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  1. Article ; Online: Les grandes avancées en néphro-génétique pédiatrique.

    Hureaux, Marguerite / Heidet, Laurence / Vargas-Poussou, Rosa / Dorval, Guillaume

    Medecine sciences : M/S

    2023  Volume 39, Issue 3, Page(s) 234–245

    Abstract: The rise of genetics in the last decades has allowed major advances in the understanding of the mechanisms leading to inherited kidney diseases. From the first positional cloning studies to the advent of high-throughput sequencing (NGS), genome analysis ... ...

    Title translation Major advances in pediatric nephro-genetics.
    Abstract The rise of genetics in the last decades has allowed major advances in the understanding of the mechanisms leading to inherited kidney diseases. From the first positional cloning studies to the advent of high-throughput sequencing (NGS), genome analysis technologies have become increasingly efficient, with an extraordinary level of resolution. Moreover, sequencing prices have decreased from one million dollars for the sequencing of James Watson's genome in 2008, to a few hundred dollars for the sequencing of a genome today. Thus, molecular diagnosis has a central place in the diagnosis of these patients and influences the therapeutic management in many situations. However, although NGS is a powerful tool for the identification of variants involved in diseases, it also exposes to the risk of over-interpretation of certain variants, leading to erroneous diagnoses, requiring the use of specialists. In this review, we first propose a brief retrospective of the essential steps that led to the current knowledge and the development of NGS for the study of hereditary nephropathies in children. This review is then an opportunity to present the main hereditary nephropathies and the underlying molecular mechanisms. Among them, we emphasize ciliopathies, congenital anomalies of the kidney and urinary tract, podocytopathies and tubulopathies.
    MeSH term(s) Child ; Humans ; Retrospective Studies ; High-Throughput Nucleotide Sequencing ; Ciliopathies
    Language French
    Publishing date 2023-03-21
    Publishing country France
    Document type Review ; English Abstract ; Journal Article
    ZDB-ID 632733-3
    ISSN 1958-5381 ; 0767-0974
    ISSN (online) 1958-5381
    ISSN 0767-0974
    DOI 10.1051/medsci/2023028
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Performance and clinical utility of a new supervised machine-learning pipeline in detecting rare ciliopathy patients based on deep phenotyping from electronic health records and semantic similarity.

    Faviez, Carole / Vincent, Marc / Garcelon, Nicolas / Boyer, Olivia / Knebelmann, Bertrand / Heidet, Laurence / Saunier, Sophie / Chen, Xiaoyi / Burgun, Anita

    Orphanet journal of rare diseases

    2024  Volume 19, Issue 1, Page(s) 55

    Abstract: Background: Rare diseases affect approximately 400 million people worldwide. Many of them suffer from delayed diagnosis. Among them, NPHP1-related renal ciliopathies need to be diagnosed as early as possible as potential treatments have been recently ... ...

    Abstract Background: Rare diseases affect approximately 400 million people worldwide. Many of them suffer from delayed diagnosis. Among them, NPHP1-related renal ciliopathies need to be diagnosed as early as possible as potential treatments have been recently investigated with promising results. Our objective was to develop a supervised machine learning pipeline for the detection of NPHP1 ciliopathy patients from a large number of nephrology patients using electronic health records (EHRs).
    Methods and results: We designed a pipeline combining a phenotyping module re-using unstructured EHR data, a semantic similarity module to address the phenotype dependence, a feature selection step to deal with high dimensionality, an undersampling step to address the class imbalance, and a classification step with multiple train-test split for the small number of rare cases. The pipeline was applied to thirty NPHP1 patients and 7231 controls and achieved good performances (sensitivity 86% with specificity 90%). A qualitative review of the EHRs of 40 misclassified controls showed that 25% had phenotypes belonging to the ciliopathy spectrum, which demonstrates the ability of our system to detect patients with similar conditions.
    Conclusions: Our pipeline reached very encouraging performance scores for pre-diagnosing ciliopathy patients. The identified patients could then undergo genetic testing. The same data-driven approach can be adapted to other rare diseases facing underdiagnosis challenges.
    MeSH term(s) Humans ; Rare Diseases ; Electronic Health Records ; Semantics ; Supervised Machine Learning ; Ciliopathies/diagnosis ; Ciliopathies/genetics ; Algorithms
    Language English
    Publishing date 2024-02-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2225857-7
    ISSN 1750-1172 ; 1750-1172
    ISSN (online) 1750-1172
    ISSN 1750-1172
    DOI 10.1186/s13023-024-03063-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Overcoming the challenges associated with identification of deep intronic variants by whole genome sequencing.

    Dirix, Marie / Gribouval, Olivier / Arrondel, Christelle / Benjelloun, Saadia / Boyer, Olivia / Charbit, Marina / Antignac, Corinne / Heidet, Laurence / Dorval, Guillaume

    Clinical genetics

    2023  Volume 103, Issue 6, Page(s) 693–698

    Abstract: Whole-genome sequencing (WGS) now allows identification of multiple variants in non-coding regions. The large number of variants identified by WGS however complicates their interpretation. Through identification of the first deep intronic variant in ... ...

    Abstract Whole-genome sequencing (WGS) now allows identification of multiple variants in non-coding regions. The large number of variants identified by WGS however complicates their interpretation. Through identification of the first deep intronic variant in NPHS2, which encodes podocin, a protein implicated in autosomal recessive steroid resistant nephrotic syndrome (SRNS), we compare herein three different tools including a newly developed targeted NGS-based RNA-sequencing to explore the splicing effect of intronic variations. WGS identified two different variants in NPHS2 eventually involved in the disease. Through RT-PCR, exon-trapping Minigene assay and targeted RNA sequencing, we were able to identify the splicing defect in NPHS2 mRNA from patient kidney tissue. Only targeted RNA-seq simultaneously analyzed the effect of multiple variants and offered the opportunity to quantify consequences on splicing. Identifying deep intronic variants and their role in disease is of utmost importance. Alternative splicing can be predicted by in silico tools but always requires confirmation through functional testing with RNA analysis from the implicated tissue remaining the gold standard. When several variants with potential effects on splicing are identified by WGS, a targeted RNA sequencing panel could be of great value.
    MeSH term(s) Humans ; Mutation ; Whole Genome Sequencing ; Nephrotic Syndrome/genetics ; RNA, Messenger/genetics
    Chemical Substances RNA, Messenger
    Language English
    Publishing date 2023-02-06
    Publishing country Denmark
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 221209-2
    ISSN 1399-0004 ; 0009-9163
    ISSN (online) 1399-0004
    ISSN 0009-9163
    DOI 10.1111/cge.14305
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Genome-wide analysis identifies MYH11 compound heterozygous variants leading to visceral myopathy corresponding to late-onset form of megacystis-microcolon-intestinal hypoperistalsis syndrome.

    Billon, Clarisse / Piccoli, Giorgina Barbara / de Sainte Agathe, Jean-Madeleine / Stoeva, Radka / Derive, Nicolas / Heidet, Laurence / Berrebi, Dominique / Bruneval, Patrick / Jeunemaitre, Xavier / Hureaux, Marguerite

    Molecular genetics and genomics : MGG

    2024  Volume 299, Issue 1, Page(s) 44

    Abstract: Megacystis-microcolon-hypoperistalsis-syndrome (MMIHS) is a rare and early-onset congenital disease characterized by massive abdominal distension due to a large non-obstructive bladder, a microcolon and decreased or absent intestinal peristalsis. While ... ...

    Abstract Megacystis-microcolon-hypoperistalsis-syndrome (MMIHS) is a rare and early-onset congenital disease characterized by massive abdominal distension due to a large non-obstructive bladder, a microcolon and decreased or absent intestinal peristalsis. While in most cases inheritance is autosomal dominant and associated with heterozygous variant in ACTG2 gene, an autosomal recessive transmission has also been described including pathogenic bialellic loss-of-function variants in MYH11. We report here a novel family with visceral myopathy related to MYH11 gene, confirmed by whole genome sequencing (WGS). WGS was performed in two siblings with unusual presentation of MMIHS and their two healthy parents. The 38 years-old brother had severe bladder dysfunction and intestinal obstruction, whereas the 30 years-old sister suffered from end-stage kidney disease with neurogenic bladder and recurrent sigmoid volvulus. WGS was completed by retrospective digestive pathological analyses. Compound heterozygous variants of MYH11 gene were identified, associating a deletion of 1.2 Mb encompassing MYH11 inherited from the father and an in-frame variant c.2578_2580del, p.Glu860del inherited from the mother. Pathology analyses of the colon and the rectum revealed structural changes which significance of which is discussed. Cardiac and vascular assessment of the mother was normal. This is the second report of a visceral myopathy corresponding to late-onset form of MMIHS related to compound heterozygosity in MYH11; with complete gene deletion and a hypomorphic allele in trans. The hypomorphic allele harbored by the mother raised the question of the risk of aortic disease in adults. This case shows the interest of WGS in deciphering complex phenotypes, allowing adapted diagnosis and genetic counselling.
    MeSH term(s) Adult ; Humans ; Male ; Abnormalities, Multiple ; Colon/abnormalities ; Duodenum/abnormalities ; Fetal Diseases ; Intestinal Obstruction ; Intestinal Pseudo-Obstruction/genetics ; Myosin Heavy Chains/genetics ; Retrospective Studies ; Urinary Bladder/abnormalities ; Female
    Chemical Substances MYH11 protein, human ; Myosin Heavy Chains (EC 3.6.4.1)
    Language English
    Publishing date 2024-04-16
    Publishing country Germany
    Document type Case Reports ; Journal Article
    ZDB-ID 2044817-X
    ISSN 1617-4623 ; 1617-4615
    ISSN (online) 1617-4623
    ISSN 1617-4615
    DOI 10.1007/s00438-024-02136-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Syndrome d’Alport : néphropathie héréditaire associée à des mutations dans les gènes codant les chaînes de collagène de type IV.

    Heidet, Laurence / Gubler, Marie-Claire

    Nephrologie & therapeutique

    2016  Volume 12, Issue 7, Page(s) 544–551

    Abstract: Alport syndrome is an inherited disorder characterized by the association of a progressive haematuric nephropathy with ultrastructural abnormalities of the glomerular basement membranes, a progressive sensorineural hearing loss and sometimes ocular ... ...

    Title translation Alport syndrome: Hereditary nephropathy associated with mutations in genes coding for type IV collagen chains.
    Abstract Alport syndrome is an inherited disorder characterized by the association of a progressive haematuric nephropathy with ultrastructural abnormalities of the glomerular basement membranes, a progressive sensorineural hearing loss and sometimes ocular involvement. Its incidence is less than 1 per 5000 individuals and the disease is the cause of about 2% of end stage renal disease in Europe and the United States. Alport syndrome is clinically and genetically heterogeneous. It is related to mutations in the genes encoding one of three chains, α3, α4 α5 of type IV collagen, the main component of basement membranes, expressed in the glomerular basement membrane. COL4A5 mutations are associated with X-linked Alport syndrome, which represents 80 to 85% of cases and is more severe in boys than in girls. Mutations in COL4A3 or COL4A4 are associated with autosomal Alport syndrome. The expression of collagen chains in skin and kidney basement membranes allows for the diagnosis and characterization of the mode of transmission in most patients. It is necessary to diagnose this syndrome because its family involvement, its severity, and the importance of genetic counseling. Angiotensin blockers are increasingly prescribed in proteinuric patients. Prospective studies are needed to assess the effectiveness of these treatments on proteinuria and progression of kidney failure, and to specify indications. Animal studies have shown the potential value of different molecules (protease inhibitors, chemokine receptor blockers, transforming growth factor-β1 inhibitors, hydroxy-methyl-coenzyme A reductase inhibitors, bone morphogenetic protein-7 inhibitors), hematopoietic stem cells, and of a anti-micro-RNA.
    Language French
    Publishing date 2016-12
    Publishing country France
    Document type Journal Article ; English Abstract
    ZDB-ID 2229575-6
    ISSN 1872-9177 ; 1769-7255
    ISSN (online) 1872-9177
    ISSN 1769-7255
    DOI 10.1016/j.nephro.2016.09.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Bi-allelic pathogenic variants in ITGA8 cause slowly progressive renal disease of unknown etiology.

    Gómez-Conde, Sara / Dunand, Olivier / Hummel, Aurélie / Morinière, Vincent / Gauthier, Marion / Mesnard, Laurent / Heidet, Laurence

    Clinical genetics

    2022  Volume 103, Issue 1, Page(s) 114–118

    Abstract: Integrin Subunit Alpha 8 gene (ITGA8) encodes an integrin chain that is known to be critical in the early stage of the kidney development. Bi-allelic pathogenic variants in ITGA8 are associated with bilateral renal agenesis, as well as anomalies ... ...

    Abstract Integrin Subunit Alpha 8 gene (ITGA8) encodes an integrin chain that is known to be critical in the early stage of the kidney development. Bi-allelic pathogenic variants in ITGA8 are associated with bilateral renal agenesis, as well as anomalies involving urogenital system. Here, we report two unrelated patients presenting with slowly progressing chronic kidney disease associated with bilateral renal hypodysplasia carrying homozygous loss of function variants in the ITGA8 gene. These results broaden the clinical and genotypic spectrum of ITGA8 defects, revealing the high and unexpected degree of phenotypic heterogeneity of this autosomal recessive disease. Our study emphasizes the usefulness of Next-Generation Sequencing in unraveling the genetic cause of chronic kidney disease of unknown etiology, and raises the question of genetic modifiers involved in the variation of the phenotypes associated with autosomal recessive ITGA8 pathogenic variants.
    MeSH term(s) Humans ; Integrin alpha Chains/genetics ; Kidney Diseases/genetics
    Chemical Substances Integrin alpha Chains ; ITGA8 protein, human
    Language English
    Publishing date 2022-09-17
    Publishing country Denmark
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 221209-2
    ISSN 1399-0004 ; 0009-9163
    ISSN (online) 1399-0004
    ISSN 0009-9163
    DOI 10.1111/cge.14229
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: VNtyper enables accurate alignment-free genotyping of

    Saei, Hassan / Morinière, Vincent / Heidet, Laurence / Gribouval, Olivier / Lebbah, Said / Tores, Frederic / Mautret-Godefroy, Manon / Knebelmann, Bertrand / Burtey, Stéphane / Vuiblet, Vincent / Antignac, Corinne / Nitschké, Patrick / Dorval, Guillaume

    iScience

    2023  Volume 26, Issue 7, Page(s) 107171

    Abstract: The human genome comprises approximately 3% of tandem repeats with variable length (VNTR), a few of which have been linked to human rare diseases. Autosomal dominant tubulointerstitial kidney disease- ...

    Abstract The human genome comprises approximately 3% of tandem repeats with variable length (VNTR), a few of which have been linked to human rare diseases. Autosomal dominant tubulointerstitial kidney disease-
    Language English
    Publishing date 2023-06-17
    Publishing country United States
    Document type Journal Article
    ISSN 2589-0042
    ISSN (online) 2589-0042
    DOI 10.1016/j.isci.2023.107171
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Biallelic

    Capri, Yline / Kwon, Theresa / Boyer, Olivia / Bourmance, Lucas / Testa, Noe / Baudouin, Véronique / Bonnefoy, Ronan / Couderc, Anne / Meziane, Chakib / Tournier-Lasserve, Elisabeth / Heidet, Laurence / Melki, Judith

    Journal of medical genetics

    2023  Volume 60, Issue 10, Page(s) 993–998

    Abstract: Background: Early-onset isolated systemic hypertension is a rare condition of unknown genetic origin. Renovascular, renal parenchymal diseases or aortic coarctation are the most common causes of secondary systemic hypertension in younger children and ... ...

    Abstract Background: Early-onset isolated systemic hypertension is a rare condition of unknown genetic origin. Renovascular, renal parenchymal diseases or aortic coarctation are the most common causes of secondary systemic hypertension in younger children and neonates. We investigated the genetic bases of early-onset isolated systemic hypertension.
    Methods: Whole-exome sequencing (WES) was followed by variant filtering and Sanger sequencing for validation and familial segregation of selected variants in a large consanguineous family. mRNA expression was performed to evaluate the impact of the predicted pathogenic variant on gene expression. WES or Sanger sequencing was performed in additional unrelated affected individuals.
    Results: In one consanguineous family with four children presenting with isolated neonatal-onset systemic hypertension, we identified homozygous stop-gain variant in the
    Conclusion: We show for the first time that biallelic loss of function of
    MeSH term(s) Animals ; Humans ; Infant, Newborn ; Mice ; Consanguinity ; Frameshift Mutation ; Homozygote ; Hypertension/genetics ; Infant, Newborn, Diseases ; Shock, Cardiogenic
    Chemical Substances atrial natriuretic factor receptor A (EC 4.6.1.2)
    Language English
    Publishing date 2023-04-20
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 220881-7
    ISSN 1468-6244 ; 0022-2593
    ISSN (online) 1468-6244
    ISSN 0022-2593
    DOI 10.1136/jmg-2023-109176
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Post-obstructive diuresis after posterior urethral valve treatment in neonates: a retrospective cohort study.

    Sartorius, Victor / Giuseppi, Agnès / Iacobelli, Silvia / Leroy-Terquem, Elise / Vinit, Nicolas / Heidet, Laurence / Blanc, Thomas / Stirnemann, Julien / Kermorvant-Duchemin, Elsa / Lapillonne, Alexandre

    Pediatric nephrology (Berlin, Germany)

    2023  Volume 39, Issue 2, Page(s) 505–511

    Abstract: Background: The management of posterior urethral valve (PUV) in neonates requires close monitoring in the intensive care unit because of the risk of post-obstructive diuresis (POD). Our aim was to describe the incidence and factors associated with POD ... ...

    Abstract Background: The management of posterior urethral valve (PUV) in neonates requires close monitoring in the intensive care unit because of the risk of post-obstructive diuresis (POD). Our aim was to describe the incidence and factors associated with POD in newborns treated for PUV.
    Methods: Retrospective analysis of the medical records of all neonates who underwent surgical intervention for PUV in our neonatal intensive care unit between January 2014 and April 2021.
    Results: Of the 40 patients included, 15 (37.5%) had POD defined by urine output > 6 ml.kg
    Conclusions: In neonates, POD is common after the relief of PUV-related obstruction. Our findings may help to identify patients at highest risk. A higher resolution version of the Graphical abstract is available as Supplementary information.
    MeSH term(s) Pregnancy ; Female ; Humans ; Infant, Newborn ; Retrospective Studies ; Creatinine ; Oligohydramnios ; Premature Birth ; Urethral Obstruction/etiology ; Urethral Obstruction/surgery ; Diuresis ; Urinary Tract ; Urethra/surgery
    Chemical Substances Creatinine (AYI8EX34EU)
    Language English
    Publishing date 2023-09-01
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 631932-4
    ISSN 1432-198X ; 0931-041X
    ISSN (online) 1432-198X
    ISSN 0931-041X
    DOI 10.1007/s00467-023-06100-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Extracorporeal Shockwave Lithotripsy for Cystine Stones in Children: An Observational, Retrospective, Single-Center Analysis.

    Vinit, Nicolas / Khoury, Antoine / Lopez, Pauline / Heidet, Laurence / Botto, Nathalie / Traxer, Olivier / Boyer, Olivia / Blanc, Thomas / Lottmann, Henri B

    Frontiers in pediatrics

    2021  Volume 9, Page(s) 763317

    Abstract: Purpose: ...

    Abstract Purpose:
    Language English
    Publishing date 2021-11-16
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2711999-3
    ISSN 2296-2360
    ISSN 2296-2360
    DOI 10.3389/fped.2021.763317
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