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    1. amyotrophic lateral sclerosis)

      Amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease, is a rare and progressive nervous system disease that destroys nerve cells in the brain and spinal cord, leading to a loss of muscle contro

    1. II. A Game of Chess

      Rather than the focus on the natural world and conditions of urban living like Burial of the Dead, A Game of Chess highlights wealth, gender imbalances, and love–as represented by cupid. The reference to a game of chess can be connected to the content of the section in two ways: the calculated existence of men and women as separate entities, or the cold and calculated nature of romantic relationships. Eliot begins by describing a scene of immense wealth and ascribing the ostentatious display to a female figure by using the pronoun her in, “The glitter of her jewels rose to meet it”. The woman who is seemingly overcome by wealth is then contrasted with the presence of the nightingale, an animal representation of the violence inflicted upon women. The nightingale, small, animal, and unable to speak, represents the subjugated state of the female race. Oppressed and incapable of responding to the tyranny of men, the woman is silenced and left to an empty, lavish lifestyle.

    2. where the glass Held up by standards wrought with fruited vines From which a golden Cupidon peeped out

      The weak, tenuous scaffold of this glass structure—fruited vines"—represents tension and fragility in male-female relations (those present within the assigned texts). Within Paradise Lost, most explicitly is this dynamic evident; describing the fruit upon the "Tree of Life:" "...loaden with fairest Fruit,/ Blossoms and Fruits at once of golden hue/ ...of pure now purer aire/ Meets his approach, and to the heart inspire/ Vernal delight and joy, able to drive/ All sadness but despair: now gentle gales/ Fanning their odoriferous wings dispense/ Native perfumes, and whisper whence they stole/ Those balmie spoils." Not only does use the "Tree of Life" act as the ultimate point of pressure and conflict between Adam (man) and Eve (woman), but a bodily dynamic. From the vegetation, inspired in the "heart...[is]/ Vernal delight and joy, able to drive / All sadness but despair... ." The words "Vernal delight" connote Spring and revival, perhaps fertility. With spring, "sadness" is dissolved yet "despair" remains. Now, in conversation with lines 215-225, (line 220-222), "despair" seems to mean or define the opposite of fertility, or of that which defines the loss of "sadness." Given lines 220-222 explain the growth of a "Tree of Knowledge," bringing about ill and Death, "despair" must be the continuation of sexual desire and lust in celibacy.

      Witnessing sexual lust and violence in Mandelbaum's The Metamorpjoses of Ovid, and the ultimate destruction of one's humanity following 'rape,' this notion of male-female tension holds relevant. In the play's final scene, Philomela and her sister Procne dismember Itys feeding his body to Tereus. The sister's actions are unique; not only do the two remove Tereus's humanity via filicidal cannibalism, but ever sever his relationship with God. In lines 642-643, this is specifically referenced: Thrace describes himself as “the miserable tomb/ of his own son;” he is a desolate sepulcher, ever removed and dejected by God.

      Overall, the poems act as explorations and attempts to disrupt male-centric power & domination; the female body, though fragile like the "fruited vines," defies male divinity in some sacrilegious act.

    3. From satin cases poured in rich profusion; In vials of ivory and coloured glass

      I am particularly interested in Eliot’s “From satin cases poured in rich profusion; In vials of ivory and coloured glass Unstoppered, lurked her strange synthetic perfumes,” In Baudelaire, perfume is not elegant or pleasant, but suffocating the “hot-house” air feels almost dangerous. The girl died from fatal beauty. She was described as artifial, posed like a doll, and used. Eliot does something similar to this artificalness of perfume: “synthetic” and "drowned the sense of odors" emphasizes that the perfume is artificial. Both poets connect wealth and luxury with suffocation. Almost being lost by temptation, human desire, like in Paradise Lost, the “native perfumes” of Eden seem natural and good, although their sweetness could also suggest temptation! The line in Eliots goes right into "vials of ivory and coloured glass" connects to buadelairs image of bouquets dying in glass coffins, like the girl in the poem.

    4. Under the firelight, under the brush, her hair Spread out in fiery points Glowed into words, then would be savagely still.

      There are many allusions within this small section, first to Ovid, in the form of the mournful nightingale, and the continual references to fire throughout the section with many connections to Eliot and the sources we read for tonight. First of all, industrail England was fueled by fires and the smoke produced by them, the damages of which were clear to see for all, Eliot included, which connects back to the Wasteland originally referred to. Additionally the anguish of Dido as she burns herself on a funeral pyre because of her deserting lover. In Eliots work, these allusions function as an emphasis on the tragedy the character within the poem is feeling. Because she is sad remembering her past, or perhaps a former lover as well, those who pick up on the references understand the intensity of feeling without Eliot having to outright describe how the chracter herself is "feeling"

    5. the sylvan scene The change of Philomel

      Here, Elliot twists John Miltons words in Paradise Lost, transforming a description of beauty and serenity in the garden of eden into one of barbarity. The word sylvan refers to characteristic woods or the countryside, and was used by Milton int he quote "Insuperable highth of loftiest shade, Cedar, and Pine, and Firr, and branching Palm A Silvan Scene, and as the ranks ascend Shade above shade, a woodie Theatre Of stateliest view."Milton describes the garden of eden in all its glory using sylvan as one of its adjectives, yet ultimately this description is used by Elliot in a much different way. Elliot is describing a painting above the narrators mantel, which depicts the rape of Philomel and her transformation. This corrupts the original intent of the reference, and as a result speaks to the corruption of the past and of nature present throughout the book. By using this word which describes a scenic landscape such as the garden of eden to describe this brutality, it reinforces the idea Elliot has already presented of the perversion of nature and humanities corruption of it. Thus, through this deliberate usage of the descriptor sylvan, Elliot reinforces his themes of the corruption of humanity and the destruction of nature using paradise lost and the myth of Philomel.

    1. E · Which oneRME-9A question across the banner with three example addresses beneath it and no answer given.

      these are prtty cool, but technically it would be all three? xD might need to rethink what we say in the regualr banner.

    2. Your results

      REVIEW: Banner picks: company page and holiday (RME-9 · RME-10) Reviewer: YT · 9/22/2026, 4:40:14 PM Decided 4 of 6

      ▸ Company page banner [pick one] · C · Both are true [RME-9] · D · One list, three answers [RME-9] · E · Which one [RME-9] · H · One list, three answers (with addresses) [RME-9] (no choice yet)

      ▸ Halloween 2026 [pick one] · A · The line [RME-10] · C · Trick or treat [RME-10] · D · Haunted inbox [RME-10] (no choice yet)

      ▸ Q4 holiday banners [keep or cut] KEEP Black Friday · Nov 27 [RME-10] KEEP Cyber Monday · Nov 30 [RME-10] KEEP Christmas · Dec 25 [RME-10] note: but fix design, on my end the list is breoken the x and chekcbox too?

      KEEP New Year's Eve · Dec 31 [RME-10]

      OVERALL: (none)

    3. Q4 holiday bannersKeep or cutOne per date, with no competition, so just keep the ones worth publishing and cut the rest.Cyber Monday · Nov 30RME-10Amber accent bar: Friday was the send, today is the bounce report.1128 × 191 px · true sizeKEEPCUT

      don't put liikne on the left, add as rule in branding guidelies, this is the third one so far. bvubt the text is gerat

    4. D · Haunted inboxRME-10Dark banner, “Something on your list is haunting your sender reputation,” three inbox rows at the right with the middle one flagged amber.

      this is the one i choose. lets make sure (maybe just in quiz it is broken?) but the label icons next to the three email is missing. also we don'T use thinck line bars on boxes, shows as ai too much. so remove the yello line, just put the labelicon in the cicrlce next yo the email

    5. A · The lineRME-10Teal banner, the serif line “Some of your subscribers are already ghosts” set clear of the logo, a small faint ghost at the right.

      I like this but I would but the ghost a different color so we can see it a bit better?

    6. C · Both are trueRME-9

      the valid icon is wrong also it isn'T valid it is to keep. also we have to decide the label icons n also to monitor is missing, even though i understand that the banner is talking abotu an email and what we would say, but it might make people think it is the only status and labels we give. maybe e need to rethink it.

      also we need to decide label icon vs text next to it, how much taller/bigger it can be vs text. the icon should be bigger in heght than the text nto same, so we can see it. we also have dark mode of the icon i believe with a fine white line around? we shoudl use that when background isn't white or beige or an o the other light colors

    1. Bernanos ne s’embarrasse pas toutefois des raffinements discursifs ou conceptuels la discriminant de l’inquiétude, tout comme il ne distingue guère la crainte du désespoir. Pour lui, tous ces affects, ces états et ces passions traduisent une seule et même expérience intérieure ravageuse et insondable

      discutable

    2. Elle-aussi bénéficie d’ailleurs d’un certain prestige, tant au regard d’une histoire des idées que par rapport à l’avènement du paradigme psychopathologique.

      alléger la syntaxe

      accoler « prestige » et « pathologie » semble paradoxal

    1. the Almanac-to-video pipeline Present this process

      I would really like to find the past one in my download folders. It's gonna be a folder with a video on it. That video should be able to give you the date to help you find how we generate them the scripts how we then went to create the voice and the captions and then how it works for the terminal, etc., and one of the things were really gonna need help with for V or maybe she needs to find somebody is how we're gonna do the background music and things like that and I don't mind paying when we've done all the videos paying for a month or two a little bit higher to clone my voice and my face maybe and then my face in the corner, which we then decide my face always there is it just my voice or is it a man's voice or is it a couple of different voices based what we're talking about maybe that's the ship shaped characters you know I don't know. Maybe it's a question for V to decide there's a lot of these questions and thoughts that we could present to her so that she can see well and make a good decision for us once we've kind of confirmed all of this obviously.

    2. The first one we run

      Did you find the process we use in order to create the first one? What is email because the script and the video came out really well we did do other video things and I'd like to add and edit maybe even though what his email not the content but like the video maybe just because who might come up with better smarter animations that are grounded and we also need to process right to keep these somewhere because some things like if you're talking about SPF and how it works, where we designed an animated header we might reuse it or we might reuse the base of it in order to make it different and change it, but at least we don't have to re-create things always from scratch, which then uses less tokens and also ensure that everything is correctly branded. This is also a great time to double check that her branding isn't getting confused or you know this organized because we have different projects and then are adding random things we shouldn't be adding.

    3. s the Almanac playlists, the cuts as the social track, across YouTube, TikTok and Instagram.

      Even if we might not be publishing, something somewhere the descriptions and whatever should be done on a social media level just because they have different character limit so you can put your L some of them we have to be reminded to add it as like a sticker like on it Instagram stories we have to do it manually so we need all that information organized somewhere in a database because this is a lot of stuff to manage and a lot of steps and we're not gonna be doing a continuously we're gonna start and we're gonna stop everything tracked correctly and we need to learn things as we go so that there's less corrections and back-and-forth

    4. nd social

      Just making sure we're on the same page it doesn't have to be an actual exact card like we take a long video. We just cut it into like trim it. It can be a rewrite in order for it to be Pierre in a shorter sentence so that it works for social media in places where videos can't be a minute a minute and a half two minutes plus

    5. nd screen it

      How about we do it in order and then also we have a page connect here or like whatever drop down I don't know somewhere where we can see which questions we have actually done what part like the square versus the video versus posting it versus the M4 versus the cards versus you know every single step EV all the reviews like everything on the table and if at some point, some questions or combined in the same video for whatever reason that becomes a combined role of videos instead of each line being its own QA/video role in this table page to track process

    6. confir

      We will create the first version of the storyboard, but we can add her own ideas when she comes up with better ideas to have animations that are gonna keep people listening you know more of the page or things are gonna be used, but the points to create a storyboard where we talk about normal email things, but find a way to visualize that or explain things by creating mind animation just putting text making a list of examples means whatever makes sense using obviously the information from the email Monarch

    7. ueued to post.

      vy is going to be the one who confirms the resized didn't break or things have moved and will also be the one scheduling and preparing the post to put online whether it's for the LinkedIn page my personal page, her personal page, Diego, Bruno, or cat's personal page on LinkedIn or TikTok or YouTube shorts or YouTube long format which we're gonna be recruiting the email as a pla then the audio version of that with the video or the exact same but for Spotify and then confirming the descriptions, the PDFs or generating tickets saying hey, in order to post this, we have a description, but I would like to have the description with a lead magnet. The lead magnet she can choose from could be the ones that are still in drafts that I haven't finished which then organizing and pushes me to create them, which is kind of good because it fixes and opens new funnel options on the email monarch pages. It's a task I need to do so might as well create the lead magnets from the ones we already have drafted and kind of almost done, but I actually have to build them using our template system or maybe she has another idea or you help her come up with another idea that would be great for that particular video which would then also I guess be a good thing to add as another option for lead magnet on the actual email almanac page or use it for a social media in general on its own specific learning page right

    8. From one Almanac answer to every cut

      this is correct title font style with one font dark green and then italics and bolder in teal. can we update on preview on all pages, and then push on prodafter testing othign broke? cause i eealized our headers lost this design style accross the board, and alos different font sizes, etc on pages or even between prod and and preview. we can create as new ticket for TT chat, and then TT can manage and push the pill when time to do it

    1. Шаг 3. Зарегистрировать конфиг золотого стенда (админ)

      Изначально мы думали, что преподаватели будут сами создавать стенды студентам по конфигу.

      идея была такова: админ создаёт конфиг по которому развёртываются стенды для студентов, а преподы уже конфиг.

      по итогу от этого отказались, но всё равно с конфигом удобно развёртывать стенды самоу админу - можно сразу батчами - кучами развёртывать стенды

      ДЕТАЛЬНО ПОКАЗАТЬ КАК ЭТО СВЯЗАНО С PROXMOX

    2. Шаг 5. Развернуть стенды студентам (преподаватель)

      Он выбирает node - потом это будет происходить автоматически.

      пользователей и название стенда.

      ну и всё по итогу собраны стенды

    3. Шаг 4. Создать пользователей (преподаватель)

      понятно, что для того, чтоб пользователь мог пользоватсья proxmox у него там должен быть акканунт

    4. Шаг 2. Получить информацию о пуле (админ)

      Через proxor есть возможность получить данные о любом пулле.

      скажем так: стенд и золотой стенд - это пулы, но в более прикладном домене. чтоб просто различать пулы с разной целью между собой.

      ОТВЕТ

    5. Шаг 1. Создать золотой стенд (админ, вручную)

      Показать стенд - что по итогу создаётся админом.

    1. eLife Assessment

      This work makes an important contribution to understanding the role of calreticulin and the Del52 variant in calcium homeostasis in cells based on convincing evidence. There was some question as to whether the work in vitro fully recapitulated the physiological setting in which the homozygous Del52 variant has been reported to have defects in calcium homeostasis. Nonetheless, the studies are well performed using appropriate methods to address these questions and make a significant contribution to the understanding of calreticulin, and the Del52 variant, function in health and disease.

    2. Reviewer #1 (Public review):

      The authors attempted to compare calcium binding properties of wildtype calreticulin with calreticulin deletion mutant (CRTDel52) associated with myeloproliferative neoplasms.

      The researchers conducted their study using advanced techniques They found almost no difference in calcium binding between the two proteins and observed no impact on calcium signaling, specifically store-operated calcium entry (SOCE). The study also noted an increase in ER luminal calcium-binding chaperone proteins. Surprisingly, the authors selected flow cytometry as a technique for measurements of ER luminal calcium. Considering limitations of this approach it would be better to use alternative approaches. This is particularly important as previous reports, using cells from MPN patients, indicate reduced ER luminal calcium and effects on SOCE (Blood, 2020). This issue matters because earlier research with MPN patient cells reported reduced ER luminal calcium levels and altered SOCE (Blood, 2020). How do the authors explain the difference between their results and previous findings about lower ER luminal calcium and changed SOCE in MPN patient cells expressing CRTDel52? Other studies have found that unfolded protein responses are activated in MPN cells with CRTDel52 calreticulin (see Blood, 2021), and increased UPR could account for higher levels of some ER resident calcium-binding proteins observed here. Overall, it remains unclear how this work improves our understanding of MPN or clarifies calreticulin's role in MPN pathophysiology.

      Comments on revised version.

      The authors have addressed the points raised in the original review. However, given the absence of significant differences between the wild-type and mutant proteins, the relevance of this work to MPN pathology remains unclear. The novelty of the study is limited, as calcium has generally not been considered a significant factor in MPN pathology associated with mutant calreticulin.

    3. Reviewer #2 (Public review):

      Summary:

      Tagoe and colleagues present a thorough analysis of the calcium (Ca2+) binding capacity of calreticulin (CRT), an endoplasmic reticulum (ER) Ca2+-buffer protein, using a mutant version (CRT del52) found in myeloproliferative neoplasms (MPNs). The authors use purified human CRT protein variants, CRT-KO cell lines, and an MPN cell line to elucidate the differing Ca2+ dynamics, both on the level of the protein and on cell-wide Ca2+-governed processes. In sum, the authors provide new insights into CRT that can be applied to both normal and malignant cell biology.

      First the authors purify CRT protein and perform isothermal titration calorimetry to quantify the Ca2+ binding capacity of CRT. They use full-length human CRT, CRT del52, and two truncations of CRT (1-339 and 1-351, the former of which should lead to the entire loss of low affinity Ca2+ binding). While CRT del52 has previously been shown to lead to a decrease in Ca2+ binding affinity in other models, the ITC data shows that this is retained in CRT del52.

      Next, the authors utilize a CRT-KO cell line with subsequent addition of CRT protein variants to validate these findings with flow cytometric analysis. Cells were transfected with a ratiometric ER Ca2+ probe, and fluorescence indicates that CRT del52 is unable to restore basal ER Ca2+ levels to the same extent as CRT wild-type. To translate these findings to MPNs, the authors perform CRT-KO in a megakaryocytic cell line, where reconstitution with either CRT variant did not cause a difference in cytosolic calcium levels. The authors further test store-operated calcium entry (SOCE), an important process to maintaining ER Ca2+ levels, in these cells, and find that CRT-KO cells have lower SOCE activity, and that this can be slightly recovered with CRT addition.

      Finally, the authors ask whether other effects of CRT-KO/reconstitution can affect cellular Ca2+ signaling pathway and levels. RNASeq analysis revealed showed that CRT-KO lead to an increase in various chaperone protein expressions, and that reconstitution with CRT del52 is unable to reduce expression to the same extent as reconstitution with CRT wildtype.

      Comments on revised version.

      The authors have sufficiently addressed my concerns from the first review.

    4. Author response:

      The following is the authors’ response to the original reviews.

      eLife Assessment

      This study investigates low-affinity Ca2+ binding by WT calreticulin and mutant calreticulin associated with type I myeloproliferative neoplasms, as well as the impact on Ca2+ fluxes in suspension cultures of megakaryocyte-like cells in vitro in response to ER Ca2+ ATPase inhibitors that deplete endoplasmic reticulum (ER) Ca2+ store and open plasma membrane Ca2+ channels through STIM1-Orai interactions. The results are important in that they show that Ca2+ binding by calreticulin and store-operated Ca2+ entry are not fundamentally impacted by the type I deletion mutation in calreticulin, which rules out a direct effect of the calreticulin mutation on its own low-affinity Ca2+ binding and any broad impact on ER Ca2+ regulation. The strength of the data and methods used ranges from solid to convincing, although the use of suspension-based flow cytometric assays to investigate ER Ca2+ levels and Ca2+ entry can be challenged. High-affinity Ca2+ binding sites could be further considered, and possible confounding effects of Abl kinase activity in the megakaryocyte-like cell lines could be offset.

      The authors thank the editors and the reviewers for the summary, comments and many helpful suggestions. In the revised manuscript, we have used fluorimetry for more precise ER calcium measurements (new Figure 5), clarified the high-affinity calcium binding site concern based on our previous work, and addressed possible effects of BCR-ABL translocation kinase activity upon cellular calcium signaling using the drug Imatinib (new supplements to Figure 6 and 7).

      Public Reviews:

      Reviewer #1 (Public review):

      The researchers conducted their study using advanced techniques. They found almost no difference in calcium binding between the two proteins and observed no impact on calcium signaling, specifically store-operated calcium entry (SOCE). The study also noted an increase in ER luminal calcium-binding chaperone proteins. Surprisingly, the authors selected flow cytometry as a technique for measurements of ER luminal calcium. Considering the limitations of this approach, it would be better to use alternative approaches.

      Thank you for this suggestion. We have undertaken fluorimetry-based ER calcium measurements, which are shown in a new Figure 5. These also indicate similar ER calcium levels in CRT-KO HEK293T cells, compared to those reconstituted with wild-type CRT and CRT<sub>Del52</sub>.

      This is particularly important as previous reports, using cells from MPN patients, indicate reduced ER luminal calcium and effects on SOCE (Blood, 2020). This issue matters because earlier research with MPN patient cells reported reduced ER luminal calcium levels and altered SOCE (Blood, 2020). How do the authors explain the difference between their results and previous findings about lower ER luminal calcium and changed SOCE in MPN patient cells expressing CRTDel52?

      We thank the reviewer for asking for these clarifications. We have revised the discussion to address some of these points and also clarify the findings of the referenced study (Di Buduo et al., 2020) which did not directly measure ER calcium levels. We also discuss findings from a related study with cultured megakaryocytes from patients that indicated different effects of type I vs type II mutations (Pietra et al., 2016). In the absence of engineered controls, sample-to-sample heterogeneities in primary cells make it difficult to attribute any measured differences as direct effects of CRT mutations. Different from these experiments, by using purified proteins and ITC, our studies show that the Del52 mutant has calcium-binding characteristics resembling that of the wild-type protein. Additionally, through genetic manipulations in cell lines, our studies directly address the effects of calreticulin KO and its Del52 mutation upon ER luminal and cytosolic calcium levels, and cellular SOCE signals. We did not measure significant differences in any of these parameters between the KO cells and those reconstituted with wild-type calreticulin or the Del52 mutant. As noted by the editors, these results show that Ca2+ binding by calreticulin and SOCE in a cell are not fundamentally impacted by the type I deletion mutation.

      Other studies have found that unfolded protein responses are activated in MPN cells with CRTDel52 calreticulin (see Blood, 2021), and increased UPR could account for higher levels of some ER-resident calcium-binding proteins observed here.

      These points are addressed in the discussion. Either protein misfolding in cells with wild-type calreticulin deficiency or the sensing of cellular calcium perturbations could induce the expression of ER calcium-binding proteins in calreticulin-deficient cells, although we favor the latter model for the reason specified in the discussion. Regardless of the precise mechanisms underlying the expression changes in calcium-binding proteins, the upregulated factors are predicted to compensate for calreticulin deficiency and contribute to the maintenance of the overall cellular calcium homeostasis.

      Overall, it remains unclear how this work improves our understanding of MPN or clarifies calreticulin's role in MPN pathophysiology.

      Multiple studies referenced in the manuscript have suggested links between altered calcium signaling/binding by CRT mutants and MPN pathogenesis. Our studies indicate that ER and cytosolic calcium levels and SOCE are not directly impacted by the MPN type I CALR mutation, points noted in the abstract and discussion. Thus, calcium signaling may not play a specific role in MPN CALR mutant pathology via suggested mechanisms. We are confident that readers will find these results important for better understanding the role of calreticulin type I mutations in MPN.

      Reviewer #1 (Recommendations for the authors):

      This study aimed to express, purify, and evaluate low-affinity calcium binding by a calreticulin deletion mutant (CRTdel52) that is linked to myeloproliferative neoplasms (MPN). The researchers performed cell imaging, flow cytometry, and isothermal titration calorimetry to compare calcium binding between wild-type calreticulin and CRTDel52. They assessed cytosolic calcium levels and store-operated calcium entry (SOCE) in HET293T cells (CRT knocked-out background) and in megakaryoblastic MEG-1 cells. Additionally, they examined changes in the abundance of endoplasmic reticulum (ER) resident calcium-binding proteins in cells expressing either wild-type or mutant CRT.

      This study is well executed but lacks clear relevance to MPN, and it is not clear how this work advances our knowledge of calreticulin biology. No differences were found in calcium binding between wild-type calreticulin and CRTDel52, nor was SOCE impacted. They noticed, however, a compensatory increase in the abundance of some ER resident calcium-binding proteins. The lack of any significant changes in calcium behavior between wild type and CRTDel52 is not surprising based on the known amino acid sequence of calreticulin and calreticulin mutant and based on our knowledge about CRT calcium binding in general. Consequently, it is not clear how this work advances our understanding of the pathophysiology of MPN. Calcium may not play a critical role in the MPN pathology; instead, CRTDel52 secretion and receptor signaling appear more central. Further research should address how these findings relate specifically to MPN and cell biology, in general.

      Our current studies demonstrate increased expression of other calcium-binding proteins in the context of heterozygous MPN type I CALR mutations (Figure 8C) or conditions resembling homozygous MPN type I CALR mutations (Figures 8D-8G). These results, together with findings of maintained ER and cytosolic calcium levels and SOCE signals (Figures 4-7 and Figure 6, supplemental Figure 2 and Figure 7, supplemental Figure 1), indicate that altered calcium binding/signaling by Del52 does not directly contribute to MPN pathology.

      What is the biological or pathophysiological relevance of the CRTDel52-KDEL construct?

      The KDEL sequence is important for the ER retention of CRT (Sonnichsen et al., 1994), and its addition was expected to at least partially remedy the ER retention defect of CRT<sub>Del52</sub>. This point is clarified in the revised results section.

      The rise in ER calcium-binding proteins is noteworthy but anticipated, given likely genetic changes from UPR pathway activation in these cells. Is this relevant to MPN?

      We suggest that increased expression of other calcium-binding proteins in the context of heterozygous MPN type I CALR mutations (Figure 8C) or conditions resembling homozygous MPN type I CALR mutations (Figures 8D-8G) would contribute to the maintenance of the cell’s calcium signaling capacity.

      How do the authors explain the difference between their results and previous findings about lower ER luminal calcium and changed SOCE in MPN patient cells expressing CRTDel52?

      The findings related to SOCE are addressed in the points discussed above and in the revised discussion. Related to ER luminal calcium, the study by Ibarra et al. (Ibarra et al., 2022) reported that CRT<sub>Del52</sub> overexpressed in U2OS cells (expressing endogenous CRT) had reduced ER calcium levels compared to the same cells expressing WT CRT or CRT<sub>Ins5</sub>. Those measurements did not use a ratiometric ER calcium probe, and additionally it is possible that the expression of compensatory calcium-binding proteins is more muted in cells expressing endogenous wild-type CRT.

      Other studies have found that unfolded protein responses are activated in MPN cells with CRTDel52 calreticulin (see Blood, 2021), and increased UPR could account for higher levels of some ER-resident calcium-binding proteins observed here.

      We agree that increased UPR could account for higher levels of some ER-resident calcium-binding proteins. As noted in the revised discussion, regardless of the precise mechanisms underlying the expression changes in calcium-binding proteins, the upregulated factors are predicted to compensate for calreticulin deficiency and contribute to the maintenance of the overall cellular calcium homeostasis.

      It is not clear why flow cytometry was a choice of technique for measurements of ER calcium. Pacific Blue was detected at 405 nm excitation and 452-455 nm emission, while unbound probe signals appeared in the AmCyan channel (405 nm excitation/498 nm emission). It is unnecessary to mention fluorochrome labels (like Pacific Blue or AmCyan) for channels that are not in use. Only the channels actually utilized need to be specified: The calcium-bound GEM-CEPIA1er probe's signal was collected using the Pacific Blue channel (excitation at 405 nm, emission at 452-455 nm), while the unbound probe's signal was detected using the AmCyan channel (excitation at 405 nm, emission at 498 nm). Since it's not possible to monitor emission only at a specific wavelength with a Fortessa, could this be a different channel that is being recorded?

      Additionally, due to the similar spectra and potential for bleed-through between Pacific blue and Amcyan, compensation is likely necessary. Therefore, you should include single-stained control cells containing only one probe for proper reporting. Additionally, only the "GEM-CEPIA1er probe" is displayed, while the second probe is referred to solely as "unbound".

      A single genetically encoded GEM-CEPIA1er probe (Suzuki et al., 2014) was used for measuring both the bound and unbound signals. The GEM-CEPIA1er probe was excited with the 405 nm violet laser. In the methods section of the revised manuscript, the GEM-CEPIA1er probe wording is included for describing both the bound and unbound signal collections. Additionally, we have undertaken new spectrofluorimetric experiments (new Figure 5), which allow for the distinct emission peaks to be recorded corresponding to the Ca<sup>2+</sup>-bound and Ca<sup>2+</sup>-unbound signals. Similar results were obtained as reported for the flow cytometry-based experiments.

      Increased expression of wild-type calreticulin compared to parental cells should impact on ER calcium content and dynamics in back-transfected HEK293T-KO or MEG-1 cells. Direct ER calcium measurements in HEK293 cells with various calreticulin constructs would significantly strengthen this presentation.

      Our experiments were structured to compare calcium signaling in cells expressing only wild-type CRT or CRT<sub>Del52</sub> (resembling homozygous type I MPN CALR mutations) compared to CRT-KO cells. The over-expression of CRT in the reconstituted cells compared to endogenous expression level is a limitation of our study which we have acknowledged in the revised manuscript discussion. Understanding the effects of over-expression of wild-type CRT vs the CRT<sub>Del52</sub> mutant upon ER and cytosolic calcium signals and SOCE is interesting, but beyond the scope of the present study.

      The authors should examine the immunolocalization of CRTDel52 and wild-type protein in HEK293 cells.

      Previous published studies from another lab showed that CRT<sub>Del52</sub> is secreted from HEK cells and that the addition of a KDEL sequence to CRT<sub>Del52</sub> reduces secretion and induces its increased intracellular accumulation (Arshad and Cresswell, 2018). This point is noted in the revised results section and the reference is cited. This appears to be the general theme in primary cells and cell lines. Previous studies and our own prior published studies have shown that CRT<sub>Del52</sub> (but not wild-type CRT) is detectable in the media of cell lines and patient serum as well on the cell surface of primary cells and cell lines (Kaur et al., 2024, Venkatesan et al., 2021, Pecquet et al., 2023).

      SDS-PAGE of purified proteins is overloaded, and chromatograms show extra peaks or shoulders, making protein quality assessment uncertain.

      Representative chromatograms, peaks corresponding to protein monomers used for ITC analyses and the relevant gels are clarified in the revised manuscript. In new analyses since the original submission, intact protein mass spectrometry was undertaken for CRT<sub>Del52</sub>. The results indicate a 35-42 amino acid truncation in different preparations. The truncated proteins would still include acidic residues (between 340–351) previously implicated in low-affinity calcium binding by murine CRT that are shared between wild-type and CRT<sub>Del52</sub>. This new information is now included in the revised results section.

      Analysis of SOCE in calreticulin-deficient cells and cells reconstituted with calreticulin or overexpressing the protein has already been reported (PMID12324449).

      The indicated reference and additional related papers examining effects of CRT deficiency and overexpression on cellular calcium signaling (Arnaudeau et al., 2002, Bastianutto et al., 1995, Mery et al., 1996, Nakamura et al., 2001) are cited in the revised manuscript.

      Reviewer #2 (Public review):

      Tagoe and colleagues present a thorough analysis of the calcium (Ca2+) binding capacity of calreticulin (CRT), an endoplasmic reticulum (ER) Ca2+-buffer protein, using a mutant version (CRT del52) found in myeloproliferative neoplasms (MPNs). The authors use purified human CRT protein variants, CRT-KO cell lines, and an MPN cell line to elucidate the differing Ca2+ dynamics, both on the level of the protein and on cell-wide Ca2+-governed processes. In sum, the authors provide new insights into CRT that can be applied to both normal and malignant cell biology.

      First, the authors purify CRT protein and perform isothermal titration calorimetry to quantify the Ca2+ binding capacity of CRT. They use full-length human CRT, CRT del52, and two truncations of CRT (1-339 and 1-351, the former of which should lead to the entire loss of low-affinity Ca2+ binding). While CRT del52 has previously been shown to lead to a decrease in Ca2+ binding affinity in other models, the ITC data show that this is retained in CRT del52.

      Next, the authors utilize a CRT-KO cell line with subsequent addition of CRT protein variants to validate these findings with flow cytometric analysis. Cells were transfected with a ratiometric ER Ca2+ probe, and fluorescence indicates that CRT del52 is unable to restore basal ER Ca2+ levels to the same extent as CRT wild-type. To translate these findings to MPNs, the authors perform CRT-KO in a megakaryocytic cell line, where reconstitution with either CRT variant did not cause a difference in cytosolic calcium levels. The authors further test store-operated calcium entry (SOCE), an important process for maintaining ER Ca2+ levels, in these cells, and find that CRT-KO cells have lower SOCE activity, and that this can be slightly recovered with CRT addition.

      Finally, the authors ask whether other effects of CRT-KO/reconstitution can affect the cellular Ca2+ signaling pathway and levels. RNASeq analysis revealed that CRT-KO leads to an increase in various chaperone protein expressions, and that reconstitution with CRT del52 is unable to reduce expression to the same extent as reconstitution with CRT wildtype.

      Strengths:

      The authors provide new insights into CRT that can be applied to both normal and malignant cell biology.

      We thank the reviewer for the recognition that this study is important for our understanding of both normal and malignant cell biology.

      Weaknesses:

      (1) The authors should consider discussing the high-affinity Ca2+ binding site more in the introduction. Can they show a proof-of-concept experiment that validates that incubation of recombinant CRT reduces the function of that high-affinity Ca2+ binding site?

      In a previous study (Wijeyesakere et al., 2011), we showed that at a starting calcium concentration of 0 mM and with CaCl<sub>2</sub> injections to a final concentration of 70-80 mM the measured K<sub>D</sub> value was 16.6 mM for calcium binding to wild type murine calreticulin, (which has ~95% sequence identity with human calreticulin), corresponding to the high-affinity site. On the other hand, at a starting calcium concentration of 50-100 mM and CaCl<sub>2</sub> injections to a final concentration of 700-850 mM, the measured K<sub>D</sub> value for calcium binding to wild-type murine calreticulin was 590 mM (corresponding to the low-affinity sites). We did not observe the high-affinity sites when the starting calcium concentration was 50 mM and calcium injections were at 33 mM each; similar conditions are used in the present study. These points are clarified in the revised manuscript in the results section.

      (2) For Figure 2B, do you have an explanation for why the purified proteins run higher than predicted (48-52kDa) - are these proteins still tagged with pGB1?

      Yes, the purified proteins shown in Figure 2B retained a GB1 tag. This point is clarified in the revised methods.

      (3) The MEG-01 cell line has the BCR:ABL1 translocation, while CRT mutations are strictly found in BCR:ABL1 negative MPNs. Could these experiments be repeated in these cells treated with imatinib to decrease these effects, or see if basal MEG-01 Ca2+ levels/activity are changed with or without imatinib?

      Thank you for this important point. We have assessed cytosolic calcium levels in MEG-01 cells that were treated or not treated with imatinib in new Figure 6, supplemental Figures 1 and 2 and Figure 7, supplemental Figure 1) and show that the prior results hold in imatinib-treated cells.

      References

      ARNAUDEAU, S., FRIEDEN, M., NAKAMURA, K., CASTELBOU, C., MICHALAK, M. & DEMAUREX, N. 2002. Calreticulin differentially modulates calcium uptake and release in the endoplasmic reticulum and mitochondria. J Biol Chem, 277, 46696-705.

      ARSHAD, N. & CRESSWELL, P. 2018. Tumor-associated calreticulin variants functionally compromise the peptide loading complex and impair its recruitment of MHC-I. J Biol Chem, 293, 9555-9569.

      BASTIANUTTO, C., CLEMENTI, E., CODAZZI, F., PODINI, P., DE GIORGI, F., RIZZUTO, R., MELDOLESI, J. & POZZAN, T. 1995. Overexpression of calreticulin increases the Ca2+ capacity of rapidly exchanging Ca2+ stores and reveals aspects of their lumenal microenvironment and function. J Cell Biol, 130, 847-55.

      DI BUDUO, C. A., ABBONANTE, V., MARTY, C., MOCCIA, F., RUMI, E., PIETRA, D., SOPRANO, P. M., LIM, D., CATTANEO, D., IURLO, A., GIANELLI, U., BAROSI, G., ROSTI, V., PLO, I., CAZZOLA, M. & BALDUINI, A. 2020. Defective interaction of mutant calreticulin and SOCE in megakaryocytes from patients with myeloproliferative neoplasms. Blood, 135, 133-144.

      IBARRA, J., ELBANNA, Y. A., KURYLOWICZ, K., CIBODDO, M., GREENBAUM, H. S., ARELLANO, N. S., RODRIGUEZ, D., EVERS, M., BOCK-HUGHES, A., LIU, C., SMITH, Q., LUTZE, J., BAUMEISTER, J., KALMER, M., OLSCHOK, K., NICHOLSON, B., SILVA, D., MAXWELL, L., DOWGIELEWICZ, J., RUMI, E., PIETRA, D., CASETTI, I. C., CATRICALA, S., KOSCHMIEDER, S., GURBUXANI, S., SCHNEIDER, R. K., OAKES, S. A. & ELF, S. E. 2022. Type I but Not Type II Calreticulin Mutations Activate the IRE1alpha/XBP1 Pathway of the Unfolded Protein Response to Drive Myeloproliferative Neoplasms. Blood Cancer Discov, 3, 298-315.

      KAUR, A., VENKATESAN, A., KANDARPA, M., TALPAZ, M. & RAGHAVAN, M. 2024. Lysosomal degradation targets mutant calreticulin and the thrombopoietin receptor in myeloproliferative neoplasms. Blood Adv, 8, 3372-3387.

      MERY, L., MESAELI, N., MICHALAK, M., OPAS, M., LEW, D. P. & KRAUSE, K. H. 1996. Overexpression of calreticulin increases intracellular Ca2+ storage and decreases store-operated Ca2+ influx. J Biol Chem, 271, 9332-9.

      NAKAMURA, K., ZUPPINI, A., ARNAUDEAU, S., LYNCH, J., AHSAN, I., KRAUSE, R., PAPP, S., DE SMEDT, H., PARYS, J. B., MULLER-ESTERL, W., LEW, D. P., KRAUSE, K. H., DEMAUREX, N., OPAS, M. & MICHALAK, M. 2001. Functional specialization of calreticulin domains. J Cell Biol, 154, 961-72.

      PECQUET, C., PAPADOPOULOS, N., BALLIGAND, T., CHACHOUA, I., TISSERAND, A., VERTENOEIL, G., NEDELEC, A., VERTOMMEN, D., ROY, A., MARTY, C., NIVARTHI, H., DEFOUR, J. P., EL-KHOURY, M., HUG, E., MAJOROS, A., XU, E., ZAGRIJTSCHUK, O., FERTIG, T. E., MARTA, D. S., GISSLINGER, H., GISSLINGER, B., SCHALLING, M., CASETTI, I., RUMI, E., PIETRA, D., CAVALLONI, C., ARCAINI, L., CAZZOLA, M., KOMATSU, N., KIHARA, Y., SUNAMI, Y., EDAHIRO, Y., ARAKI, M., LESYK, R., BUXHOFER-AUSCH, V., HEIBL, S., PASQUIER, F., HAVELANGE, V., PLO, I., VAINCHENKER, W., KRALOVICS, R. & CONSTANTINESCU, S. N. 2023. Secreted mutant calreticulins as rogue cytokines in myeloproliferative neoplasms. Blood, 141, 917-929.

      PIETRA, D., RUMI, E., FERRETTI, V. V., DI BUDUO, C. A., MILANESI, C., CAVALLONI, C., SANT'ANTONIO, E., ABBONANTE, V., MOCCIA, F., CASETTI, I. C., BELLINI, M., RENNA, M. C., RONCORONI, E., FUGAZZA, E., ASTORI, C., BOVERI, E., ROSTI, V., BAROSI, G., BALDUINI, A. & CAZZOLA, M. 2016. Differential clinical effects of different mutation subtypes in CALR-mutant myeloproliferative neoplasms. Leukemia, 30, 431-8.

      SONNICHSEN, B., FULLEKRUG, J., NGUYEN VAN, P., DIEKMANN, W., ROBINSON, D. G. & MIESKES, G. 1994. Retention and retrieval: both mechanisms cooperate to maintain calreticulin in the endoplasmic reticulum. J Cell Sci, 107 (Pt 10), 2705-17.

      SUZUKI, J., KANEMARU, K., ISHII, K., OHKURA, M., OKUBO, Y. & IINO, M. 2014. Imaging intraorganellar Ca2+ at subcellular resolution using CEPIA. Nat Commun, 5, 4153.

      VENKATESAN, A., GENG, J., KANDARPA, M., WIJEYESAKERE, S. J., BHIDE, A., TALPAZ, M., POGOZHEVA, I. D. & RAGHAVAN, M. 2021. Mechanism of mutant calreticulin-mediated activation of the thrombopoietin receptor in cancers. J Cell Biol, 220, e202009179.

      WIJEYESAKERE, S. J., GAFNI, A. A. & RAGHAVAN, M. 2011. Calreticulin is a thermostable protein with distinct structural responses to different divalent cation environments. J Biol Chem, 286, 8771-85.

    1. eLife Assessment

      In this important study, Abdelnaby and colleagues systematically examine the four native Orai channel isoforms (Orai1α, Orai1β, Orai2, and Orai3) and find that all can couple to NFAT1/4 activation, with NFAT responses largely scaling with the magnitude of Ca2+ influx (Orai1β > Orai1α >> Orai2 > Orai3). The study shows that in primary CD4⁺ T cells, Orai1α and Orai1β are functionally redundant, restoring SOCE, NFAT activation, cytokine production, and highly similar transcriptional programs. Human genetic data further show that selective loss of Orai1α does not cause CRAC channelopathy and instead slightly enhances SOCE and NFAT activation. Overall, the findings are significant, and the strength of the evidence supporting the conclusions is convincing.

    2. Reviewer #1 (Public review):

      Summary:

      This study quantifies the ability of the four isoforms of the calcium-release calcium-activated (CRAC) channel Orai to mediate calcium entry and transcriptional responses. By genetically invalidating each isoform and by separately re-expressing them in Orai-deficient human embryonic kidney cells, the authors show that the rates of calcium entry across the four native Orai calcium channel isoforms (Orai1α/β, Orai2, Orai3) correlate with the degree of NFAT activation. They further show that the two alternatively translated isoforms Orai1α and Orai1β are interchangeable, as their expression in Orai1-deficient primary mouse T cells induces identical cytokine responses and transcriptional programmes, and that individuals bearing frameshift mutations causing a loss of the Orai1α isoform do not exhibit immune, muscular, or dermatologic features and have preserved T cells' Ca2+ and transcriptional responses.

      Strengths:

      The data are of high quality, relying on clean cell line and mouse knockout models to link calcium entry rates directly to NFAT activation, and human data from homozygous and heterozygous frameshift mutation carriers confirm that Orai1α and Orai1β are functionally redundant in vivo.

      Weaknesses:

      An acknowledged limitation is that some conclusions depend on transient overexpression experiments. The authors should explicitly address whether Orai1α could possess non-redundant functions under unique physiological environments not captured by these assays.

    3. Reviewer #2 (Public review):

      Summary:

      The authors aim to assess the differential role of Orai isoforms for mediating SOCE and NFAT1 and/or NFAT4 nuclear translocation primarily in the context of T cells. For this purpose, they have used genetically modified cells and appropriate human genetic conditions. All isoforms were expressed individually (with deletions of other isoforms) at roughly equivalent levels so that data across isoforms could be compared unambiguously. Their experiments convincingly identify Orai1 as the main driver of SOCE and NFAT1/4 translocation in the HEK293 cell line and in primary T cells. The two Orai1 isoforms appear functionally equivalent, and loss of the longer isoform (Orai1α) is compensated in humans by the presence of the shorter isoform (Orai1β).

      Strengths:

      Overall, their judicious use of appropriate knockouts, mutants and expression constructs allows for unambiguous interpretation of data regarding the key role of Orai1α and Orai1β in T cell physiology. They also demonstrate a role for Orai3 in driving SOCE in a breast cancer cell line.

      Weaknesses:

      The main shortcoming of this manuscript is its inability to place the findings in a context that would be of interest to a broader audience. It would be helpful to provide a metanalysis from existing public databases (human and/or murine) of the known expression in various cell types and tissues of Orai1α, Orai1β, Orai2 and Orai3. This could suggest possible roles for each Orai isoform in tissues other than immune cells. Further, the physiological relevance of the two NFAT isoforms studied, NFAT1 and NFAT4, needs some elaboration, both in the context of T cells and other tissues.

    4. Reviewer #3 (Public review):

      Summary:

      The work by Abdelnaby et al. investigated the different Orai isoforms, and also especially Orai1 alpha and beta for NFAT 1 and NFAT 4 translocation, but also its impact in genetically modified T-cells. This is a very well-performed work that manages to monitor NFAT nuclear/cytosol ratio even in a time-dependent manner. Overall, this study has been very well performed, is clearly written and discusses the literature very accurately.

      Strengths:

      For monitoring NFAT translocation, the authors have managed to observe this pattern even in a time-dependent manner. The authors may like to describe how this analysis was done with more details, as I believe some software assistance was needed to distinguish the nuclear to cytosolic region for a huge number of cells. Clearly, this analysis provides a very clear picture of the time course of translocation and allows for a precise statistical analysis.

      Remarkably, NFAT1 and NFAT4 translocation was not substantially different for Orai1 alpha- and Orai1 beta-mediated Ca2+ signals. This has also been observed previously by Zhang et al. for NFAT1 from the same laboratory. Clearly, this is in contrast to the work of reference 38 (Kar et al.). All these publications have been performed with a huge amount of data, and I believe that clearly stating this difference in results from previous work is an additional important aspect of this manuscript.

      In line with the similar NFAT translocation efficiency of Orai1 alpha- or beta-containing cells, the authors carefully evaluated differentially expressed genes in CD4+ T cells. They did not find a substantial difference in these cells that were transduced with Orai1 alpha or beta - clear orthogonal evidence for a conserved function of Orai1 alpha and beta for transcriptional activation.

      Weaknesses:

      This reviewer identified no obvious weaknesses in this work.

    5. Reviewer #4 (Public review):

      Summary

      Orai1, Orai2 and Orai3 are the pore-forming subunits of CRAC channels, and Orai1 itself exists as two N-terminally distinct translational isoforms, Orai1α and Orai1β. Despite well-documented differences in the biophysical properties of these four proteins (Ca²⁺-dependent inactivation, expression pattern, evolutionary conservation), it has been unclear whether these differences translate into distinct transcriptional outputs through the Ca²⁺-calcineurin-NFAT axis, or whether NFAT responses are simply scaled by the amount of Ca²⁺ that each channel variant lets through. The authors address this using HEK293 cell lines engineered by CRISPR/Cas9 to retain only a single native Orai homologue (OraiDKO lines) or none at all (Orai-TKO, reconstituted at near-native levels with a weak TK promoter), and extend their findings to primary murine CD4⁺ T cells lacking endogenous Orai1, as well as to human primary T cells and population genetic datasets from individuals carrying naturally occurring loss-offunction alleles that selectively eliminate Orai1α while sparing Orai1β. Across these systems, the authors report a consistent rank order of NFAT1/NFAT4 activation (Orai1β {greater than or equal to} Orai1α >> Orai2 > Orai3) that mirrors the rank order of SOCE amplitude, and show that a fast Ca²⁺ chelator (BAPTA) but not a slow one (EGTA) blocks NFAT1 activation, consistent with a requirement for local, channel-proximal Ca²⁺ signals rather than global cytosolic Ca²⁺ elevation. Human individuals homozygous for Orai1αselective null alleles are clinically unaffected and show normal or even enhanced SOCE/NFAT responses, contrasting sharply with the severe CRAC channelopathy phenotype produced by mutations affecting residues shared by both isoforms. Together, the data support a model in which the graded strength of SOCE, rather than isoform-specific coupling machinery, is the principal determinant of NFAT activation and downstream gene expression.

      Strengths

      The central strength of this study is its genetic strategy. Rather than relying on overexpression of individual Orai/STIM constructs in a background where multiple endogenous Orai paralogues are still present (a common confound in this field), the authors generated HEK293 clones that retain only one native Orai isoform, and separately reconstituted Orai-TKO cells with individual isoforms at nearendogenous expression levels using a weak TK promoter, validated by immunofluorescence and Western blotting. This design substantially reduces the risk that observed differences reflect artifacts of Orai/STIM stoichiometry rather than genuine isoform-intrinsic properties, a concern the authors explicitly raise and address (citing prior work showing that Orai/STIM overexpression itself can alter regulator sensitivity).

      The multi-tier validation strategy is unusually thorough for this type of mechanistic question. The same qualitative conclusion, that NFAT activation scales with SOCE magnitude rather than isoform identity, is supported independently by (i) engineered HEK293 lines under both maximal (thapsigargin) and physiological (carbachol) stimulation, (ii) an orthogonal cellular system (MCF7 breast cancer cells natively dominated by Orai3) in which a "weak" channel is shown to support robust NFAT1 activation when sufficiently abundant, (iii) reconstitution of Orai1-deficient primary murine CD4⁺ T cells with matched, near endogenous levels of Orai1α or Orai1β, assessed by SOCE, endogenous NFAT1 localization (ImageStream), cytokine production, and genome-wide RNA-seq, and (iv) human population genetics across four independent cohorts (UK Biobank, gnomAD, Qatar Biobank, All of Us) combined with direct cellular phenotyping of human T cells from individuals with defined Orai1α genotypes. The convergence of cell line, mouse, and human genetic data on a single coherent model considerably strengthens confidence in the conclusions beyond what any single approach could provide.

      The chelator experiment (Figure 4) is a clean, well-controlled test of local versus global Ca²⁺ signaling, using the classical BAPTA/EGTA differential kinetic-buffering logic, and the result (BAPTA-sensitive, EGTA-insensitive NFAT1 activation for both isoforms) is internally consistent and clearly presented.

      The RNA-seq analysis (Figure 6) is a valuable addition, showing near-identical global transcriptional programs driven by Orai1α and Orai1β (log2 fold-change correlation R ≈ 0.92) and demonstrating that the larger number of nominal differentially expressed genes for Orai1α is attributable to statistical thresholding rather than a qualitatively distinct transcriptional signature. This substantially strengthens the claim that isoform identity has little independent influence on the transcriptional output of SOCE beyond its effect on Ca²⁺ influx magnitude.

      Finally, the human genetic component is a genuine strength that elevates the physiological relevance of the paper considerably. Directly testing individuals who are natural "knockouts" for one Orai1 isoform but not the other is a powerful complement to the reductionist cell biology, and the finding that Orai1αnull carriers are clinically well and immunologically not compromised (indeed showing modestly enhanced SOCE/NFAT signaling) provides an unusually direct refutation of a specific published mechanistic model (the AKAP79-Orai1α N-terminus coupling hypothesis).

      Weaknesses

      Some tension remains between the HEK293/human T cell data, where Orai1β is moderately but consistently more efficient than Orai1α at driving SOCE and NFAT activation, and the murine primary CD4⁺ T cell data, where the two isoforms are functionally indistinguishable. The authors offer a plausible explanation, that retroviral expression levels in T cells were high enough to mask subtle isoform differences, and they partially address this by gating on Amtlow (lower-expressing) cells.

      The TK-promoter reconstitution system, while a clear improvement over CMV-driven overexpression and validated as achieving comparable expression across isoforms, still involves ectopic expression in an Orai-null background rather than truly endogenous expression from the native locus. Describing this system as achieving "near-native" levels is reasonable given the Western blot validation shown in the supplement, but readers would benefit from the manuscript being explicit that this is a reconstitution model rather than unperturbed endogenous expression, and from a brief discussion of what residual differences (in, for example, membrane trafficking, promoter-driven transcript stability, or subtle stoichiometric mismatch with STIM) could still confound isoform comparisons.

      Physiological cells normally co-express Orai1α and Orai1β at varying ratios (as the authors themselves show in Figure S2 across T helper subsets), and it is not established whether heteromeric Orai1α/Orai1β channels (which have been reported by others to form) behave as a simple functional average of the two homomeric channels or display emergent properties. The current study's conclusions rest entirely on isoform-pure systems, and this leaves open whether the "SOCE magnitude" model generalizes cleanly to the mixed populations of channels present in most native cells.

      Several of the human genetic subgroup analyses involve modest sample sizes. The number of homozygous carriers of the two Orai1α-specific truncating variants varies substantially by cohort (for example, only 2 and 0 homozygotes identified in QBB), and the UK Biobank clinical phenotype comparison is based on 24 mutation carriers versus 984 controls. While the overall pattern (absence of enrichment for CRAC channelopathy associated diagnostic codes) is reassuring and consistent across the core infection, ectodermal, and myopathy categories, the confidence intervals in these comparisons are necessarily wide, and the absence of statistically significant differences in a modestly sized cohort should be interpreted as consistent with, rather than definitive proof of, phenotypic equivalence. Likewise, the direct cellular characterization of NFAT translocation and SOCE in human T cells from wild-type, heterozygous, and homozygous Orai1α-null Qatar Genome Project donors (Figure 8) is based on a single individual per genotype, which, although understandable given the rarity of the relevant genotype, limits the ability to distinguish genotype effects from inter-individual variability.

      The manuscript proposes that NFAT activation is governed principally by the magnitude of local, channel-proximal Ca²⁺ signals rather than isoform-specific decoding machinery, but does not fully address whether isoform-specific differences in Ca²⁺-dependent inactivation kinetics (which shape the temporal profile, not just the amplitude, of the Ca²⁺ signal) could themselves constitute a form of isoform-specific "coding" that is conceptually distinct from, but difficult to fully disentangle from, simple amplitude scaling. A brief discussion of how the SOCE magnitude and Ca²⁺ signal kinetics/duration are related, and whether they can be cleanly separated in this experimental system, would help readers judge the boundaries of the magnitude-based model.

    1. the two cross at a diameter of about 75 to 80, after which BSWOak is slightly older

      To better parallel the first half of this sentence, this might be framed as Oak "growing slower" than Maple after it gets 75 units wide. The way you said it is still true, but since you started the sentence by saying when Oak "grows faster", saying specifically when that changes makes it clearer what point you are trying to make.

    Annotators

    1. 如果允许字无限宽,就能作弊:把整个数组一百万个数全塞进一个超宽的字里,再用一条指令对这个字做操作,等于一步处理了全部数据,任何算法都能「一步完成」

      這邊不太理解,我可以理解一個字的大小至少要可以寫得下 c 乘上 log n也就是說至少這個字可以表示出它的 index我這樣理解沒錯吧,可是這一段話我不理解的地方就是說我知道要設定一個上限,不能允許超能力,但是就算把一百萬個數塞進一個超寬的字裡面 那要如何用一條指令,直接對這個字操作,然後這樣子會等於一部數據,所以我不理解的是就算我把很多個數塞進一個超寬的字裡面那我的想像中也是需要經過很多個 instruction 才可以處理全部的數據為什麼這邊可以說一條指令,就可以對一個字操作,然後處理全部數據 ?

    2. CLRS 规定:处理规模为 nn 的输入时,一个字是 clog⁡2nc\log_{2} n 位,其中 c≥1c\ge 1 是一个固定常数。这条规定的两半各管一件事,下面分开讲

      可是這邊我就看不太懂,因為我收到的資訊是矛盾的,比如說你前面說常見的64位機器,一個字是64,64個 bit,但是你下面又說 CLRS 規定,一個字是這樣子,那到底是,到底是怎麼樣子

  3. www.researchsquare.com www.researchsquare.com
    1. Still in her hunter uniform, Ava unlocks her phone at the table. Beside it, she places the sealed bottle. The phone silently shows white-clothed staff draining a restrained vampire. Ava swipes to a separate clip of sealed laboratory equipment and medicine racks.

      加点亲密戏,女主一进来就被男主按在门前抱着

    2. EPISODE 19

      19集和20集有些冗长,最好在不改变情节的情况下缩减一些,然后注意可以增加一些吸血鬼被抽血挣扎,那种恐怖实验室的画面,来减缓走剧情带来的无趣

    3. Lucian cuts through the smoke, wraps an arm around Ava’s waist, and slams her flush against his chest into the stone corner wall. His collar twists back against his throat.

      这个时候男主没有什么吸血鬼的特征,最好换上现代一点的衣服很帅的那种

    4. Ethan signals the hunters to close the open sides of the lane. He stays behind Ava, restraint bindings still clipped to his belt. Brooke holds to Ava’s left. The lane narrows, but the side route beside Ava remains reachable. Silas stays mobile and unbound.

      这段要写一个比较激烈的打斗戏,不然画面很平庸

    5. She kicks off her boots, then shoves her tactical trousers and underwear down her legs, leaving the pile at the foot of the bed. Bare and completely lucid, Ava leans back against the pillows, her eyes locked on him.

      女主前面应该是比较不愿意的,但是在男主的诱惑下才扑上去

    1. incomes

      I feel like this entire paragraph can relate to some of the topics we touched in our reflection posts from last Thursday. It also ties in with the perspective of the eldest daughter staying home and eventually becoming a caregiver. The traditionalist policies that pressure women to adopt these roles are also meant to keep them there. By staying home as a caregiver there is less of a chance that a woman will be able to have financial liberty and that it will become more difficult to leave if the she chooses to.

    2. children’s books

      One of my favorite university lectures was on the topic of banned/challenged books. We had to theorize why certain books were banned/challenged and then we'd look up the real reason it was banned. It will never cease to amazing the amount of books that were banned/challenged due to lgbtq+ content. Furthermore, we're seeing more protest and outrage over events like drag story hour. Events like this are means to create inclusive spaces for all ages. But instead they are being twisted into something they're not through the narrative that queer rights are dangerous to children.

    3. 44 countries (external link) have stagnated or regressed.

      Although this is a very disappointing and disheartening statistic, I was not surprised to read it. These past few years, a clear shift backwards in equality for all minorities, not just in regards to gender equality, has been felt everywhere from worldwide politics to representation on our TV screens. What strikes me about this is when people often say there is nothing left for feminists to fight for as women already have everything they could want (for example, the right to work, vote, etc.). However, even before this cultural shift from the last decade or so, this statement was never true, as it completely disregarded women of colour from all around the world and the struggles they continue to face that white women do not have to worry about. This is why intersectionality is important, as some people's perceptions of feminism often only includes white women. The current regression in feminism also proves why this statement of gender inequality being solved is not and should not ever be true; once people start thinking the problem is solved, nothing will be done to continue to fix it. Nobody will care anymore, and slowly, the progress will be undone, as we have seen and will continue to see. Many people believe women are only discriminated against in countries that are called "third-world" countries, which again brings up the conversation of intersectionality and racism as the patriarchy clearly still exists in the so-called "first-world, progressive" countries. The rights to abortion are slowly being taken away from many countries, including America, and domestic abuse and rape cases are often brushed under the rug, even allowing male celebrities who are known abusers and rapists to continue to walk around in the public spotlight and live their careers as if nothing has happened. I really wanted to highlight this line as it emphasises just how serious the setbacks on gender equality have been (and continue to be), and also the importance of intersectionality, as feminism means making sure no woman is free until every woman is free.

    4. such as recent attacks on migrants in the United Kingdom (UK)

      The article mentions the importance of intersectionality and I think this point does a great job at representing how different axes of power often come together to put down people of intersecting identities. The (most often) white UK citizens have recently been rallying against immigration because they believe the (notably non-white) migrants have been solely responsible for the rise of crime rates, including rape. They frame it as wanting to protect the women and children of their country, just like the article states. However, these are often the same people (the right wing population) who vote against women's rights to abortion. It raises the following question: if they truly cared about the women and children of their country, why would they willingly put these same women through unwanted experiences, resulting in children that would grow up in households where they are unwanted, especially if the child is a product of rape? It can foster in an unhealthy and deeply mentally damaging environment for all involved. This proves that their issue is not with the lack of protection over the women and children of the country, but actually with the rise of Black and people of colour immigrating there (including women and children), resulting in both the upholding of patriarchal ideals and racist rhetoric as they pin all the blame on people of colour while simultaneously contributing to the control held over women's bodies.

    5. as civic space shrinks, it becomes harder for communities to respond to these challenges. If an authoritarian government won’t address a rise in domestic violence, normally non-government organisations (NGOs) or grassroots groups would step in with hotlines, shelters, and awareness campaigns.

      I truly commend the bravery of the many people around the world who aide in the needs of their community through the means of health clinics, hotlines, shelters and awareness campaigns. I know The Satanic Temple has been one NGO that is very vocal about women's right to healthcare with the USA. Under the fundamentalist tenet "III. Bodily Autonomy: One’s body is inviolable, subject to one’s own will alone." the group argues that their pseudo-religion gives everyone choice and that this must be held in respect to the USA's first amendment the right to hold religious belief and to practice that faith without government interference or establishment. I really appreciate the clever work around/ legal loophole this collective found as a non-theistic organization registered as a religion. I question how much longer The Satanic Temple will exist within the USA if this article states that many groups similar in mission are being defunded or criminalized in other places.

    6. social medi

      This sentence represents what I believe is a major part as to why it feels as though our society has moved backwards in the last few years in regards to the patriarchy and womens roles. Social media makes up a lot of todays culture all around the world, and with the rise of children gaining full access to social media at such young ages, it has acquired a huge hand in how peoples mindsets are developed both in relation to themselves and everyone around them. This sentence of the article delves into that idea and how both men and women online are influencing impressionable audiences into falling for patriarchal roles. In my opinion, this is also partially due to many people online being incapable of thinking deeper for themselves and instead taking everything at face value, telling themselves and everyone around them that adult men convincing younger men and boys into adopting misogynistic behaviours and women promoting tradwife lifestyles is not that serious and "just a joke". This connects to another sentence earlier in the introduction of the article stating how anti-gender actions can quickly go from "meme to ministry". Things that are said to be "just a joke" are never truly just jokes; they have real impacts on our society and affect peoples mindsets, which in turn results in more patriarchal rules taking over on higher political levels. This aversion to thinking deeper about misogyny and the patriarchy and how we see it in our every day lives comes from people not wanting to leave their comfort zone and admitting that it is, in fact, affecting their every day lives; for example, going online and seeing men make comments about how showing emotions is lame, and women being unable to admit many of the things they do to "maintain" their body (shaving, feeling the need to wear makeup every day, etc.) stems from patriarchal ideals. This has led us to where we are at a cultural level today.

    7. God-ordained family

      I think something interesting to bring to this conversation is the idea of church vs state. While religion does play a very important part in many peoples lives, I don't think that it should have a place in legislature. Especially in North America where our populations are so diverse there is no 'one religion.' But, regardless, our governing bodies have intergrated the Catholic/Christian value system within our governance., leaving no option for autonomy.

    8. autonomy

      The far right often disguises their need for control and power over women and their bodies as a concern for a fetus. In reality, these people only care until the child is born, then, they are someone else's problem, as they can no longer justify exercising their power by giving a "voice to the voiceless." After the child is born they speak about the supposed resources that are available yet, often can't proceed to name a single one.

    1. Patient 1 (P1) experienced reduced vision from age 5 and was referred to ophthalmology testing at Haukeland University Hospital at age 12.

      Case#: patient, 12, Somali, onset 5yo

      DiseaseAssertion: STGD

      FamilyInfo: parents and 5 siblings did not report visual issues

      CasePresentingHPOs: HP:0000007, HP:0011504, HP:0000608

      CaseHPOFreeText: BCVA 20/135 OD; 20/100 OS. Red-green color deficit. Bull's eye maculopathy, but no pallor of optic disc. Normal peripheral retina. Loss of macular photoreceptor layer; severely reduced cone function.

      CaseNotHPOs: n/a

      CaseNotHPOFreeText: n/a

      Genotyping Method: whole exome sequencing

      PreviouslyPublished: n/a

      Variant: NM_000350.3:c.5882G>A p.(Gly1961Glu) ; NM_000350.3:c.634C>T p.(Arg212Cys)

      ClinVar: 7888; 7898

      CAID: n/a

      SupplementalData: n/a

    1. At least 1 disease-causing ABCA4 variant was identified in 38 patients (90%), including 13 novel variants; ≥2 variants were identified in 34 patients (81%). Patients with childhood-onset STGD more frequently harbored 2 deleterious variants (18% vs 5%) compared with patients with adult-onset STGD.

      Per ClinVar entry, this variant was associated with this paper. however, after reading through the genotypes, this variant was not found. Likely this paper was mentioned to support the statement that "Loss-of-function variants in ABCA4 are known to be pathogenic"

    1. V1 H1 Exon 36.1–3 G>A chr1:94,484,001 c.5196+1137G>A 4 4 0

      Case#: Braun Family 8 Proband (from left to right, top to bottom of available pedigrees), female

      DiseaseAssertion: Stargardt

      FamilyInfo: Unaffected carrier parents. c.5196+1137G>A maternally inherited; c.4577C>T (p.T1526M) paternally inherited

      CasePresentingHPOs:

      CaseHPOFreeText: "five or more of the following features of ABCA4-associated retinal disease: decreased visual acuity before age 20, decreased visual acuity as the first visual symptom, symmetrical fundus findings, pisciform flecks, beaten metal macular atrophy, bulls-eye maculopathy, peripapillary sparing, vermillion fundus, masked choroid on fluorescein angiography, nummular pigment overlying extensive macular atrophy, central outer retinal atrophy on optical coherence tomography and central scotomas on Goldmann perimetry."

      CaseNotHPOs:

      CaseNotHPOFreeText:

      GenotypingMethod: one plausible disease-causing mutation detected in ABCA4 after assessing the entire coding sequence and canonical retinal splice junctions with automated bidirectional Sanger sequencing using an ABI 3730 sequencer

      PreviouslyPublished: n/a

      Variant: c.5196+1137G>A; c.4577C>T (p.T1526M)

      ClinVar: 438100

      CAID: CA26843511

      SupplementalData: pedigree in fig s2

    1. Carrier frequency analysis of mutations causing autosomal-recessive-inherited retinal diseases in the Israeli population

      PMID: 29706639

      Gene: ABCA4

      HGNCID: HGNC:34

      MonDO: MONDO:0019353

      Bioinformatic analyses of an SQL-based database containing 12272 variants that appear in 178 IRD genes in 5706 individuals of Ashkenazi Jewish origin based on the gnomAD database (version 2) and variants that were published in the scientific literature that was extracted from HGMD. Authors extracted information regarding IRD variants from various sources (including data of 5706 Ashkenazi Jewish (AJ) samples and a large cohort of Israeli patients with IRDs) to estimate carrier frequency of IRD mutations in different subpopulations in Israel. Two major databases aiming to estimate carrier frequency of IRD mutations in the Israeli population (Fig. 1): “gnomAD-AJ-IRD DB” containing data of 5706 AJ controls extracted from gnomAD and “HW-IRD DB” containing data extracted from our cohort of Israeli patients with IRDs.

      See Fig 2 for breakdown of variants analyzed.

      The final DB (IRDB) (Fig. 1 and Table S7) includes all 399 variants from “gnomAD-AJ-IRD DB” and “HW-IRD DB” that were considered here as pathogenic mutations in 111 known IRD genes.

      To establish the “HW-IRD DB” (Fig. 1), we collected data on Israeli IRD patients with a known cause of disease (a cohort of >2000 IRD families). The HW-IRD DB includes 289 pathogenic mutations (Fig. 1) that were identified in IRD patients who have biallelic variants.

      SupplementalData: S7, carrier frequency data for each mutation in all nine studied subpopulations. Carrier frequency was calculated as 2pq where p = 1 − q and q was calculated as the root square of the number of homozygous patients plus half the number of compound heterozygous patients divided by the population size

      Variant: NM_000350.2:c.4895dup,p.Asn1632fs

      CAID: CA915941330

      Case: Ashkenazi Jewish patient with inherited retinal disease, STGD, CRD

      CasePresentingHPOs: HP:0000548 (Cone/cone-rod dystrophy, CRD)

      CaseHPOFreeText: Stargardt disease (STGD)

    1. MD-0242ABCA412c.1715G>Cp.Arg572ProNot detected18YesABCR400

      Case#: Family MD-0242 Proband, 18yo at onset, Spanish

      DiseaseAssertion: AR Stargardt

      FamilyInfo: n/a

      CasePresentingHPOs:

      CaseHPOFreeText: STGD diagnosed based on "bilateral central vision loss; fundus presenting with a beaten-bronze appearance and/or the presence of orange-yellow flecks in the retina from the posterior pole to the mid-periphery; fluorescein angiography showing typical dark choroid; and normal to subnormal electroretinogram (ERGs)."

      CaseNotHPOs:

      CaseNotHPOFreeText:

      GenotypingMethod: Haplotype analysis, ABCR400 microarray, direct sequencing for confirmation

      PreviouslyPublished: n/a

      Variant: c.1715G>C p.Arg572Pro

      ClinVar: 99073

      CAID: CA226919

      SupplementalData:

    1. Inherited retinal diseases (IRDs) comprise a phenotypically and genetically heterogeneous group of ocular disorders that cause visual loss via progressive retinal degeneration. Here, we report the genetic characterization of 1210 IRD pedigrees enrolled through the Japan Eye Genetic Consortium and analyzed by whole exome sequencing. The most common phenotype was retinitis pigmentosa (RP, 43%), followed by macular dystrophy/cone- or cone-rod dystrophy (MD/CORD, 13%). In total, 67 causal genes were identified in 37% (448/1210) of the pedigrees. The first and second most frequently mutated genes were EYS and RP1, associated primarily with autosomal recessive (ar) RP, and RP and arMD/CORD, respectively. Examinations of variant frequency in total and by phenotype showed high accountability of a frequent EYS missense variant (c.2528G>A). In addition to the two known EYS founder mutations (c.4957dupA and c.8805C>G) of arRP, we observed a frequent RP1 variant (c.5797C>T) in patients with arMD/CORD.

      This paper is not publicly available. Requested from library since it is said to contain this variant.

    1. We identified 44 novel sequence changes (Table 3). Of these changes, 30 were potentially pathogenic and 14were classified as potentially neutral polymorphisms or changes of unknown significance.

      This variant is in table 3 as a "potentially neutral polymorphism or change of unknown significance" but it is unclear which patient this is associated with, what their phenotype is, what their genotype is

    1. 15 MEH c.5196+1137G>A p.[=,M1733Efs∗78] c.[1715G>A;2588G>C] p.[(R572Q;G863A,G863del] Y U 20546

      Case#: Patient #15, Moorfields Eye Hospital, London, UK, female, 39yo at onset, 51yo at report,

      DiseaseAssertion: ABCA4-Associated Retinopathy, clinical diagnosis of STG

      FamilyInfo: no additional family-member WGS data available

      CasePresentingHPOs:

      CaseHPOFreeText: BCVA= OD: 6/9, OS: 6/9, Fishmann Classification=2 (fleck-like lesions anterior to the vascular arcades and/or nasal to the optic disc), early changes to foveal photoreceptors, Extent of FAF abnormalities with Regard to Vascular Arcades: beyond. ffERG Group: 1(normal). PERG: Abnormal. FAF in Fig. 1B. characteristic yellow-white pisciform flecks in the RPE of the posterior pole that were hyperautofluorescent on FAF imaging or progressive atrophy of the macular RPE

      CaseNotHPOs:

      CaseNotHPOFreeText:

      GenotypingMethod: Haplotype analysis, ABCA4 mutation screening was performed by next-generation sequencing, sequenced as part of the retinal panel at the Molecular Vision Lab

      PreviouslyPublished:

      Variant: c.5196+1137G>A p.[=,M1733Efs∗78] c.[1715G>A;2588G>C] p.[(R572Q;G863A,G863del]

      ClinVar: 7900

      CAID: CA226918

      SupplementalData:

    1. The third patient was a 27-year-old man who was the son of third-degree consanguineous parents.

      Case#: Case 3, male, onset at 24yo, Italy

      DiseaseAssertion: STGD1

      FamilyInfo: third-degree consanguineous parents; both parents healthy heterozygous carriers of the ABCA4 variant

      CasePresentingHPOs: HP:0000529, HP:0007754, HP:0000518

      CaseHPOFreeText: progressive deterioration of vision at age 24. Bilateral macular dystrophy and diffuse lens opacities on ophthalmologic examination. OCT, ERG, and VEP consistent with Stargardt maculopathy.

      CaseNotHPOs: n/a

      CaseNotHPOFreeText: n/a

      Genotyping Method: NGS (custom enrichment panel), Illumina NextSeq550; variant confirmed by Sanger sequencing.

      PreviouslyPublished: n/a

      Variant: NM_000350.3(ABCA4):c.2828G>A (p.Arg943Gln), homozygous; rs1801581

      ClinVar: Variation ID: 7913

      CAID: n/a

      SupplementalData: n/a

    1. able S9. List of unique causative variants detected in 858 STGD probands mmc8.xlsx (19.3KB, xlsx) Table S11. STGD1 cases with at least two (likely) causal ABCA4 variants

      Case#: DNAID 072884/Pat255, female

      DiseaseAssertion: STGD1

      FamilyInfo: n/a

      CasePresentingHPOs:

      CaseHPOFreeText: "In classic STGD1, loss of central vision starts around the second decade of life, but both early- and late-onset subtypes have been extensively described." No patient-specific details provided

      CaseNotHPOs:

      CaseNotHPOFreeText:

      GenotypingMethod: smMIPs sequencing of the complete ABCA4 locus

      PreviouslyPublished: n/a

      Variant: c.1519G>T (p.Asp507Tyr); c.5312+3A>T (p.Asn1734Glyfs*14) phase not confirmed

      CAID: CA958508

      SupplementalData: tables s9 and s11

    1. 29-year-old man

      Case#: a 29-year-old man

      DiseaseAssertion: Stargardt Disease

      FamilyInfo: NR

      CasePresentingHPOs: HP:0007663

      CaseHPOFreeText: 20/70 visual acuity in both eyes

      CaseNotHPOs: NR

      CaseNotHPOFreeText: NR

      Genotyping Method: ABCA4 microarray (ABCR5000 chip)

      PreviouslyPublished: NR

      Variant: NM_000350.3:c.5882G>A, p.G1961E and c.5018+2C>T (rare splice variant)

      ClinVar: 7888, NR

      CAID: CA119132, NR

      SupplementalData: No CAID or ClinVar ID were found for the rare splice variant c.5018+2C>T

    1. Finally, we examined whether the phenotype‐associated known/candidate pathogenic variants could explain the patient's disease, andif the MAF in population‐matched control data (8.3kJPN) was relatedto disease prevalence. Patients were classified as “Solved” if theirgenotype was consistent with their clinical phenotype. Patients wereclassified as “Partially solved” when a heterozygous known/candidatepathogenic variant was detected in a recessive allele, but without anadditional variant in trans. Patients were categorized as “Unsolved” iftheir genotypes exhibited either no candidate pathogenic variants ormultiple heterozygous pathogenic variants that did not explain thephenotype clearly. Variants annotated as causal for solved patients arelisted in Supporting Information: Table S2. Novel variants identified inthis study are listed in the second sheet of Table S2. SupportingInformation: Table S3 shows the phenotypes and genotypes of solvedpatients.2.4 | Statistical analysisBefore counting the allele frequency in our cohort, the list ofpatients was modified to contain only the proband to avoid theoverrepresentation of pedigrees with larger numbers of affectedindividuals. Inter‐pedigree comparisons of genetic diagnoses evaluat-ing proband only and proband with family members were performedby the chi‐square test. Enrichments of the pathogenic variants ingenetically solved and unsolved patients were compared by the one‐sided binominal test. Allele frequencies were compared with thehighest allele frequencies among the 8.3KJPN, HGVD, ExAC_EAS, andgnomAD_EAS databases. Statistical analyses were performed byR (ver. 4.0.3).2.5 | Detection of RP1:c.4052‐4053ins328(Alu insertion)Previously reported primers were used to amplify the expectedAlu‐inserted region (Nikopoulos et al., 2019). Genomic DNA wasamplified with Prime Star (TAKARA) following the manufacturer'sSUGA ET AL . | 310981004, 0, Downloaded from https://onlinelibrary.wiley.com/doi/10.1002/humu.24492 by Mie University, Wiley Online Library on [07/11/2022]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License

      This variant is listed in supplementary tables S2 and S3. Proband TI-50 is a "solved" patient, meaning the phenotype matches the genotype. Homozygous female with MD/CORD- all that is provided.

    1. We identified 255 patients (87.9 %) harboring biallelic ABCA4 variants, 27 probands (9.3 %) with two or three variants but lacking familial segregation analysis, and eight patients (2.8 %) with monoallelic ABCA4 variants (Supplemental Table S4). We detected 268 distinct ABCA4 variants, consisting of 114 missense, 35 nonsense, 34 frameshift deletion or insertion, 31 canonical splice variants, 13 noncanonical splice site variants, 9 in-frame deletion or insertion, 9 DIVs, 4 structural variations, and 19 complex variants (Fig. 2).

      Case#: Patient#010382, Chinese, male, 29yo at onset

      DiseaseAssertion: stargardt

      FamilyInfo: n/a

      CasePresentingHPOs: STGD1 diagnosis based on the following criteria: "a bilateral central vision defect; fundus displaying a beaten-bronze appearance and/or orange-yellow flecks in the retina from the macula to the midperiphery; fluorescein angiography presenting with a typical dark choroid; and normal to subnormal ERG results." BCVA=0.4/ 0.6

      CaseHPOFreeText:

      CaseNotHPOs:

      CaseNotHPOFreeText:

      PreviouslyPublished: n/a

      Variant: p.P2097S; c.6050G>A p.(Cys2017Tyr) phase unknown

      ClinVar: 2202780;

      CAID: CA341277622;

      SupplementalData: supplementary table S4 has phenotype information

    1. Stargardt disease (STGD) and fundus flavimaculatus are infrequent autosomal recessive conditions characterized by a juvenile macular dystrophy and variable degrees of peripheral retinal changes. Linkage analysis performed in 47 STGD/fundus flavimaculatus families demonstrated significant linkage to 13 polymorphic DNA markers on chromosome 1p. The maximum combined two-point lod score was 32.7 (maximum recombination fraction [phi max] = .006) with the polymorphic marker D1S188. Our data demonstrate that STGD and fundus flavimaculatus are the same disorder clinically and genetically and provide further evidence for genetic homogeneity of this phenotype. Analysis of recombination events on disease chromosomes placed the STGD gene within a 4-cM interval between markers D1S435 and D1S236. A physical map was constructed of a YAC contig flanking STGD, from markers D1S500 to D1S495, and includes the critical interval delineated by historical recombinants. This contig spans approximately 31 cM, with one gap (3-5 cM) that is outside the 4-cM critical region. Localization of STGD to a single YAC contig will facilitate its positional cloning.

      Text is a PDF, but this paper is the previously published paper referenced in PMID: 9973280. Pedigree is found here

    1. How big is your list?Roughly how many contacts you store.Under 5,0005,000 to 25,00025,000 to 100,000

      these options should be different based ont he esp and how things are paid /scale f paid, or plans etc. we havethis info

    1. care from the fathe

      wild to me that a father being a father is considered "child care" separate from a mother caring for her child. This is not an "arrangement", it is parenthood.

  4. bookshelf.vitalsource.com bookshelf.vitalsource.com
    1. We ran out of the house and up the road. It was the dead of night, cold outside. I was wearing nothing but a T-shirt and sweatpants. We walked to the Eden Park police station, over a kilometer away. My mom marched us in, and there were two cops on duty at the front desk. “I’m here to lay a charge,” she said. “What are you here to lay a charge about?” “I’m here to lay a charge against the man who hit me.” To this day I’ll never forget the patronizing, condescending way they spoke to her. “Calm down, lady. Calm down. Who hit you?” “My husband.”

      I am glad she finally stood up for her self.

    2. I can only assume that my mother broke more than a few hearts in her day, but from the time I was born, there were only two men in her life, my father and my stepfather.

      I like how he talks about how his mom was loyal

    3. they’ve been taught how to fish, but no one will give them a fishing rod.

      I like his use of a very common analogy to show how even through the apartheid was there.

    4. You never wanted to go there. That’s where the serious gangsters were. You only went there if you needed to buy an AK-47

      I wonder the gun rules like is it different In every country.

    5. The walls of apartheid were coming down just as American hip-hop was blowing up, and hip-hop made it cool to be from the hood

      It is cool to se how we have similar cultural events happening on different sides of the world.

    6. We took the shitty Mazda and drove to Babiki’s house. I was an hour late picking her up. She was completely pissed off

      I feel like he should have just gave up and excepted his lose and told her he was going to be late

    7. In my mind nothing was cooler than the leather coats everybody wore in The Matrix. The Matrix came out while I was in high school and it was my favorite movie at the time.

      its cool to see how there style was back then and in a different country.

    8. Tom was a chatterbox, hyperactive and go-go-go. He was a real hustler, too, always trying to cut a deal, work an angle. He could get people to do anything

      Wish we got some more characterization of Tom other than his ability to persuade people and he hustle.

    9. they’ve been taught how to fish, but no one will give them a fishing rod.

      I like his use of a very common analogy to show How even though apartheid was abolished. There was still lingering oppression and still systemic issues that played their community.

    10. You never wanted to go there. That’s where the serious gangsters were. You only went there if you needed to buy an AK-47.

      I wonder what their gun regulations are like And how they compare to the US

    11. The walls of apartheid were coming down just as American hip-hop was blowing up, and hip-hop made it cool to be from the hood.

      It’s cool to see you similar cultural events happening on different side of the planet and how they interact/affect each other. Is it just by chance this cultural shift about where you’re from happen to be influential when an apartheid it was shutting down or was there an External event that influenced Both?

    1. successful students seek help. They use resources. And they do that as often as necessary to get what they need.

      Here it is again. Seek help as needed. What a fantastic resource. This has been my big take away. I did not realize we had access to so many resources until today.

    2. get the help you need, you will want to be aware of when you may be struggling to learn material. You then will need to know where the support can be accessed on campus or where you can access support online.

      I suspect Getting Help is what I need to grasp. There weren't many resources back when I was in college. Technology help will likely be a weekly occurrence. But how fantastic that students have so many resources to help them succeed. I took the time to find those numbers to call for help and wrote them down.

    3. Ignore your mental and physical health needs. If you feel you are on an emotional rollercoaster and you cannot find time to take care of yourself, then you have most likely ignored some part of your mental and physical well-being. What you need to do to stay healthy should be non-negotiable. In other words, your sleep, eating habits, exercise, and stress-reducing activities should be your highest priorities. Forget to enjoy the experience. Whether you are 18 years old and living on campus or 48 years old starting back to college after taking a break to work and raise a family, be sure to take the time to remind yourself of the joy that learning can bring.

      This stood out because it is so easy to get caught up in deadlines and assignments. I am overwhelmed by the technology requirements. I lost an hour just trying to figure out how to download Microsoft and textbooks. My daughter said, Mom, just go outside for a minute and walk through your gardens. It will help you calm down. It did help. This is important and easy to overlook, especially at my age and having spent most of my life putting myself last. Life is so precious and I don't want to spend it overwhelmed. But I really want to enjoy the education process too. So, this really stood out to me. It was an excellent reminder I wish I'd seen earlier.

    1. We need all the help we can get, and historical perspective is an essential aid to living in and through the present to a better future.

      understanding history can help people make better decisions in the present and future.

    1. Compare the same claim twice over: “COVID-19 killed over a million Americans; therefore it was a very deadly disease.” “COVID-19 was a very deadly disease since it killed over a million Americans.” Same argument, opposite arrangement. In the first, the premise comes first and a conclusion indicator introduces the conclusion. In the second, the conclusion comes first and a premise indicator introduces the reason. The indicator tells you which way to read.

      1

    1. Come ⟨hither.⟩

      Iago's private speech reveals the major strategy he plans to set into motion against Othello, involving confusing Othello until he second guesses what his own eyes are telling him. He plans to avoid accusing Des. since that would be obvious. This ability to make characters interpret the things that happen in front of them incorrectly is way to powerful and in the wrong hands, Iago is incredibly dangerous. - ChatGPT

    2. It gives me wonder great as my content 0976 200 To see you here before me

      When Othello arrives and openly expresses his happiness at seeing Desdemona, the relationship appears stronger than ever. This makes Iago’s later manipulation more significant. The audience can see that Othello has genuine trust in Desdemona, meaning Iago will have to gradually replace that trust with doubt rather than simply create suspicion from nothing. - ChatGPT

    3. He takes her by the palm. Ay, well said, 0959  whisper. With as little a web as this will I ensnare as 0960  great a fly as Cassio. Ay, smile upon her, do. I will 0961 185 ⌜gyve⌝ thee in thine own courtship.

      Iaog's jokes about Cassio's behavior begin turning ordinary actions into possible evidence of romantic interest. This is one of the first clear examples of how he plans to create jealousy, he doesn't even need to start any drama. Instead, he can make innocent events suspicious by managing how Othello interprets them. He is a force to be reconed with.

    4. O, gentle lady, do not put me to ’t, 0910  For I am nothing if not critical.

      Iago's conversation here with Desdemona shows just how easily he can hide his personality. He speaks cleverly to entertain her while still making insulting observations about women. A director could have Iago become more animated around Des. to show how much he enjoys manipulating people without making his intentions super obvious to the characters.

    5. players 0901 125 in your huswifery, and huswives in your beds.

      Iago jokes about women in a way that kind of seems harmless on the surface but also reveals his cynical view on relationships. His comments are important because the audience has already heard his secret plans. What sounds like him cracking jokes to the other characters is really much more serious to the audience, which is really cool to think about.

    6. Enter Desdemona,

      Desdemona's arrival gives the scene a much lighter feeling than the opening. She speaks nonchalantly and appears genuinely excited to see Othello again. In an adaptation, her energy could be played up as a sharp contrast to Iago's darker attitude, making it super easy for the audience to recognize the difference between Desdemona's openness and Iago's secret intentions.

    7. But this same Cassio, though he speak of comfort 0811 35 Touching the Turkish loss, yet he looks sadly 0812  And ⟨prays⟩ the Moor be safe,

      When the characters learn that the Turkish fleet has been destroyed by the storm, the immediate military threat disappears, but Shakespear does an amazing job at keeping the scene active. He simply shifts the characters attention from their enemy to the personal conflict between Othello, Desdemona, and Iago. - Copilot

    8. It is impossible to bear it out.

      Montano's uncertainty about the Turkish fleet shows just how little control the characters have over their situation. Even thought the character believe they are preparing for war, the storm disrupted their plans, which creates an interesting contrast with Othello, who has been extremely confident and in control throughout act 1.

    9. The Turkish fleet is destroyed in a storm, while Cassio and then Desdemona, Emilia, and Iago arrive safely at Cyprus.

      Shakespeare opens the scene with a storm at sea, immediatly creating a sense of danger and uncertainty. A production could emphasize the chaos through loud wind and waves before the characters appear. This also connecters to the larger danger that was established in act 1, where Othello's marriage is already threatened by outside forces.

    1. Edit your paper slowly, sentence by sentence.

      I have never thought to do this but I think it would be helpful to be able to focus in on the specific information you are trying to edit. Otherwise, it can get scrambled together.

    2. Taking a break from your essay for at least a day or two improves your ability to edit it effectively, so be sure to leave yourself enough time to complete this important step of the writing process.

      This is super helpful advice because the longer time you give your writing before you revisit it helps give you a fresh set of eyes to reread and see things you may have missed. When I don't give myself enough time, I am still in the same head space, but time helps to point out issues and places for improvement.

    1. Ask someone you trust for feedback and constructive criticism.

      I think this is specifically important for a peer review because when someone you trust to give you criticism, they can be honest and give necessary feedback without any hurt feelings as you know it is only to better your work. It is extremely helpful getting second opinions.

    2. Coherence

      Sometimes especially for me when writing, I can forget about the coherence of it. As I write so many research papers, there is a lack of coherence needed as it is strictly informational, but it is important to make sure it reads smoothly and the information flows well.

    1. Everything goes by contraries with me; so, having made up my mind to be disappointed, of course I wasn't; for, presently, in walked Dr. H., and no sooner had he heard my errand, and glanced at my credentials

      The author describes waiting for Dr. H. while preparing to leave. She expects the doctor to arrive too late, but instead he arrives just when she needs him. This creates a sense of irony, because the she expects disappointment but receives exactly the help she was hoping for. I find it interesting that she points out that she is usually disappointed and that doctors tend to not show up when they are supposed to, where as the nurse is doing everything. She also mentions that the doctor looked at her credentials, which i think points to a larger message of how people feel and treated people under them or if they were "worthy" of doing something.

    1. was sent out to pick up signs in the parking lot. One of the women stopped and asked if I could take their photo. “That’s my mother,” she said, then gestured, “And that is my daughter — and she’s pregnant with a girl.” I took their photo, exclaiming “Four generations!” They walked toward their cars, and I kept on picking up signs. Vote Here. Vote Aquí. No Campaigning in 150 Feet. Vote Today. I thought about that baby on the way and all those future voters.

      personal experience

    2. But my mom said I could vote here,” more than one student pleaded. Your mom is right about so many things, we recited. But when it comes to election law, in Georgia, you have to vote in the county where you’re registered. We encouraged them to go home by election day. You have time. We want you to vote. That assurance didn’t always prevent teary outbursts or mild cursing.

      personal experience

    3. The watchers I’ve encountered have been a mixed crew. One looked like the restaurant critic from Ratatouille — tall, cadaverous, with sunken eyes and a perpetual frown. He jotted in a notebook all day, using what appeared to be a system of ciphers or shorthand. His counterpart from another party stood against the wall, wearing Vibram shoes. She bounced on her rubber-sheathed toes and smiled beatifically. I never saw her take notes, but she would leave from time-to-time, make a phone call, do some calf stretches, and return to keep watching

      personal experience

    4. Georgia pollworkers — required to be “judicious, intelligent, and upright citizens” — swear oaths not only when they join the election workforce but at the start of each shift. The importance of complying with the law is drummed into us. We are acutely aware of the legal requirements to administer the election properly.

      personal experience

    5. “Voting has always been so important to me. I think about people who fought for my right to vote,” she says. As an election clerk, she strives to “make people feel welcome, to let them know we want them to come vote, to create a good environment.”

      interview/converstation with another person

    6. We are briefed on any changes in laws and policies. In 2024, when Georgia elections officials warned us that we might have to hand-tally ballots on election night, we even practiced counting sheets of blank paper, going through the most efficient ways to arrange counted stacks and put double and triple safeguards in place.

      personal experience

    7. “Zooming out a little bit, one of my main thoughts about the political morass we are in is: America, we need to talk. I mean to each other,” says Horne. “Back in high school, I was taught that if you shout fire in a crowded theater, you have to pay a price. If you shout a lie on Facebook, you should have to pay.”

      Interview/conversation with another person

    8. “That sort of confidence came from the work and seeing the reality of what happens,” Horne says. “The real impediment to election fraud — the same as any humungous conspiracy theory like debates about the moon landing — is keeping a secret among tens of thousands of people. The results of the election are publicly posted on the wall of every precinct. Exactly what the count is. There are many thousands of poll workers across the country — somehow we conspired to steal an election?”

      Interview/conversation with another person

    9. Horne said that since witnessing the work from the inside, his faith in election fairness and accuracy has increased “vastly.”

      Interview/conversation with other person

    10. “It’s turned my life upside down,” Moss testified during a 2022 Congressional hearing. “I second-guess everything that I do. It’s affected my life in a major way — in every way. All because of lies.”

      other persons experience

    11. A survey conducted this year by the Brennan Center for Justice revealed that, nationally, almost a third of election officials have experienced “threats, harassment, or abuse because of their job,” while more than half worry about the safety of their coworkers and 23 percent are anxious about the threat of being physically assaulted at work or home.

      outside research

    12. We learned how to use software to check in voters, going through a host of scenarios for confirming identity. We learned how to format the chip cards used to cast ballots in Georgia’s voting machines. We troubleshooted every worst-case scenario from power outages and natural disasters to handling drama when people show up at the wrong precinct or refuse to put away their cell phones. We talked about diffusing conflict — again.

      personal experience

    13. Heading to my first orientation session, I anticipated deep dives into voting law or esoterica relating to Georgia’s ID requirements. Instead, seated in the public library auditorium, we spent most of our time talking about what to do in case of confrontations at the polling place

      personal experience

    14. I had presumed clerking was a volunteer position with cursory vetting, nationwide, pollworkers are paid, temporary employees. The hiring process varies from state to state and county to county. To become an election clerk in Athens-Clarke County, where I live in Georgia, I had to fill out an application, go through a background check, have an interview, and complete the bureaucratic process to become a part-time county employee (we earn between $15 and $18 an hour). Once hired, I started training. Lots and lots of training.Since voting in my first election (Bush-Dukakis), I have cast a ballot every time I could, and never doubted my vote would be counted. After working within the system, that trust has grown into an iron-clad faith.

      personal experience

    15. I had worked at journalism organizations that forbade active participation in political campaigns or election work, so my interest had been theoretical

      personal experience

    16. To be honest, until I became an election clerk myself, if I gave poll workers any consideration at all, it was a little dismissive. Oh, look at those nice, earnest, nerdy people, I’d think while standing in line to cast a ballot. Sometimes I’d idly wonder: It must be fun to be the person who hands out those “I’ve voted” stickers — like the grown-up version of a kindergarten teacher doling out gold stars. Maybe I’ll do that when I’m retired, I would muse.

      Personal experience

    1. My decision to give my attention to my women characters is a political statement, challenging the predominant culture that has caused them to only exist as personality-less plot devices instead of fully fleshed out entities for hundreds of years.

      I appreciate how the writer explains her choices to challenge the norms because this is how you write something new, with new ideas and stories that occur but aren't commonly discussed. It seems refreshing.

    2. But almost without fail, these women were punished. They either gave up their independence and personalities to become wives or became long-suffering mothers, lovers, or whores. Or they died, usually by suicide. The plot lines of the movies couldn’t sustain their personalities.

      I think this is super interesting as most movies I can think of, the happy ending a woman is given is to become a wife and mother and the other ending is usually death. I think it says a lot as a society that across cultures and over the years, this is still the only choice.

    1. The second propertyof the separator ensures that such a partition exists

      Suppose there is no such partition. Then, (1) \(\nexists X_i \)such that \(X_i \cup C_i \subset H_j\). However, (1) contradicts property 2 of the separator. Note that vertices can belong to both H_1 and H_2, but that doesn't mean that they have to belong to A_j.

    1. A key avenue through which planners can engage in climate justice action is to assist with creating measures to specify envi- ronmental impacts of proposed development projects presented to government planning and zoning commissions.

      one way is all graduating urban planners must have a certain amoutn of knowledge of EJ, fieldwork of EJ, and prove X amoutn of time working with EJ post graduation

    1. There is no overarching narrative of progress here.

      I think there is no "overarching narrative" of progress because the human mind is so complex and so is mental illness. We have made discoveries of reliable therapies and improved our knowledge of how the mind works. Obviously, this guy is trying to sell his book and his criticisms are valid, but I feel like he's completely ignoring a lot of the positive strides we've made.