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Greig Cephalopolysyndactyly Syndrome Akpene Gbegnon, MS4 Department of Pathology June 5 th  , 2008
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Greig Cephalopolysyndactyly Syndrome (GCPS) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cases of Greig Syndrome ,[object Object],[object Object],[object Object],[object Object]
Genetic Abnormalities Found in Greig Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object]
GLI3 is a gene on chromosome 7p13 that is mutated in Greig syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is GLI3? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Is there an association between GLI3 and limb development? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mouse Model of Greig Syndrome ,[object Object],[object Object],[object Object],In situ hybridization analysis of GLI3 transcript in  developing limb. Idm = interdigital mesenchyme Izm = interzonal mesenchyme
Mouse Model of Greig Syndrome ,[object Object],[object Object],[object Object],In situ hybridization analysis of GLI3 transcript  in  developing head and limb Nt = neural tube Hlb = hindlimb bud.
Mouse Model of Greig Syndrome ( Litingtung et al., 2002; Welscher et al., 2002) ,[object Object],Skeleton morphology
GLI3 and limb development (Lallemand et al, 2006) ,[object Object]
Case (cont.) ,[object Object]
Brain ,[object Object],[object Object]
Tumor is present in the cerebellum ,[object Object],[object Object],[object Object],[object Object],[object Object],Left Right
FS of brain tumor showing  Pilocytic Astrocytoma ,[object Object],[object Object],[object Object]
Is there an association between Greig syndrome and tumors? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Homer-wright rosettes Medulloblastoma,  WHO grade IV Tumor of the cerebellum Dense cellularity Circular arrangement of cells in rosettes Small blue cell tumor
GLI3, Shh, and medulloblastomas ,[object Object],[object Object],[object Object]
GLI3 and  Sonic Hedgehog (Shh) ,[object Object],[object Object],[object Object],[object Object]
GLI3 and Sonic hedge hog ,[object Object],[object Object],[object Object]
The relationship between GLI3 and Shh (Robert et al, 2006) ,[object Object]
Is GLI3 involved in medulloblastomas? ,[object Object],[object Object],[object Object]
Is GLI3 involved in medulloblastomas? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Is GLI3 involved in medulloblastomas? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object]
Acknowledgement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Extra Slides .
What happens when you knockout Shh? ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],What happens if you have a Shh:Gli3 double knock-out?
Greig Syndrome and Acute Lymphoblastic Leukemia ,[object Object],[object Object]
Greig Syndrome and Acute Lymphoblastic Leukemia ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Patient with Greig syndrome and ALL has chromosome deletion that includes both GLI3 and ZNFNIAI ,[object Object],[object Object],Present 26% Absent 74%
[object Object],[object Object],Patient with Greig syndrome and ALL has chromosome deletion that includes both GLI3 and ZNFNIAI
[object Object],[object Object],Patient with Greig syndrome and ALL has chromosome deletion that includes both GLI3 and ZNFNIAI
The story of Sonic hedgehog ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The story of Sonic Hedgehog ,[object Object],[object Object],[object Object]
The story of Sonic Hedgehog ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The story of Sonic Hedgehog ,[object Object],[object Object],[object Object],[object Object]

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