFECTS AND MIGRATION CHANGES. 1146 00:51:05,640 --> 00:51:08,960 WELL, WE WILL DO 1 AT A TIME. 1147 00:51:08,960 --> 00:51:10,120 >> YEAH, THEY DON'T. 1148 00:51:10,120 --> 00:51:11,760 THEY DON'T HAVE EITHER--WE 1149 00:51:11,760 --> 00:51:13,000 DIDN'T CHECK THE MIGRATION 1150 00:51:13,000 --> 00:51:14,800 FEATURE, I HAVE TO SAY BECAUSE 1151 00:51:14,800 --> 00:51:17,440 WE CHECKED THE TRANSCRIPTION 1152 00:51:17,440 --> 00:51:20,920 REGULATION AND IT'S NOT 1153 00:51:20,920 --> 00:51:22,080 SURPRISING TO IN 1154 00:51:22,080 --> 00:51:22,680 [INDISCERNIBLE]. 1155 00:51:22,680 --> 00:51:25,840 EVEN MORE IMPORTANTLY, THE MMP1 1156 00:51:25,840 --> 00:51:28,160 OVEREXPRESSION SEEMS TO BE 1157 00:51:28,160 --> 00:51:31,080 SPECIFIC FOR THE FIBRO BLAST, WE 1158 00:51:31,080 --> 00:51:33,600 CHECK THE KERATINOCYTES OF THE 1159 00:51:33,600 --> 00:51:35,600 TTG PATIENTS IN XPD AND WE 1160 00:51:35,600 --> 00:51:37,120 COULDN'T FIND THE TRANSCRIPTION 1161 00:51:37,120 --> 00:51:37,520 REGULATION THERE. 1162 00:51:37,520 --> 00:51:40,760 SO IT SEEMS TO BE RELATED TO 1163 00:51:40,760 --> 00:51:42,560 FIBERS. 1164 00:51:42,560 --> 00:51:44,640 I CANNOT SAY WHICH ARE THE CELL 1165 00:51:44,640 --> 00:51:46,480 TYPES BUT THAT THE LEVEL OF THE 1166 00:51:46,480 --> 00:51:48,080 SKIN, IT AFFECTS THE FIBRO 1167 00:51:48,080 --> 00:51:50,600 BLASTS IN THE DERMAL LAYER WHICH 1168 00:51:50,600 --> 00:51:52,320 ARE THE CELLS THAT MAINLY 1169 00:51:52,320 --> 00:51:55,360 PRODUCE THE EXTRA CELLULAR 1170 00:51:55,360 --> 00:51:57,600 MATRIX, THEN. 1171 00:51:57,600 --> 00:51:57,840 >> OKAY. 1172 00:51:57,840 --> 00:51:59,360 >> THAT'S WONDERFUL. 1173 00:51:59,360 --> 00:52:00,360 OKAY, THEN, THE SECOND QUESTION 1174 00:52:00,360 --> 00:52:03,080 IS, I PROBABLY ASKED YOU THIS 1175 00:52:03,080 --> 00:52:06,640 BEFORE, THIS IS FROM ALAN, BUT 1176 00:52:06,640 --> 00:52:11,080 WHERE DOES CSB FIT INTO THE 1177 00:52:11,080 --> 00:52:13,280 FERIA KEEL LOW TAIS INHIBITOR 1178 00:52:13,280 --> 00:52:13,760 RP1 STORY? 1179 00:52:13,760 --> 00:52:15,840 >> WELL, WE FIND THE CSB IN THE 1180 00:52:15,840 --> 00:52:18,920 COMPLEXES SO THE PROTEIN IS 1181 00:52:18,920 --> 00:52:21,200 THERE, WHAT WE STILL DON'T KNOW 1182 00:52:21,200 --> 00:52:24,160 IS WHAT HAPPENS WHEN CSB IS 1183 00:52:24,160 --> 00:52:26,080 DEFECTIVE BECAUSE WE DID CHECK 1184 00:52:26,080 --> 00:52:32,320 IN CELLS THAT ARE KNOWN TO BE 1185 00:52:32,320 --> 00:52:34,080 DEFECTIVE FOR CSB, EVEN WITH 1186 00:52:34,080 --> 00:52:37,680 THIS TRUNCATED FORM OF CSB IS 1187 00:52:37,680 --> 00:52:39,880 LESS VULNERABILITY AS FAST, WHEN 1188 00:52:39,880 --> 00:52:43,520 WE ISOLATE THE COMPLEX BY USING 1189 00:52:43,520 --> 00:52:45,160 FACH AND THE CSB 1 WE FIND IT 1190 00:52:45,160 --> 00:52:47,720 THERE SO I CANNOT SAY WHETHER IN 1191 00:52:47,720 --> 00:52:50,040 THE ABSENCE OF CSB, THE 1192 00:52:50,040 --> 00:52:51,560 CONSEQUENCE WILL BE THE SAME AS 1193 00:52:51,560 --> 00:52:58,000 IF WE DON'T HAVE CSA, THIS I 1194 00:52:58,000 --> 00:52:58,280 DON'T KNOW. 1195 00:52:58,280 --> 00:52:59,400 >> OKAY, BUT WE ARE WORKING ON 1196 00:52:59,400 --> 00:53:01,400 THIS, WE ARE TRYING TO 1197 00:53:01,400 --> 00:53:03,240 IMMORTALIZE THIS CELL LINE THAT 1198 00:53:03,240 --> 00:53:05,440 IS DEFECTIVE FOR CSB, SO THEN 1199 00:53:05,440 --> 00:53:08,240 MAYBE WE WILL HAVE THE ANNOUNCER 1200 00:53:08,240 --> 00:53:10,160 AT A CERTAIN POINT. 1201 00:53:10,160 --> 00:53:10,480 >> GREAT. 1202 00:53:10,480 --> 00:53:14,040 WELL, THANK YOU SO MUCH. 1203 00:53:14,040 --> 00:53:16,120 JUST A FEW MINUTES LEFT, I MIGHT 1204 00:53:16,120 --> 00:53:18,480 AS WELL ASK A QUESTION, YEARS 1205 00:53:18,480 --> 00:53:20,960 AGO, WE'RE LOOKING AT PHOTO 1206 00:53:20,960 --> 00:53:22,440 PRODUCT REPAIR, DIFFERENTIAL 1207 00:53:22,440 --> 00:53:24,440 PHOTO PRODUCT REPAIR AND TTK 1208 00:53:24,440 --> 00:53:27,640 VERSUS XP AS A POSSIBLE 1209 00:53:27,640 --> 00:53:28,360 EXPLNATION FOR THE DIFFERENCE 1210 00:53:28,360 --> 00:53:31,800 BETWEEN THE FACT THAT THE XP 1211 00:53:31,800 --> 00:53:33,560 PATIENTS GOT A HIHIGH FREQUENCY 1212 00:53:33,560 --> 00:53:35,560 OF SKIN CANCER AND THE TTD 1213 00:53:35,560 --> 00:53:41,280 PATIENTS DIDN'T AFTER UV 1214 00:53:41,280 --> 00:53:41,960 RADIATION AND [INDISCERNIBLE] 1215 00:53:41,960 --> 00:53:45,840 ALSO FOWBD THAT THE TTD PATIENTS 1216 00:53:45,840 --> 00:53:48,000 DO REPAIR 6 [INDISCERNIBLE] 1217 00:53:48,000 --> 00:53:50,920 PHOTO PRODUCTS BUT NOT SO MUCH 1218 00:53:50,920 --> 00:53:52,960 THE CYCLOBUTANE DIMERS BUT THE 1219 00:53:52,960 --> 00:53:55,200 XP DOESN'T REPAIR ANY OF THOSE, 1220 00:53:55,200 --> 00:53:56,160 DO YOU HAVE ANY INFORMATION 1221 00:53:56,160 --> 00:53:58,760 ABOUT THAT ASPECT OF THE 1222 00:53:58,760 --> 00:53:59,040 DIFFERENCE? 1223 00:53:59,040 --> 00:54:00,920 >> WELL, NO, I KNOW YOUR STUDIES 1224 00:54:00,920 --> 00:54:06,240 AND I AM CONFIDENT THEY ARE 1225 00:54:06,240 --> 00:54:08,120 CORRECT BUT STILL, I DON'T 1226 00:54:08,120 --> 00:54:09,680 BELIEVE--I MEAN, I DON'T THINK 1227 00:54:09,680 --> 00:54:11,400 THIS MIGHT CONTRIBUTE MAYBE TO 1228 00:54:11,400 --> 00:54:13,600 DELAY THE APPEARANCE OF THE 1229 00:54:13,600 --> 00:54:15,240 TUMORS IN TTD, BUT THE FACT THAT 1230 00:54:15,240 --> 00:54:19,880 WE NEVER FIND TUMORS, WE HAVE 1231 00:54:19,880 --> 00:54:22,720 PATIENTS THAT CAN LIVE LONGER 1232 00:54:22,720 --> 00:54:24,320 WITH A [INDISCERNIBLE] CHILD 1233 00:54:24,320 --> 00:54:26,040 DYSTROPHY AND SO FAR THEY NORMAL 1234 00:54:26,040 --> 00:54:28,520 EXPOSE TO THE SUN MUCH MORE THAN 1235 00:54:28,520 --> 00:54:31,960 NORMALLY, NORMALLY, THEY DON'T 1236 00:54:31,960 --> 00:54:35,200 BEHAVE LIKE THE XP PATIENTS SO 1237 00:54:35,200 --> 00:54:36,920 EVENTUALLY THEY WOULD EXPLAIN A 1238 00:54:36,920 --> 00:54:42,120 DELAY IN THE APPEARANCE OF THE 1239 00:54:42,120 --> 00:54:42,320 TUMOR. 1240 00:54:42,320 --> 00:54:44,240 LIKE IF WE THINK OF THE VARIANT 1241 00:54:44,240 --> 00:54:45,600 FORM OF THE XP PATIENT, THEY 1242 00:54:45,600 --> 00:54:52,120 HAVE A NORMAL LAYER DEFECT. 1243 00:54:52,120 --> 00:54:56,240 THE NORMAL ACTIVITY BUT THEY 1244 00:54:56,240 --> 00:54:57,960 STILL, THERE IS--THERE ARE 1245 00:54:57,960 --> 00:54:59,120 PROBLEMS DOING AGAIN THE 1246 00:54:59,120 --> 00:55:01,480 APPLICATION AND THEY SHOW THE 1247 00:55:01,480 --> 00:55:03,400 APPEARANCE OF TUMOR RELATED TIME 1248 00:55:03,400 --> 00:55:04,880 DURING THEIR AGE. 1249 00:55:04,880 --> 00:55:07,200 SO I DON'T THINK--I MEAN IT 1250 00:55:07,200 --> 00:55:08,680 MIGHT CONTRIBUTE BUT IT'S NOT 1251 00:55:08,680 --> 00:55:10,440 SUFFICIENT TO REALLY EXPLAIN WHY 1252 00:55:10,440 --> 00:55:14,800 TTD DID NOT CANNED WHAT SCHEME, 1253 00:55:14,800 --> 00:55:16,960 THAT'S MY CONTRIBUTION, AND I 1254 00:55:16,960 --> 00:55:18,880 HONESTLY BELIEVE THAT 1255 00:55:18,880 --> 00:55:21,000 TRANSCRIPTIONAL IMPAIRMENT MIGHT 1256 00:55:21,000 --> 00:55:21,320 BE IMPORTANT. 1257 00:55:21,320 --> 00:55:25,000 YOU HAVE A LOW AMOUNT OF DEPOSIT 1258 00:55:25,000 --> 00:55:26,520 TRANSCRIPTION FACTOR SO PROBABLY 1259 00:55:26,520 --> 00:55:28,480 THOSE CELLS CANNOT REALLY 1260 00:55:28,480 --> 00:55:30,600 SUSTAIN THE HIGH RATE OF 1261 00:55:30,600 --> 00:55:34,200 TRANSCRIPTION THAT IS ACQUIRED 1262 00:55:34,200 --> 00:55:35,280 DURING THE PROLIFERATION OF 1263 00:55:35,280 --> 00:55:36,360 CANCER CELLS. 1264 00:55:36,360 --> 00:55:37,240 SO. 1265 00:55:37,240 --> 00:55:39,040 >> YEAH, THAT'S GOOD. 1266 00:55:39,040 --> 00:55:40,200 THANK YOU AND--COUPLE MINUTES 1267 00:55:40,200 --> 00:55:42,320 MORE, 1 MORE QUESTION, YOU 1268 00:55:42,320 --> 00:55:46,200 MEKSED BONE ABNORMALITIES IN 1269 00:55:46,200 --> 00:55:51,840 TTD, AND ACTUALLY JOHN AND I 1270 00:55:51,840 --> 00:55:55,040 RECENTLY SUBMITTED A MANUSCRIPT 1271 00:55:55,040 --> 00:55:56,640 FOR REVIEW, DESCRIBING THE 1272 00:55:56,640 --> 00:55:59,640 UNUSUAL SITUATION IN THE BONES 1273 00:55:59,640 --> 00:56:04,520 OF THE HIPS OF THE PATIENTS WITH 1274 00:56:04,520 --> 00:56:06,160 TTD, THAT DEVELOP PREMATURE 1275 00:56:06,160 --> 00:56:08,680 DEGENERATION OF THEIR HIPS THAT 1276 00:56:08,680 --> 00:56:10,760 LOOK LIKE ASEPTIC NECROSIS SO 1277 00:56:10,760 --> 00:56:13,360 THESE CHILDREN HAVE BEEN ABLE TO 1278 00:56:13,360 --> 00:56:17,120 WALK AND THEN SUDDENLY OVER A 1279 00:56:17,120 --> 00:56:18,400 RELATIVELY SHORT PERIOD OF TIME 1280 00:56:18,400 --> 00:56:22,320 DEVELOP PAIN IN THE HIP, FIRST 1 1281 00:56:22,320 --> 00:56:25,160 HIP AND THEN THE OTHER THEN THEY 1282 00:56:25,160 --> 00:56:26,600 BECOME UNABLE TO WALK AND IT 1283 00:56:26,600 --> 00:56:33,440 TURNS OUT THE HIPS THEMSELVES 1284 00:56:33,440 --> 00:56:35,200 ARE DEGENERATING AND THEY TRY TO 1285 00:56:35,200 --> 00:56:36,200 DO SURGICAL PROCEDURES ON THEM 1286 00:56:36,200 --> 00:56:38,600 BECAUSE THE PATIENTS ARE SO 1287 00:56:38,600 --> 00:56:44,960 WEAK, TO BEGIN WITH, THEY HAVE 1288 00:56:44,960 --> 00:56:47,400 HAD FOR RECOVERY VERY DIFFICULT 1289 00:56:47,400 --> 00:56:49,800 RECOVERY EXCEPT FOR THE CASE OF 1290 00:56:49,800 --> 00:56:52,120 1 PATIENT HAD PHYSICAL THERAPY 1291 00:56:52,120 --> 00:56:53,280 BEFORE THEY DID THAT. 1292 00:56:53,280 --> 00:56:56,440 BUT THAT'S AN UNUSUAL SITUATION 1293 00:56:56,440 --> 00:56:59,240 OCCURRING IN THESE LIGHT WEIGHT 1294 00:56:59,240 --> 00:57:00,960 CHILDREN WITH THAT. 1295 00:57:00,960 --> 00:57:02,400 NORMALLY THE ASEPTIC NECROSIS OF 1296 00:57:02,400 --> 00:57:04,800 BONE OCCURS AT A MUCH, MUCH 1297 00:57:04,800 --> 00:57:06,520 OLDER AGE WITH PEOPLE WHO MAY 1298 00:57:06,520 --> 00:57:11,160 HAVE INCREASED WEIGHT OR HAVE A 1299 00:57:11,160 --> 00:57:19,920 IMMUNO LOGIC PROBLEMS. 1300 00:57:19,920 --> 00:57:21,080 SO, THE NNT ABNORMALITIES MIGHT 1301 00:57:21,080 --> 00:57:23,080 PLAY A ROLE IN THAT BUT 1302 00:57:23,080 --> 00:57:23,800 UNFORTUNATELY WE HAVEN'T BEEN 1303 00:57:23,800 --> 00:57:25,000 ABLE TO GET ANY TISSUE TO 1304 00:57:25,000 --> 00:57:26,800 MEASURE THAT BUT IT IS POSSIBLE 1305 00:57:26,800 --> 00:57:29,680 THAT THEY DO HAVE CERTAINLY BONE 1306 00:57:29,680 --> 00:57:32,000 ABNORMALITIES AND THEY ALSO HAVE 1307 00:57:32,000 --> 00:57:34,880 AN UNUSUAL RADIO LOGIC SITUATION 1308 00:57:34,880 --> 00:57:37,120 IN THAT THERE'S INCREASED BONE 1309 00:57:37,120 --> 00:57:39,320 DENSITY IN THE SPINE, THE 1310 00:57:39,320 --> 00:57:42,040 CENTRAL SPINE OF THE PATIENTS 1311 00:57:42,040 --> 00:57:46,520 WITH TTD, AND DECREASED BONE 1312 00:57:46,520 --> 00:57:48,640 DENSITY, THEY CALL THAT IN THE 1313 00:57:48,640 --> 00:57:50,920 PERIPHERAL PORTION OF THE LEGS 1314 00:57:50,920 --> 00:57:54,000 AND THE ARM AND THE LOWER AND 1315 00:57:54,000 --> 00:57:56,720 THE HANDS IN THERE. 1316 00:57:56,720 --> 00:58:00,320 THEY CALL THIS CENTRAL 1317 00:58:00,320 --> 00:58:02,480 OSTEOSCLEROSIS AND PERIPHERAL 1318 00:58:02,480 --> 00:58:04,200 OSTERPENIA, AND WHICH IS UNUSUAL 1319 00:58:04,200 --> 00:58:06,120 FEATURES IN THE BONES OF 1320 00:58:06,120 --> 00:58:06,640 CHILDREN WITH TTD. 1321 00:58:06,640 --> 00:58:08,680 IN ACCOUNT FACAS WE HAD A REPORT 1322 00:58:08,680 --> 00:58:10,880 OF A RADIOLOGIST WHO MADE THE 1323 00:58:10,880 --> 00:58:14,320 DIAGNOSIS OF TTD JUST ON THE 1324 00:58:14,320 --> 00:58:15,160 BASIS OF THESE ABNORMALITIES IN 1325 00:58:15,160 --> 00:58:15,520 THE X-RAY. 1326 00:58:15,520 --> 00:58:21,480 SO THERE IS A LOT GOING ON. 1327 00:58:21,480 --> 00:58:22,800 >> , I WOULD LIKE TO KNOW 1328 00:58:22,800 --> 00:58:24,400 WHETHER IT IS NOVEL EXPRESSION 1329 00:58:24,400 --> 00:58:26,720 OF [INDISCERNIBLE] AT THE LEVEL 1330 00:58:26,720 --> 00:58:27,360 OF THE BONE. 1331 00:58:27,360 --> 00:58:29,720 IF YOU MANAGE TO HAVE SOME 1332 00:58:29,720 --> 00:58:31,800 TISSUE WE CAN CHECK. 1333 00:58:31,800 --> 00:58:32,280 >> YES, YES. 1334 00:58:32,280 --> 00:58:33,920 WELL THE DIFFICULTY IS GETTING 1335 00:58:33,920 --> 00:58:35,160 THE TISSUE. 1336 00:58:35,160 --> 00:58:36,240 >> RIGHT. 1337 00:58:36,240 --> 00:58:36,680 >> OKAY. 1338 00:58:36,680 --> 00:58:38,640 WELL, IF THERE'S NO MORE 1339 00:58:38,640 --> 00:58:40,440 QUESTIONS, WELL, THANK YOU. 1340 00:58:40,440 --> 00:58:40,840 >> THANK YOU. 1341 00:58:40,840 --> 00:58:44,120 >> THANK YOU SO MUCH FOR THIS 1342 00:58:44,120 --> 00:58:45,040 WONDERFUL TALK, YES. 1343 00:58:45,040 --> 00:58:47,080 >> IT'S VERY NICE, THANK YOU. 1344 00:58:47,080 --> 00:58:57,280 >> OKAY.