Abstract: Objective To describe a patient with a multifocal demyelinating motor neuropathy with onset in childhood and a mutation in phosphatase and tensin homolog (PTEN), a tumor suppressor gene associated with inherited tumor susceptibility conditions, macrocephaly, autism, ataxia, tremor, and epilepsy. Functional implications of this protein have been investigated in Parkinson and Alzheimer diseases. Methods We performed whole-exome sequencing in the patient's genomic DNA validated by Sanger sequencing. Immunoblotting, in vitro enzymatic assay, and label-free shotgun proteomic profiling were performed in the patient's fibroblasts. Results The predominant clinical presentation of the patient was a childhood onset, asymmetric progressive multifocal motor neuropathy. In addition, he presented with macrocephaly, autism spectrum disorder, and skin hamartomas, considered as clinical criteria for PTEN-related hamartoma tumor syndrome. Extensive tumor screening did not detect any malignancies. We detected a novel de novo heterozygous c.269T>C, p.(Phe90Ser) PTEN variant, which was absent in both parents. The pathogenicity of the variant is supported by altered expression of several PTEN-associated proteins involved in tumorigenesis. Moreover, fibroblasts showed a defect in catalytic activity of PTEN against the secondary substrate, phosphatidylinositol 3,4-trisphosphate. In support of our findings, focal hypermyelination leading to peripheral neuropathy has been reported in PTEN-deficient mice. Conclusion We describe a novel phenotype, PTEN-associated multifocal demyelinating motor neuropathy with a skin hamartoma syndrome. A similar mechanism may potentially underlie other forms of Charcot-Marie-Tooth disease with involvement of the phosphatidylinositol pathway

"This literature review was commissioned by CESC to identify key factors and practices that support literacy success in school-aged students. The review focuses on reading and identifies how best to develop reading skills fundamental to lifelong learning"--CMEC website.

Julia Bryant's novel captures the indomitable spirit of Portsmouth as the second world war shatters streets- and the lives of the women who live there. With the threat of World War II hovering over Nelson Street, family and friendship have never been more important. Rosie Forrest's grandmother always told her to 'live every minute' and that's exactly what she's doing. Rosie feels both excited at the opportunities before her and terrified of losing the people she loves. And when Blyth Vine walks back into her life, he complicates things even further. Pearl Bunting has suffered months of abuse from her violent brother Kenny. Finally breaking free of his domination, Pearl makes a new life for herself. But Kenny is still out there, and has freedom has its price... When the bombs start falling Rosie and all who live on Nelson Street are determined to preserve the Portsea way of life, no matter what the cost.

The integrity of human genomic DNA is maintained by DNA repair systems that will protect cells from damage by environmental agents or spontaneous DNA lesions. Each cell can experience up to 105 lesions daily, including DNA double-strand breaks (DSB)s. Poly(ADP-ribosyl)ation (PARylation) is one of the earliest molecular signalling events occurring at DNA DSBs. It is catalysed by poly(ADP-ribose) polymerases (PARPs) that are directly activated by those DNA lesions. Failure to generate pADPr in response to DNA damage by either chemical inhibition or absence of PARP-1 increases the cellular sensitivity to genotoxic stress, indicating that pADPr itself is a key DNA damage signalling molecule. Inhibition of the DNA damage signalling enzyme poly(ADP-ribose) polymerase-1 (PARP-1) is among the most promising new therapies in cancer. PARP inhibitors sensitize cancer cells to DNA damaging agents and efficiently kill BRCA1- and BRCA2-deficient breast, ovarian and pancreatic cancer cells, suggesting that cells deficient in DSB repair are exquisitely sensitive to PARP inhibition. Yet, the mechanisms underlying this synthetic lethality between DSB repair deficiency and PARP inhibition remain poorly defined. There is considerable debate about the mechanism through which PARP inhibition kills DNA repair-deficient cells, and the full benefit of PARP inhibitors in cancer therapy can only be achieved by a clear understanding of the DNA damage response (DDR) pathways to DSBs and how these are affected by PARP inhibitors. The overall aim of my PhD is to investigate the role of PARP-1 in DSB repair and identify interactors of PARP-1 which also play a role in this process. Eukaryotic cells repair DSBs by two major pathways, non-homologous end-joining (NHEJ) and homologous recombination (HR). HR is initiated by the binding of DSB by BRCA1 and the end resection of the DSB by MRE11 (and the associated NBS1, RAD50, CtIP, and EXO1) to generate single-stranded DNA, which is further processed by RAD51 and BRCA1-PALB2-BRCA2. A key question in our field regards which factors are critical for regulating the DSB pathway choice. HR is initiated from highly resected DSB ends, whereas in NHEJ, resection is prevented by key repair factors that include RIF1 and 53BP1. Using PARP-1-deficient cells, we have observed that two inhibitors of DNA resection and regulators of pathway choice, RIF1 and 53BP1, are strongly impaired in forming DNA damage-induced foci. This supports our hypothesis that PARP-1 participates in DSB repair by influencing DNA resection. In order to further understand the mechanism of resection and the role that PARP-1 plays in it we also aim to identify other proteins which interact with PARP-1 and modulate this process. To accomplish this, we made use of data on PAR binding proteins generated both in our lab and that of our collaborator Ted Dawson. The candidates selected from these lists were screened to identify a single target that would demonstrate a similar phenotype to PARP-1 loss. Two initial targets were further explored and finally a single zinc finger protein was selected as our primary target. We aim to characterize the function of this zinc finger in HR, in the hopes that it will further uncover the mechanisms of PARP-1 in resection. In summary this thesis elucidates the role of PARP-1 in DNA resection and identifies a previously unstudied zinc finger protein which interacts with PARP-1 and shares a similar function to PARP-1 in DNA resection.

CSP's response to the Health Professions Council consultation paper on CPD.