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Introduction: Williams-Beuren syndrome is a rare genetic disorder caused by a 7q11.23 microdeletion. The phenotype associates vasculopathy (arterial stenosis, hypertension), dimorphism and intellectual disability. Microdeletion includes several genes: ELN encodes for elastin and the haplo-insufficiency (only 1 functional copy) causes vasculopathy.
The primary objective is to quantify plasma and urinary levels of elastin peptides in Williams-Beuren patients and 7q11.23 micro-duplication syndrome patients in order to correlate the levels of these markers with the number of copies of ELN gene (proportional positive relationship "gene copy number - circulating levels of markers) Materials and Methods: This prospective study will be carried out in Lyon at the "Hôpital Femme-Mère-Enfant" for 2 years. 3 groups of patients will be studied: Williams-Beuren patients (N=20), micro-duplication 7q11.23 syndrome patients (N=10) and healthy patients (N=60). Subjects will be followed for 1 day.
Clinical examination (weight, height, blood pressure) and biological sample collection (blood and urine sample) will be carry out for Williams Beuren and micro-duplication 7q11.23 patients group. A large majority of visits will be part of patients' usual care. A large part of patients are systematically seen in consultation once a year. For healthy group, only biological sample collection will be carry out. The PE concentrations will be assessed and compared between the three groups of patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Williams Beuren | Other | Subjects aged from 3 months to 60 years with a diagnosis confirmed with FISH of Williams Beuren syndrome. |
|
| Micro-duplication 7q11.23 | Other | Subjects aged from 3 months to 60 years with a diagnosis confirmed with CGHarray of micro-duplication 7q11.23 syndrome. |
|
| Healthy Group | Other | Subjects without cardiovascular and neurological medical history. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physical examination and Urine and blood samples | Biological | Only one visit for each participant : A large majority of visits will be part of patients' usual care
|
| Measure | Description | Time Frame |
|---|---|---|
| Plasma level of elastin peptides (PE) | To quantify plasma level of elastin peptides in participants in order to correlate the levels of these markers with the number of copies of ELN gene (proportional positive relationship "gene copy number - circulating levels of markers). The primary endpoint will be assessed by measuring the blood level of PE between groups | 1 day |
| Urinary level of elastin peptides (PE) | To quantify urinary level of elastin peptides in participants in order to correlate the levels of these markers with the number of copies of ELN gene (proportional positive relationship "gene copy number - circulating levels of markers). The primary endpoint will be assessed by measuring the urinary level of PE between groups | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between blood level of PE and cardiovascular involvement in patients. | Blood level of PE will be correlated with the presence / severity of cardiovascular disease | 1 day |
| Correlation between urinary level of PE and cardiovascular involvement in patients. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Massimiliano ROSSI, Dr | Contact | 04 27 85 55 72 | +33 | Massimiliano.rossi@chu-lyon.fr |
| Linda PONS, Dr | Contact | 04.27.85.51.43 | +33 | linda.pons@chu-lyon.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Femme Mère Enfant - Hospices Civils de Lyon | Bron | 69677 | France |
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| Urine and blood samples | Biological | Only one visit for each participant
|
|
Urinary level of PE will be correlated with the presence / severity of cardiovascular disease |
| 1 day |
| Blood level of PE in treated and untreated minoxidil patients | Blood levels of PE in the samples of patients who participated in the minoxidil clinical trial will be compare to those of participants of this study | 1 day |
| Urinary level of PE in treated and untreated minoxidil patients | Urinary levels of PE in the samples of patients who participated in the minoxidil clinical trial will be compare to those of participants of this study | 1 day |
| ID | Term |
|---|---|
| D018980 | Williams Syndrome |
| D014652 | Vascular Diseases |
| ID | Term |
|---|---|
| D008607 | Intellectual Disability |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D021921 | Aortic Stenosis, Supravalvular |
| D001024 | Aortic Valve Stenosis |
| D000082862 | Aortic Valve Disease |
| D006349 | Heart Valve Diseases |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D025063 | Chromosome Disorders |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D030342 | Genetic Diseases, Inborn |
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| ID | Term |
|---|---|
| D012149 | Restraint, Physical |
| D014554 | Urination |
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D032763 | Behavior Control |
| D013812 | Therapeutics |
| D007103 | Immobilization |
| D008919 | Investigative Techniques |
| D014553 | Urinary Tract Physiological Phenomena |
| D012101 | Reproductive and Urinary Physiological Phenomena |
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
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