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  1. Article ; Online: Efficacy and safety of oral semaglutide by baseline age in Japanese patients with type 2 diabetes: A subgroup analysis of the PIONEER 9 and 10 Japan trials.

    Yamada, Yuichiro / Yabe, Daisuke / Hertz, Christin Løth / Horio, Hiroshi / Nakamura, Jiro / Nielsen, Anne Møller / Seino, Yutaka

    Diabetes, obesity & metabolism

    2021  Volume 24, Issue 2, Page(s) 321–326

    Abstract: A post-hoc exploratory analysis of the PIONEER 9 and 10 trials evaluated the effect of baseline age (<65 and ≥65 years) on the efficacy and safety of oral semaglutide in Japanese patients with type 2 diabetes. In PIONEER 9 and 10, patients were ... ...

    Abstract A post-hoc exploratory analysis of the PIONEER 9 and 10 trials evaluated the effect of baseline age (<65 and ≥65 years) on the efficacy and safety of oral semaglutide in Japanese patients with type 2 diabetes. In PIONEER 9 and 10, patients were randomized to once-daily oral semaglutide (3, 7 or 14 mg) or a comparator (placebo or once-daily subcutaneous liraglutide 0.9 mg [PIONEER 9]; once-weekly subcutaneous dulaglutide 0.75 mg [PIONEER 10]) for 52 weeks, with 5 weeks' follow-up. In total, 701 patients were included (PIONEER 9: N = 243; PIONEER 10: N = 458). Glycaemic efficacy of oral semaglutide was similar in Japanese patients aged <65 years compared with those ≥65 years, and there did not appear to be a clear pattern between age subgroup and body weight changes. Across treatment arms, adverse events generally occurred in greater proportions of patients aged ≥65 versus <65 years. There was generally a higher rate of premature trial product discontinuation because of adverse events in the older age group. These results indicate that oral semaglutide is efficacious in Japanese patients irrespective of age.
    MeSH term(s) Administration, Oral ; Aged ; Diabetes Mellitus, Type 2/chemically induced ; Diabetes Mellitus, Type 2/drug therapy ; Glucagon-Like Peptides/adverse effects ; Glycated Hemoglobin A/analysis ; Humans ; Hypoglycemic Agents/adverse effects ; Japan/epidemiology
    Chemical Substances Glycated Hemoglobin A ; Hypoglycemic Agents ; semaglutide (53AXN4NNHX) ; Glucagon-Like Peptides (62340-29-8)
    Language English
    Publishing date 2021-11-09
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 1454944-x
    ISSN 1463-1326 ; 1462-8902
    ISSN (online) 1463-1326
    ISSN 1462-8902
    DOI 10.1111/dom.14571
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Genetic investigations of 100 inherited cardiac disease-related genes in deceased individuals with schizophrenia.

    Christiansen, Sofie Lindgren / Andersen, Jeppe Dyrberg / Themudo, Gonçalo Espregueira / Hertz, Christin Løth / Busch, Johannes Rødbro / Christensen, Martin Roest / Olsen, Kristine Boisen / Banner, Jytte / Morling, Niels

    International journal of legal medicine

    2021  Volume 135, Issue 4, Page(s) 1395–1405

    Abstract: Cardiac diseases and sudden cardiac death (SCD) are more prevalent in individuals diagnosed with schizophrenia compared to the general population, with especially coronary artery disease (CAD) as the major cardiovascular cause of death. Antipsychotic ... ...

    Abstract Cardiac diseases and sudden cardiac death (SCD) are more prevalent in individuals diagnosed with schizophrenia compared to the general population, with especially coronary artery disease (CAD) as the major cardiovascular cause of death. Antipsychotic medications, genetics, and lifestyle factors may contribute to the increased SCD in individuals with schizophrenia. The role of antipsychotic medications and lifestyle factors have been widely investigated, while the genetic predisposition to inherited cardiac diseases in schizophrenia is poorly understood. In this study, we examined 100 genes associated with inherited cardiomyopathies and cardiac channelopathies in 97 deceased individuals diagnosed with schizophrenia for the prevalence of genetic variants associated with SCD. The deceased individuals had various causes of death and were included in the SURVIVE project, a prospective, autopsy-based study of mentally ill individuals in Denmark. This is the first study of multiple inherited cardiac disease-related genes in deceased individuals with diagnosed schizophrenia to shed light on the genetic predisposition to SCD in individuals with schizophrenia. We found no evidence for an overrepresentation of rare variants with high penetrance in inherited cardiac diseases, following the American College of Medical Genetics and Genomics and the Association for Molecular Pathology (ACMG) consensus guidelines. However, we found that the deceased individuals had a statistically significantly increased polygenic burden caused by variants in the investigated heart genes compared to the general population. This indicates that common variants with smaller effects in heart genes may play a role in schizophrenia.
    MeSH term(s) Adult ; Aged ; Death, Sudden, Cardiac ; Denmark/epidemiology ; Female ; Forensic Medicine ; Genetic Predisposition to Disease ; Heart Diseases/complications ; Heart Diseases/genetics ; High-Throughput Nucleotide Sequencing ; Humans ; Male ; Middle Aged ; Schizophrenia/complications ; Schizophrenia/genetics ; Sequence Analysis, DNA
    Language English
    Publishing date 2021-05-11
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1055109-8
    ISSN 1437-1596 ; 0937-9827
    ISSN (online) 1437-1596
    ISSN 0937-9827
    DOI 10.1007/s00414-021-02595-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Targeted molecular genetic testing in young sudden cardiac death victims from Western Denmark.

    Larsen, Maiken Kudahl / Christiansen, Sofie Lindgren / Hertz, Christin Løth / Frank-Hansen, Rune / Jensen, Henrik Kjærulf / Banner, Jytte / Morling, Niels

    International journal of legal medicine

    2019  Volume 134, Issue 1, Page(s) 111–121

    Abstract: Sudden unexpected death in the young continues to be an important unsolved challenge. A significant proportion of the deaths are suspected to be caused by inherited cardiac diseases and are referred to as sudden cardiac deaths (SCD). We performed ... ...

    Abstract Sudden unexpected death in the young continues to be an important unsolved challenge. A significant proportion of the deaths are suspected to be caused by inherited cardiac diseases and are referred to as sudden cardiac deaths (SCD). We performed targeted molecular testing of 70 deceased individuals under 40 years of age that after forensic autopsy were suspected to have died of SCD. The individuals were previously genetically investigated using smaller numbers of genes associated with specific cardiac diseases. In our previous studies, seven (10%) individuals had pathogenic or likely pathogenic variants according to the 2015 ACMG guidelines. In order to investigate the value of expanding the panel to 100 genes associated with cardiac diseases, we histopathologically re-examined the 70 suspected SCD cases and grouped them according to phenotypes into suspected cardiomyopathy (the cardiomyopathy group), left ventricular hypertrophy (the hypertrophy group) and structural normal hearts (the SUD group). DNA was captured with the Haloplex target enrichment system and sequenced using an Illumina MiSeq. We found that 11 (16%) individuals harboured pathogenic or likely pathogenic variants. In the cardiomyopathy, hypertrophy and SUD groups, 22%, 6% and 17% of the individuals, respectively, harboured pathogenic or likely pathogenic variants. Our findings show that testing of a broad panel of genes associated with cardiac diseases identify potential pathogenic variants of cardiac diseases in a significant proportion of SCD cases, and this may have important implications in family screening to prevent future deaths.
    MeSH term(s) Adolescent ; Adult ; Cardiomyopathies/genetics ; Child ; Child, Preschool ; DNA/isolation & purification ; Death, Sudden, Cardiac ; Denmark ; Female ; Genetic Testing ; High-Throughput Nucleotide Sequencing ; Humans ; Hypertrophy, Left Ventricular/genetics ; Infant ; Male ; Myocardium/pathology ; Phenotype ; Sequence Analysis, DNA
    Chemical Substances DNA (9007-49-2)
    Language English
    Publishing date 2019-11-15
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1055109-8
    ISSN 1437-1596 ; 0937-9827
    ISSN (online) 1437-1596
    ISSN 0937-9827
    DOI 10.1007/s00414-019-02179-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Genetic investigations of sudden unexpected deaths in infancy using next-generation sequencing of 100 genes associated with cardiac diseases.

    Hertz, Christin Loeth / Christiansen, Sofie Lindgren / Larsen, Maiken Kudahl / Dahl, Morten / Ferrero-Miliani, Laura / Weeke, Peter Ejvin / Pedersen, Oluf / Hansen, Torben / Grarup, Niels / Ottesen, Gyda Lolk / Frank-Hansen, Rune / Banner, Jytte / Morling, Niels

    European journal of human genetics : EJHG

    2016  Volume 24, Issue 6, Page(s) 817–822

    Abstract: Sudden infant death syndrome (SIDS) is the most frequent manner of post-perinatal death among infants. One of the suggested causes of the syndrome is inherited cardiac diseases, mainly channelopathies, that can trigger arrhythmias and sudden death. The ... ...

    Abstract Sudden infant death syndrome (SIDS) is the most frequent manner of post-perinatal death among infants. One of the suggested causes of the syndrome is inherited cardiac diseases, mainly channelopathies, that can trigger arrhythmias and sudden death. The purpose of this study was to investigate cases of sudden unexpected death in infancy (SUDI) for potential causative variants in 100 cardiac-associated genes. We investigated 47 SUDI cases of which 38 had previously been screened for variants in RYR2, KCNQ1, KCNH2 and SCN5A. Using the Haloplex Target Enrichment System (Agilent) and next-generation sequencing (NGS), the coding regions of 100 genes associated with inherited channelopathies and cardiomyopathies were captured and sequenced on the Illumina MiSeq platform. Sixteen (34%) of the SUDI cases had variants with likely functional effects, based on conservation, computational prediction and allele frequency, in one or more of the genes screened. The possible effects of the variants were not verified with family or functional studies. Eight (17%) of the SUDI cases had variants in genes affecting ion channel functions. The remaining eight cases had variants in genes associated with cardiomyopathies. In total, one third of the SUDI victims in a forensic setting had variants with likely functional effect that presumably contributed to the cause of death. The results support the assumption that channelopathies are important causes of SUDI. Thus, analysis of genes associated with cardiac diseases in SUDI victims is important in the forensic setting and a valuable supplement to the clinical investigation in all cases of sudden death.
    MeSH term(s) Female ; Genetic Predisposition to Disease ; Genome-Wide Association Study ; Heart Diseases/genetics ; High-Throughput Nucleotide Sequencing ; Humans ; Infant ; Infant, Newborn ; Male ; Open Reading Frames ; Polymorphism, Genetic ; Sequence Analysis, DNA ; Sudden Infant Death/genetics
    Language English
    Publishing date 2016-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 1141470-4
    ISSN 1476-5438 ; 1018-4813
    ISSN (online) 1476-5438
    ISSN 1018-4813
    DOI 10.1038/ejhg.2015.198
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Genetic investigation of 100 heart genes in sudden unexplained death victims in a forensic setting.

    Christiansen, Sofie Lindgren / Hertz, Christin Løth / Ferrero-Miliani, Laura / Dahl, Morten / Weeke, Peter Ejvin / LuCamp / Ottesen, Gyda Lolk / Frank-Hansen, Rune / Bundgaard, Henning / Morling, Niels

    European journal of human genetics : EJHG

    2016  Volume 24, Issue 12, Page(s) 1797–1802

    Abstract: In forensic medicine, one-third of the sudden deaths remain unexplained after medico-legal autopsy. A major proportion of these sudden unexplained deaths (SUD) are considered to be caused by inherited cardiac diseases. Sudden cardiac death (SCD) may be ... ...

    Abstract In forensic medicine, one-third of the sudden deaths remain unexplained after medico-legal autopsy. A major proportion of these sudden unexplained deaths (SUD) are considered to be caused by inherited cardiac diseases. Sudden cardiac death (SCD) may be the first manifestation of these diseases. The purpose of this study was to explore the yield of next-generation sequencing of genes associated with SCD in a cohort of SUD victims. We investigated 100 genes associated with cardiac diseases in 61 young (1-50 years) SUD cases. DNA was captured with the Haloplex target enrichment system and sequenced using an Illumina MiSeq. The identified genetic variants were evaluated and classified as likely, unknown or unlikely to have a functional effect. The criteria for this classification were based on the literature, databases, conservation and prediction of the effect of the variant. We found that 21 (34%) individuals carried variants with a likely functional effect. Ten (40%) of these variants were located in genes associated with cardiomyopathies and 15 (60%) of the variants in genes associated with cardiac channelopathies. Nineteen individuals carried variants with unknown functional effect. Our findings indicate that broad genetic investigation of SUD victims increases the diagnostic outcome, and the investigation should comprise genes involved in both cardiomyopathies and cardiac channelopathies.
    MeSH term(s) Adolescent ; Adult ; Cardiomyopathies/genetics ; Cardiomyopathies/pathology ; Channelopathies/genetics ; Channelopathies/pathology ; Child ; Child, Preschool ; Death, Sudden ; Female ; Forensic Genetics ; Genetic Loci ; Humans ; Infant ; Male ; Middle Aged ; Mutation
    Language English
    Publishing date 2016-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 1141470-4
    ISSN 1476-5438 ; 1018-4813
    ISSN (online) 1476-5438
    ISSN 1018-4813
    DOI 10.1038/ejhg.2016.118
    Database MEDical Literature Analysis and Retrieval System OnLINE

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