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The main objective of the study is to define, for Autism Spectrum Disorder, the extent of genetic variation in synaptic pathways that may be targeted for therapeutic development. For this purpose the investigators will take advantage of large, well-characterized cohorts of patients with Autism Spectrum Disorder for genetic screenings. Targeted sequencing of selected synaptic genes, previously associated with Autism Spectrum Disorder, will be carried out in these cohorts with deep coverage of coding regions and a strong focus on previously untested regulatory regions. Genomic data from Copy Number Variant, whole genome sequencing and exome sequencing, available for some of these patients, will be integrated in the overall analysis. The investigators will strongly emphasize the establishment of comprehensive genotype/phenotype correlations.
Aim 1: To identify genetic variants in selected synaptic genes, by targeted sequencing with deep coverage of coding regions and a strong focus on previously untested regulatory regions in Autism Spectrum Disorder
Aim 2: To define the range of clinical phenotypes caused by mutations in synaptic genes by establishing detailed genotype/phenotype correlations and analyzing segregation in families with multiple individuals affected by Autism Spectrum Disorder, Autism Spectrum Disorder traits or other neuropsychiatric disorders
Aim 3: To identify the neuronal phenotypes caused by deleterious synaptic mutations for further translational studies
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Autism Spectrum Disorder | Probands with Autism Spectrum Disorder, (N=700), Diagnosis of ASD according to DSM-V criteria For all patients included in the study, core assessment carried out by either collaborating partners consists of diagnosis using the Autism Diagnostic Interview-Revised (ADI-R) criteria for autism and Autism Diagnostic Observation Schedule (ADOS-G) criteria for autism or Autism Spectrum Disorders. Patients with profound intellectual disability or with a known medical cause of autism, such as neurocutaneous syndromes, Fragile X, metabolic disorders, extreme prematurity, congenital rubella and other prenatal or postnatal neurological infections or gross dysmorphology, will be excluded. |
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| Control without Autism Spectrum Disorder | Controls without Austim Spectrum Disorder, aged 6 to 40, N=2100 (300 adultes, 300 children) Healthy individuals with or without idiopathic surgical or urological conditions (e.g. orthopaedic conditions, hernia repairs, renal malformations, pre- or post-circumcision, phimosis, balanitis, scoliosis, congenital hip dislocation, adenoid or tonsil removal, dental procedures such as wisdom tooth extraction, cosmetic procedures such as removal of skin tags or cleft lip repairs, non-head injuries such as fractures, drainage of subungual or perichondrial haematomata). |
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| Relatives of probands with Autism Spectrum Disorder | Relatives of probands with Autism Spectrum Disorder (N=1200 parents, N=600 siblings, N=300 other relatives)
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DNA from subjects will be stored in the biobank of our study. | Genetic | Diagnostic Interview-Revised (ADI-R) criteria for autism and Autism Diagnostic Observation Schedule (ADOS-G) criteria for autism or Autism Spectrum Disorders. |
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of synaptic gene deleterious mutations in patients with Autism Spectrum Disorder | Prevalence of synaptic gene deleterious mutations in patients with Autism Spectrum Disorder | up to 12 months after completion of the inclusion and molecular explorations |
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of the deleterious mutations in the major biological pathways in Autism Spectrum Disorder | The deleterious mutations that the investigators will identify in genes related to Autism Spectrum Disorders will help to have a comprehensive framework of biological pathways involved in Autism Spectrum Disorder | up to 12 months after completion of the inclusion and molecular explorations |
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Inclusion Criteria---------------------------------------------------------------------------------------------------
Probands with Autism Spectrum Disorder
Controls without ASD
Relatives of the probands with ASD or of controls without ASD
Exclusion Criteria --------------------------------------------------------------------------------------------------
Probands with Autism Spectrum Disorder
Severe Intelectual Deficiency (IQ,35 or developmental age <18 months)
●. Personal psychiatric history (schizophrenia, bipolar disorder, substance use disorder (except tobacco), recurrent depression disorder, severe instable anxiety disorder)
Personal neurologic history (epilepsy, or severe neurological disease)
Relatives of the probands with ASD, of the controls or the controls:
● Medical condition (psychiatric or somatic) not compatible with the inclusion
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For all patients included in the study
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Richard Delorme, M.D, Ph.D | Contact | +33662725334 | richard.delorme@aphp.fr | |
| Marion Leboyer, M.D, Ph.D | Contact | +33149813131 | marion.leboyer@inserm.fr |
| Name | Affiliation | Role |
|---|---|---|
| Richard Delorme, M.D, Ph.D | Institut National de la Santé Et de la Recherche Médicale, France | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre de rehabilitation psychosociale, Hopital Saint Egreve | Not yet recruiting | Grenoble | Grenoble | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23744158 | Result | Delorme R, Ey E, Toro R, Leboyer M, Gillberg C, Bourgeron T. Progress toward treatments for synaptic defects in autism. Nat Med. 2013 Jun;19(6):685-94. doi: 10.1038/nm.3193. Epub 2013 Jun 6. |
| Label | URL |
|---|---|
| Description website of the sponsor | View source |
| ID | Type | URL | Comment |
|---|---|---|---|
| Study Protocol | View IPD |
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| ID | Term |
|---|---|
| D000067877 | Autism Spectrum Disorder |
| D001321 | Autistic Disorder |
| D002658 | Developmental Disabilities |
| ID | Term |
|---|---|
| D002659 | Child Development Disorders, Pervasive |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
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DNA from subjects will be stored in the biobank of our study. From some patients with deleterious mutations in synaptic genes,
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| Relatives of controls | Relatives of controls without Autism Spectrum Disorder, N=400 first degree relatives |
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| CIC, CHU Bordeaux | Recruiting | Bordeaux | France |
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| CRA, Hopital Charles Perrens, Bordeaux | Recruiting | Bordeaux | France |
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| CIC, H. Mondor, Creteil | Not yet recruiting | Créteil | France |
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| Albert Chenevier Hospital | Not yet recruiting | Créteil | Île-de-France Region | 94000 | France |
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| Robert Debré Hospital | Not yet recruiting | Paris | Île-de-France Region | 75019 | France |
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| Informed Consent Form | View IPD |