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Hemelsoet, D.

Publications and source records attributed to Hemelsoet, D..

4 recordsLinked to original sources

Lesions of anterior cingulate cortex disrupt an electrophysiological signature of reward processing in humans

The reward positivity (RewP) is an event-related brain potential (ERP) component associated with feedback and reward processing. Although the component is said to be generated in anterior cingulate cortex (ACC), this inference is disputed because of the inverse problem. Recently, by conducting a current source density analysis of intracranial electroencephalogram (EEG) data recorded from a large cohort of epilepsy patients, we provided direct evidence that the RewP is produced by a circumscribed region in caudal ACC corresponding to Brodmann areas 24c and 32. In the present study we confirm that this brain area is the source of the RewP by examining the effects of damage to frontal cortex on RewP amplitude. We recorded scalp EEG from 68 stroke patients with damage to frontal cortex while they engaged in a trial-and-error guessing task used to elicit a canonical RewP. Application of non-parametric voxel-based lesion-symptom mapping to the lesion data revealed that damage to Brodmann areas 24c and 32 attenuated RewP amplitude, whereas damage to other parts of frontal cortex did not affect it. These results provide causal evidence that the caudal ACC generates the RewP and underscore the contribution of this brain region toward motivating extended behaviours. Significance statementThe reward positivity (RewP) is an event-related brain potential component that reflects reward processing in the brain. Although multiple studies have suggested that anterior cingulate cortex (ACC) is the neural generator of the RewP, this assertion is disputed mainly because of the inverse problem. In this study, we present direct evidence that the RewP is generated in caudal ACC by performing voxel-based lesion-symptom mapping (VLSM) in a cohort of 68 stroke patients with lesions in the frontal lobe. We found that a circumscribed region in right caudal ACC was significantly associated with a reduced RewP, providing the first causal evidence that this region generates the RewP in humans. These fundings elucidate the central role ACC plays in motivating extended behaviours.

neuroscience↗

Loss of adipocyte phospholipase gene PLAAT3 causes lipodystrophy and insulin resistance due to inactivated arachidonic acid-mediated PPAR signaling

PLAAT3 is a phospholipid modifying enzyme predominantly expressed in white adipose tissue (WAT). It is a candidate drug target as Plaat3 deficiency in mice protects against picornavirus infection and diet-induced obesity. We identified four patients with homozygous loss-of-function mutations in PLAAT3, presenting with partial lipodystrophy, severe insulin resistance and dyslipidemia. PLAAT3-deficient WAT showed a failure to liberate arachidonic acid (AA) from membrane phospholipids resulting in an inactive gene network downstream of adipogenesis master regulator and anti-diabetic drug target PPARG. These findings establish PLAAT3 deficiency in humans as a novel type of partial lipodystrophy due to an AA- and PPARG-dependent defect in WAT differentiation and function.

genetics↗

Charting extracellular transcriptomes in The Human Biofluid RNA Atlas

Extracellular RNAs present in biofluids have emerged as potential biomarkers for disease. Where most studies focus on plasma or serum, other biofluids may contain more informative RNA molecules, depending on the type of disease. Here, we present an unprecedented atlas of messenger, circular and small RNA transcriptomes of a comprehensive collection of 20 different human biofluids. By means of synthetic spike-in controls, we compared RNA content across biofluids, revealing a more than 10 000-fold difference in RNA concentration. The circular RNA fraction is increased in nearly all biofluids compared to tissues. Each biofluid transcriptome is enriched for RNA molecules derived from specific tissues and cell types. In addition, a subset of biofluids, including stool, sweat, saliva and sputum, contains high levels of bacterial RNAs. Our atlas enables a more informed selection of the most relevant biofluid to monitor particular diseases. To verify the biomarker potential in these biofluids, four validation cohorts representing a broad spectrum of diseases were profiled, revealing numerous differential RNAs between case and control subjects. Taken together, our results reveal novel insights in the RNA content of human biofluids and may serve as a valuable resource for future biomarker studies. All spike-normalized data is publicly available in the R2 web portal and serve as a basis to further explore the RNA content in biofluids.

genomics↗

Loss-of-function in IRF2BPL is associated with neurological phenotypes

The Interferon Regulatory Factor 2 Binding Protein Like (IRF2BPL) gene encodes a member of the IRF2BP family of transcriptional regulators. Currently the biological function of this gene is obscure, and the gene has not been associated with a Mendelian disease. Here we describe seven individuals affected with neurological symptoms who carry damaging heterozygous variants in IRF2BPL. Five cases carrying nonsense variants in IRF2BPL resulting in a premature stop codon display severe neurodevelopmental regression, hypotonia, progressive ataxia, seizures, and a lack of coordination. Two additional individuals, both with missense variants, display global developmental delay and seizures and a relatively milder phenotype than those with nonsense alleles. The bioinformatics signature for IRF2BPL based on population genomics is consistent with a gene that is intolerant to variation. We show that the IRF2BPL ortholog in the fruit fly, called pits (protein interacting with Ttk69 and Sin3A), is broadly expressed including the nervous system. Complete loss of pits is lethal early in development, whereas partial knock-down with RNA interference in neurons leads to neurodegeneration, revealing requirement for this gene in proper neuronal function and maintenance. The nonsense variants in IRF2BPL identified in patients behave as severe loss-of-function alleles in this model organism, while ectopic expression of the missense variants leads to a range of phenotypes. Taken together, IRF2BPL and pits are required in the nervous system in humans and flies, and their loss leads to a range of neurological phenotypes in both species.

genetics↗