Landscape of Dysregulated Placental RNA Editing Associated With Preeclampsia
HYPERTENSION
Authors: Yang, Xiaoxue; Yang, Jing; Liang, Xiaozhen; Chen, Qian; Jiang, Sijia; Liu, Haihua; Gao, Yue; Ren, Zhonglu; Shi, Yi-Wu; Li, Sheng; Yu, Yanhong; Zhong, Mei; Yang, Xinping
Abstract
Dysregulated RNA editing is well documented in several diseases, such as cancer and neurodegenerative diseases. The extent to which RNA editing might be involved in diseases originated in the placenta remains unknown. Here, we have systematically profiled RNA editome on the placentae, 9 from patients with early-onset severe preeclampsia (EOSPE) and 32 from normal subjects, and a widespread RNA editing dysregulation in EOSPE has been identified. The mis-edited gene set is enriched with known preeclampsia-associated genes and differentially expressed genes in EOSPE. The RNA editing events at 2 microRNA binding sites in 3 '-untranslated region of the LEP mRNA were generated, which could inhibit the microRNA-induced mRNA downregulation of LEP in placenta-derived cell line, consistent with the observation in the placentae of preeclampsia patients. These results demonstrate the association of dysregulated placental RNA editing with preeclampsia, and providing a resource for further study on the role of RNA editing in the pathogenesis of this disease.
The effect of limited English proficiency and interpreter service use on clinical outcomes in psychiatric inpatient units
AUSTRALASIAN PSYCHIATRY
Authors: Daly, Conor; Phillips, Karen; Kanaan, Richard
Abstract
Objective: The effects of limited English and interpreter use on clinical outcomes in mental health are poorly understood. This paper describes an exploratory study examining those effects across three adult inpatient psychiatric units, predicting it would lead to increased length of stay. Methods: Forty-seven patients with limited English proficiency (LEP) were retrospectively identified and compared with 47 patients with proficient English. Length of stay, number of consultant reviews and discharge diagnosis were recorded and compared. Results: An increased length of stay for those with LEP was not statistically significant (p=0.155). The LEP group did undergo more consultant reviews (p=0.036), however, and attracted different discharge diagnoses, with no primary discharge diagnoses of personality disorder made (p=0.018). Conclusions: This study provides evidence of significant effects of limited English on both service burden and outcome.