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| ID | Type | Description | Link |
|---|---|---|---|
| 2020-A02559-30 | Other Identifier | ID-RCB number,ANSM |
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End of COVID
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High throughput sequencing gives the opportunity to improve the genetic diagnosis for patients suffering from retinal dystrophies and specially from cone disorders. However, a large number of mutations are identified, mostly in introns of the genes, and in silico analysis are not sufficient to assign the pathogenicity of these mutations, without which the diagnosis confirmation cannot be done. For that purpose, a functional analysis of intronic variants of unknown significance detected in patients, with minigene splice assays in parallel with the analysis of the effect of the variant on splicing directly in the cells of the patient, by analyzing the RNA from leucocytes, fibroblasts, lymphoblastoïd cells or precursor of photoreceptor cells, which is the only proof of pathogenicity for variants
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with an intronic variant unknown in a gene implicated in cone disorders. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Blood and/or skin biopsy | Genetic | Blood and/or skin biopsy will be withdrawn, for RNA extraction in order to test the effect of the variant on splicing. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Effect of the intronic variant on RNA splicing observed in cellulo and/or on patient cells, | Analysis of RNA transcripts of the gene carrying a variant of unknown significance. | at 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Effect of the intronic variant on RNA by Minigene splice assay in transient cell cultures | at 2 years | |
| Effect of the intronic variant on RNA by analysis of patient RNA transcripts | at 2 years | |
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Inclusion Criteria:
Exclusion Criteria:
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Patients carrying an intronic variant of unknown significance (or carrying an exonic variant with a predicted effect on splicing) in a gene implicated (or potentially implicated) in cone disorders, will be included in the study.
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| Name | Affiliation | Role |
|---|---|---|
| Claire-Marie DHAENENS, MD | University Hospital, Lille | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU lille | Lille | 59037 | France |
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| ID | Term |
|---|---|
| D000071700 | Cone-Rod Dystrophies |
| D000077765 | Cone Dystrophy |
| D008268 | Macular Degeneration |
| D058499 | Retinal Dystrophies |
| ID | Term |
|---|---|
| D015785 | Eye Diseases, Hereditary |
| D005128 | Eye Diseases |
| D012162 | Retinal Degeneration |
| D012164 | Retinal Diseases |
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Blood samples:
Biopsy:
Potentially a skin biopsy (3 mm diameter) will be carried out if the gene is not expressed in leucocytes
| Effect of the intronic variant on RNA by analysis of transcripts from fibroblasts |
| at 2 years |
| Effect of the intronic variant on RNA by analysis of transcripts from lymphoblastoid lines | at 2 years |
| Effect of the intronic variant on RNA by analysis of transcripts from IPSCs (induced pluripotent stem cells) | at 2 years |
| D030342 |
| Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |