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Holoprosencephaly, or HPE, is the most common congenital cerebral malformation in humans and the most severe of a group of pathologies related to a deficiency of the SHH signalling pathway (Sonic Hedgehog SHH-D). It is characterized by severe cerebral and craniofacial abnormalities.
The regulation of SHH concentration is therefore crucial for correct craniofacial development.
Despite the recent identification of about 20 genes, 70% of cases of EHPE and craniofacial midline abnormalities of genetic origin do not have a molecular diagnosis. It is therefore important to continue the search for new candidate genes to improve the understanding of brain and facial development and to improve genetic counseling for these families.
The development of Next-Generation Sequencing (NGS) technologies opens up the possibility of studying the exome or even the genome in a single manipulation. The latter type of analysis is particularly well suited to the discovery of new genes and will therefore improve the care of patients and their families.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NGS | Genetic | next-generation sequencing on preexisting samples |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with an identified genetic abnormality | Number of patients with an identified genetic abnormality | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of new genes identified | Number of new genes identified, and possible recurrence of variants in one or more new genes of interest. | 6 months |
| Pathogenic variants | Percentage of pathogenic variants identified in genes of the SHH pathway |
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Inclusion Criteria:
Exclusion Criteria:
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17 Trios : 17 patient with Craniofacial Midline Facial Anomalies and both parents already diagnosed in routine care. Blood samples for all trio must be available in the biobank and parents and patient if he's not a minor have to accept genetic analyses.
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| Name | Affiliation | Role |
|---|---|---|
| Alinoë LAVILLAUREIX | Rennes University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Rennes | Rennes | France |
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national biobank
| 6 months |
| Modes of transmission of pathogenic variants | Percentage of variants identified according to the different modes of transmission (de novo, autosomal dominant, X-linked, autosomal recessive, oligogenism) | 6 months |
| ID | Term |
|---|---|
| D016142 | Holoprosencephaly |
| ID | Term |
|---|---|
| D019465 | Craniofacial Abnormalities |
| D009139 | Musculoskeletal Abnormalities |
| D009140 | Musculoskeletal Diseases |
| D061085 | Agenesis of Corpus Callosum |
| D009421 | Nervous System Malformations |
| D009422 | Nervous System Diseases |
| D000015 | Abnormalities, Multiple |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D025063 | Chromosome Disorders |
| D030342 | Genetic Diseases, Inborn |
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