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Inherited macular dystrophies (iMDs) are a group of genetic disorders, which affect the central region of the retina. To investigate the genetic basis of iMDs, we used single-molecule Molecular Inversion Probes to sequence 105 maculopathy-associated genes in 1352 patients diagnosed with iMDs. Within this cohort, 39.8% of patients were considered genetically explained by 460 different variants in 49 distinct genes of which 73 were novel variants, with some affecting splicing. The top five most frequent causative genes were ABCA4 (37.2%), PRPH2 (6.7%), CDHR1 (6.1%), PROM1 (4.3%) and RP1L1 (3.1%). Interestingly, variants with incomplete penetrance were revealed in almost one-third of patients considered solved (28.1%), and therefore, a proportion of patients may not be explained solely by the variants reported. This includes eight previously reported variants with incomplete penetrance in addition to CDHR1:c.783G>A and CNGB3:c.1208G>A. Notably, segregation analysis was not routinely performed for variant phasing—a limitation, which may also impact the overall diagnostic yield. The relatively high proportion of probands without any putative causal variant (60.2%) highlights the need to explore variants with incomplete penetrance, the potential modifiers of disease and the genetic overlap between iMDs and age-related macular degeneration. Our results provide valuable insights into the genetic landscape of iMDs and warrant future exploration to determine the involvement of other maculopathy genes.

Pathogenic variants in DNA-damage regulated autophagy modulator 2 gene (DRAM2) cause a rare autosomal recessive retinal dystrophy and its disease course is not well understood. We present two Slovenian patients harboring a novel DRAM2 variant and a detailed review of all 23 other patients described to date. Whole exome and whole genome sequencing were performed in the two patients, and both underwent ophthalmological examination with a 2-year follow-up. PubMed was searched for papers with clinical descriptions of DRAM2 retinopathy. Patient 1 was homozygous for a novel variant, p.Met1?, and presented with the acute onset of photopsia and retina-wide retinopathy at the age of 35 years. The patient was first thought to have an autoimmune retinopathy and was treated with mycophenolate mofetil, which provided some symptomatic relief. Patient 2 was compound heterozygous for p.Met1? and p.Leu246Pro and presented with late-onset maculopathy at the age of 59 years. On review, patients with DRAM2 retinopathy usually present in the third decade with central visual loss, outer retinal layer loss on optical coherence tomography and a hyperautofluorescent ring on fundus autofluorescence. Either cone–rod or rod–cone dystrophy phenotype is observed on electroretinography, reflecting the importance of DRAM2 in both photoreceptor types. Non-null variants can result in milder disease.

The presented study assesses the efficiency of selected adsorbents, zeolite 4A in two particle sizes and pelletized activated carbon (AC), for the potential removal of color, chemical oxygen demand (COD), total organic carbon (TOC) and metals from wastewaters after natural wool dyeing. Firstly, the natural coloring compounds were extracted from dried common walnut (Juglans regia) leaves and used further for exhaustion dyeing of wool fibers, together with three different metallic salts in two concentrations (meta-mordanting). Effluents with higher mordant concentration were additionally treated according to a shake-flask adsorption experiment. The obtained results revealed efficient removal of exceeded metallic ions by zeolite (up to 94.7%), on account of their superior ion exchange capability as compared to AC. The zeolites also reduced turbidity and electrical conductivity significantly. On the other hand, AC was more efficient for the reduction in organic pollution, COD up to 96% and TOC up to 95%, due to its higher specific surface area and total pore volume, and, thus, higher potential for adsorption of different compounds in comparison to 4A. All three proposed adsorbents lowered wastewaters’ coloration remarkably, up to 78% (AC) and up to 71% (4A), depending on the type of effluent/mordant and inspected wavelength; although, the spectral absorbance coefficient (SAC) values remained highly above the limit values for discharge of wastewaters into watercourses.

Vitamin A is an essential fat-soluble vitamin that occurs in various chemical forms. It is essential for several physiological processes. Either hyper- or hypovitaminosis can be harmful. One of the most important vitamin A functions is its involvement in visual phototransduction, where it serves as the crucial part of photopigment, the first molecule in the process of transforming photons of light into electrical signals. In this process, large quantities of vitamin A in the form of 11-cis-retinal are being isomerized to all-trans-retinal and then quickly recycled back to 11-cis-retinal. Complex machinery of transporters and enzymes is involved in this process (i.e., the visual cycle). Any fault in the machinery may not only reduce the efficiency of visual detection but also cause the accumulation of toxic chemicals in the retina. This review provides a comprehensive overview of diseases that are directly or indirectly connected with vitamin A pathways in the retina. It includes the pathophysiological background and clinical presentation of each disease and summarizes the already existing therapeutic and prospective interventions.

The rapid growth in wearable technology has recently stimulated the development of conductive textiles for broad application purposes, i.e., wearable electronics, heat generators, sensors, electromagnetic interference (EMI) shielding, optoelectronic and photonics. Textile material, which was always considered just as the interface between the wearer and the environment, now plays a more active role in different sectors, such as sport, healthcare, security, entertainment, military, and technical sectors, etc. This expansion in applied development of e-textiles is governed by a vast amount of research work conducted by increasingly interdisciplinary teams and presented systematic review highlights and assesses, in a comprehensive manner, recent research in the field of conductive textiles and their potential application for wearable electronics (so called e-textiles), as well as development of advanced application techniques to obtain conductivity, with emphasis on metal-containing coatings. Furthermore, an overview of protective compounds was provided, which are suitable for the protection of metallized textile surfaces against corrosion, mechanical forces, abrasion, and other external factors, influencing negatively on the adhesion and durability of the conductive layers during textiles’ lifetime (wear and care). The challenges, drawbacks and further opportunities in these fields are also discussed critically.

In order to minimize the pollution caused by the reuse of textile dyes, technologies and materials have been developed that purify waste water in an efficient and cost-effective manner before it is discharged into a water body. In this context, the presented research investigates the potential of two types of fully cellulose-based membranes as adsorbents for cationic dyes used in the textile industry. The first type combines cellulose nanofibrils (CNFs) and carboxymethylated cellulose (CMC) using the solvent casting process and an esterification coupling reaction, while the second type uses commercial bacterial cellulose (BC) in a native and sodium periodate-treated form (BCox). The corresponding membranes were comprehensively evaluated by means of Fourier Transform Infrared (FTIR) Spectroscopy. Results confirm the esterification process within the CNF/CMC membranes, as well as BC oxidation after periodate treatment, as shown by bands at 1726.2 cm−1 and 895 cm−1, respectively. The Potentiometric Titration shows the highest total negative charge of 1.07 mmol/g for 4CNF/4CMC, which is assigned to the presence of COO− within CMC polymers, and lowest (0.21 mmol/g) for BCox. The Contact Angle Goniometry data confirm the hydrophilicity of all membranes, and the angle increased from 0 ° (in pure BC) to 34.5 ° in CMC-rich and to 31.4 ° in BCox membranes due to the presence of CH2COO− and CHO groups, respectively. Confocal Fluorescent Microscopy (CFM) demonstrated the highest µ-roughness in 4CNF/4CMC, while Scanning Electron Microscopy (SEM) depicted diverse morphological features between the membranes, from ultrafine nanofiber networks (in BC and BCox) to larger fiber bundles connected within the polymer phase in CNF/CMC membranes. The adsorption experiment followed by UV–VIS spectroscopy, showed ~100% dye removal efficiency in both CNF/CMC-based membranes, while BC and BCox adsorbed only 24.3% and 23.6%, respectively, when anthraquinone dye was used. Azo dye was only adsorbed with an efficiency of 7–9% on CMC/CNF-based membranes, compared with 5.57% on BC and 7.33% on BCox membranes. The adsorption efficiency at equilibrium was highest for BC (1228 mg/g) and lowest for 7CNF/1CMC (419.24 mg/g) during anthraquinone dye adsorption. In the case of azo dye, the BCox was most effective, with 445.7 mg/g. Applicability of a pseudo second-order model was confirmed for both dyes and all membranes, except for BCox in combination with azo dye, showing the fastest adsorption rate in the case of the 7CNF/1CMC membrane.

The presented study focuses on the development of a pad-dry-thermofix functional coating process using a mixture of microporous aluminosilicate particles in diverse bath formulations to impart UV-ray-blocking, thermal stability and easy-care properties to the cotton fabric. The results of Scanning Electron Microscopy (SEM) and X-ray powder Diffraction (XRD) revealed the presence of three different types of zeolites within the examined sample, i.e., the largest amount being zeolite A, followed by the zeolite X, and the zeolite ZSM-5. The surface characterization results of zeolite-coated/cross-linked textiles provided evidence of acceptable UV-ray-blocking properties and increased thermal stability, as well as enhanced tensile strength and breaking tenacity without considerably decreasing the whiteness degree. Moreover, the dry crease recovery angle increased for the cotton fabric cross-linked via an mDMDHEU, and decreased significantly using 30 g/L zeolites negatively influencing qualitative values. TG/DTA results have proven the enlarged thermal stability of aluminosilicate-coated cotton, although combustion was not prevented.

Genetic characteristics and a long-term clinical follow-up of 18 Slovenian retinitis pigmentosa GTPase regulator (RPGR) patients from 10 families with retinitis pigmentosa (RP) or cone/cone-rod dystrophy (COD/CORD) are reported. RP (eight families) was associated with two already known (p.(Ser407Ilefs*46) and p.(Glu746Argfs*23)) and five novel variants (c.1245+704_1415-2286del, p.(Glu660*), p.(Ala153Thr), c.1506+1G>T, and p.(Arg780Serfs*54)). COD (two families) was associated with p.(Ter1153Lysext*38). The median age of onset in males with RP (N = 9) was 6 years. At the first examination (median age of 32 years), the median best corrected visual acuity (BCVA) was 0.30 logMAR, and all patients had a hyperautofluorescent ring on fundus autofluorescence (FAF) encircling preserved photoreceptors. At the last follow-up (median age of 39 years), the median BCVA was 0.48 logMAR, and FAF showed ring constriction transitioning to patch in 2/9. Among females (N = 6; median age of 40 years), two had normal/near-normal FAF, one had unilateral RP (male pattern), and three had a radial and/or focal pattern of retinal degeneration. After a median of 4 years (4–21) of follow-up, 2/6 exhibited disease progression. The median age of onset in males with COD was 25 years. At first examination (median age of 35 years), the median BCVA was 1.00 logMAR, and all patients had a hyperautofluorescent FAF ring encircling foveal photoreceptor loss. At the last follow-up (median age of 42 years), the median BCVA was 1.30 logMAR, and FAF showed ring enlargement. The majority of the identified variants (75%; 6/8) had not been previously reported in other RPGR cohorts, which suggested the presence of distinct RPGR alleles in the Slovenian population.

The aim of the present study is to determine how electroretinographic (ERG) responses reflect age-related disease progression in the Stargardt disease (STGD1). The prospective comparative cohort study included 8 patients harboring two null ABCA4 variants (Group 1) and 34 patients with other ABCA4 genotypes (Group 2). Age at exam, age at onset, visual acuity (VA) and ERG responses were evaluated. The correlation between ERG responses and age in each patient group was determined using linear regression. A Mann-Whitney U Test was used to compare the median values between the groups. Age of onset was significantly earlier in Group 1 than in Group 2 (8 vs. 18), while disease duration was similar (13 vs. 12 years, i.e., advanced stage). Group 1 had significantly worse VA and lower ERG responses. ERG responses that significantly correlated with age in Group 1 were DA 0.01 and 3.0 ERG, which represented a retinal rod system response. The only ERG response that significantly correlated with age in Group 2 was the S-cone ERG. The observed difference was likely due to early cone loss occurring in double-null patients and slower photoreceptor loss in patients with other genotypes. The results suggest that specific ERG responses may be used to detect double-null patients at an early stage and monitor STGD1 disease progression in patients with specific genotypes.

In contrast to USH2A, variants in ADGRV1 are a minor cause of Usher syndrome type 2, and the associated phenotype is less known. The purpose of the study was to characterize the retinal phenotype of 18 ADGRV1 patients (9 male, 9 female; median age 52 years) and compare it with that of 204 USH2A patients (111 male, 93 female; median age 43 years) in terms of nyctalopia onset, best corrected visual acuity (BCVA), fundus autofluorescence (FAF), and optical coherence tomography (OCT) features. There was no statistical difference in the median age at onset (30 and 18 years; Mann–Whitney U test, p = 0.13); the mean age when 50% of the patients reached legal blindness (≥1.0 log MAR) based on visual acuity (64 years for both groups; log-rank, p = 0.3); the risk of developing advanced retinal degeneration (patch or atrophy) with age (multiple logistic regression, p = 0.8); or the frequency of cystoid macular edema (31% vs. 26%, Fisher’s exact test, p = 0.4). ADGRV1 and USH2A retinopathy were indistinguishable in all major functional and structural characteristics, suggesting that the loss of function of the corresponding proteins produces similar effects in the retina. The results are important for counseling ADGRV1 patients, who represent the minor patient subgroup.

Mutations in rhodopsin gene (RHO) are a frequent cause of retinitis pigmentosa (RP) and less often, congenital stationary night blindness (CSNB). Mutation p.G90D has previously been associated with CSNB based on the examination of one family. This study screened 60 patients. Out of these 60 patients, 32 were affected and a full characterization was conducted in 15 patients. We described the clinical characteristics of these 15 patients (12 male, median age 42 years, range 8–71) from three families including visual field (Campus Goldmann), fundus autofluorescence (FAF), optical coherence tomography (OCT) and electrophysiology. Phenotypes were classified into four categories: CSNB (N = 3, 20%) sector RP (N = 3, 20%), pericentral RP (N = 1, 6.7%) and classic RP (N = 8, 53.3% (8/15)). The phenotypes were not associated with family, sex or age (Kruskal–Wallis, p > 0.05), however, cystoid macular edema (CME) was observed only in one family. Among the subjects reporting nyctalopia, 69% (22/32) were male. The clinical characteristics of the largest p.G90D cohort so far showed a large frequency of progressive retinal degeneration with 53.3% developing RP, contrary to the previous report.

Gelsolin amyloidosis typically presents with corneal lattice dystrophy and is most frequently associated with pathogenic GSN variant p.Asp214Asn. Here we report clinical and histopathological features of gelsolin amyloidosis associated with a novel GSN variant p.Glu580Lys. We studied DNA samples of seven members of a two-generation family. Exome sequencing was performed in the proband, and targeted Sanger sequencing in the others. The heterozygous GSN variant p.Glu580Lys was identified in six patients. The patients exhibited corneal dystrophy (5/6), loose skin (5/6) and/or heart arrhythmia (3/6) and one presented with bilateral optic neuropathy. The impact of the mutation on the protein structure was evaluated in silico. The substitution is located in the fifth domain of gelsolin protein, homologous to the second domain harboring the most common pathogenic variant p.Asp214Asn. Structural investigation revealed that the mutation might affect protein folding. Histopathological analysis showed amyloid deposits in the skin. The p.Glu580Lys is associated with corneal dystrophy, strengthening the association of the fifth domain of gelsolin protein with the typical amyloidosis phenotype. Furthermore, optic neuropathy may be related to the disease and is essential to identify before discussing corneal transplantation.