Publications by authors named "Coutant S"

Background: Li-Fraumeni syndrome (LFS) predisposes individuals to a wide range of cancers from childhood onwards, underscoring the crucial need for accurate interpretation of germline variants for optimal clinical management of patients and families. Several unclassified variants, particularly those potentially affecting splicing, require specialised testing. One such example is the NM_000546.

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Fabry disease (FD) is an X-linked lysosomal disease caused by an enzyme deficiency of alpha-galactosidase A (α-gal A). This deficiency leads to the accumulation of glycosphingolipids in lysosomes, resulting in a range of clinical symptoms. The complex pathogenesis of FD involves lysosomal dysfunction, altered autophagy, and mitochondrial abnormalities.

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While de novo variants (DNV) are overall at low risk of recurrence in subsequent pregnancies, a subset is at high risk due to parental mosaicism. Accurately identifying cases of parental mosaicism is therefore important for genetic counseling in clinical care. Some studies have investigated the rate of parental mosaics, but most were either limited by the sensitivity of the techniques (i.

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Exome sequencing (ES) has become the method of choice for diagnosing rare diseases, while the availability of short-read genome sequencing (SR-GS) in a medical setting is increasing. In addition, new sequencing technologies, such as long-read genome sequencing (LR-GS) and transcriptome sequencing, are being increasingly used. However, the contribution of these techniques compared to widely used ES is not well established, particularly in regards to the analysis of non-coding regions.

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  • Breast cancer detection and prognosis are difficult due to the need for effective biomarkers, and the role of circRNAs in this process is being explored.
  • Researchers created a new method called SEALigHTS to study the interplay between circular RNAs and mRNAs in breast tissue samples.
  • Their findings indicate that the balance between circRNAs and mRNAs is disrupted in tumor tissues, supporting the idea that this imbalance contributes to the development of breast cancer.
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  • - This study looked at circulating tumor DNA (ctDNA) in patients with stage II colorectal cancer (CRC) who had surgery, using data from the PROGIGE 13 trial.
  • - Researchers matched patients who had recurrent cancer with those who did not, and analyzed ctDNA from blood samples using digital PCR to check for its impact on disease-free survival (DFS) and overall survival (OS).
  • - Results showed that ctDNA was more commonly found in patients whose cancer returned, with lower DFS and OS rates for those with detectable ctDNA, indicating a strong link between postoperative ctDNA presence and cancer recurrence or death.
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Spinal muscular atrophy (SMA) is an autosomal recessive neuromuscular disorder resulting from biallelic alterations of the SMN1 gene: deletion, gene conversion or, in rare cases, intragenic variants. The disease severity is mainly influenced by the copy number of SMN2, a nearly identical gene, which produces only low amounts of full-length (FL) mRNA. Here we describe the first example of retrotransposon insertion as a pathogenic SMN1 mutational event.

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Molecular documentation at relapse of high-grade glioma is an urgent need for patient care. A prospective pilot study was conducted to assess the rate of mutation detection using targeted deep sequencing on circulating tumor DNA from cerebrospinal fluid (CSF) after chemo-radiotherapy based treatment. Fifteen patients were included: 13 patients with glioblastoma, 1 patient with gliosarcoma and 1 patient with anaplastic astrocytoma.

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  • - Cornelia de Lange syndrome (CdLS) is a rare developmental disorder with about 50% of cases lacking a known genetic cause, despite existing gene tests.
  • - Researchers conducted whole genome and RNA sequencing on five unresolved cases, discovering pathogenic mutations in three patients and deep intronic variations in the other two.
  • - The study highlights the importance of whole genome sequencing in identifying genetic issues in CdLS and suggests that deep intronic mutations might be significant in some unsolved cases.
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KDM5C encodes a demethylase of the histone H3 lysine 4 residue, involved in chromatin regulation and gene expression. Hemizygous KDM5C pathogenic variants cause X-linked intellectual disability of Claes-Jensen type. Because of its mode of inheritance and the low specificity of the clinical phenotype, interpretation of variants can be difficult, hence the need for functional studies and biomarkers specific to this disorder.

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Cornelia de Lange syndrome (CdLS) is a clinically-recognizable rare developmental disorder. About 70% of patients carry a missense or loss-of-function pathogenic variant in the NIPBL gene. We hypothesized that some variants in the 5'-untranslated region (UTR) of NIPBL may create an upstream open reading frame (uORF), putatively leading to a loss of function.

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  • The study addresses the challenge of manually reinterpreting sequenced genomic data due to human resource limitations and inconsistent procedures, highlighting the need for more efficient methods.* -
  • The Genome Alert! method automates the reporting of clinically significant changes in variant classifications from the ClinVar database, revealing a significant number of changes and new gene-disease associations over a two-year period.* -
  • The use of Genome Alert! resulted in a high validation rate of classification changes, leading to new diagnoses for several patients and the identification of valuable gene-disease associations not previously documented in existing databases.*
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  • Inversions, which are DNA orientation changes, can cause human diseases but are often overlooked because they do not produce an obvious imbalance in genetic material.* -
  • The study highlights two families: one with constitutional mismatch repair deficiency and history of colon cancer (F1), and another with a severe history of Lynch syndrome (F2), showcasing the impact of inversions on gene expression.* -
  • Utilizing a whole gene panel approach allowed for the detection of significant inversions in the PMS2 and MSH6 genes, emphasizing the importance of genomic sequencing in improving diagnosis rates.*
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Objective: To deep sequence the TRIM33 gene in tumours from patients with cancer-associated anti-TIF1γ autoantibody-positive dermatomyositis (DM) as TRIM33 somatic mutations in tumours may trigger this auto-immune disease.

Methods: Next generation sequencing of tumour DNA samples from patients with cancer-associated anti-TIF1γ autoantibody-positive DM. Fourteen tumours from 13 anti-TIF1γ autoantibody-positive DM individuals were sequenced along with two control tumours from non-DM individuals.

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  • The study investigates the clinical and genetic characteristics of β-galactosidase deficiency, focusing on two conditions: GM1-gangliosidosis and mucopolysaccharidosis IVB (MPSIVB).
  • Researchers analyzed data from 52 patients, finding a range of clinical symptoms in GM1-gangliosidosis from severe prenatal forms to adult onset.
  • The study identified numerous genetic variants, including 18 new ones, linking specific variants to distinct types of these disorders, ultimately aiming to improve patient classification and management.
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NGLY1 deficiency is the first recognized autosomal recessive disorder of N-linked deglycosylation (NGLY1-CDDG). This severe multisystemic disease is still poorly known and, to date, most cases have been diagnosed through whole exome or genome sequencing. The aim of this study is to provide the clinical, biochemical and molecular description of the first NGLY1-CDDG patient from France along with a literature review.

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exDNA is found in various organisms, including plants. However, plant exDNA has thus far received little attention related to its origin and role in the RET (root extracellular trap). In this study, we performed the first high-throughput genomic sequencing of plant exDNA from a with worldwide interest: soybean ( (L.

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  • The study focuses on interpreting germline variants in cancer patients to improve medical management, especially as the number of tests increases.
  • Researchers developed a functional assay using patients' blood to assess p53 functionality after exposure to doxorubicin, measuring its impact through specific mRNA and transcriptional responses.
  • Results showed significant differences in p53 scores between wild-type individuals and those with pathogenic variants, highlighting the assay's potential for rapid classification of variants and identifying non-coding functional variants.
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  • * The results showed a high positive predictive value (PPV) of 87.8% from gene panel data and 86.4% from whole-exome sequencing, with perfect sensitivity and specificity for a subset of gene comparisons.
  • * The findings suggest that adopting an NGS-only approach could be more cost-effective and provide stable diagnostic yields, with the CANOES workflow enabling detection of CNVs at a detailed exon level that may be missed by other methods.
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  • - Sirenomelia is a rare and severe birth defect with unknown causes, characterized by fused legs and serious internal organ issues.
  • - Researchers studied nine families with this condition using advanced exome sequencing, identifying specific genetic variants in the CDX2 gene linked to two family cases, following an autosomal dominant inheritance pattern.
  • - The study suggests a genetic role in sirenomelia, revealing additional potential gene variants and emphasizing the importance of the Cdx and Wnt signaling pathways in its development.
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Introduction: SMG9 deficiency is an extremely rare autosomal recessive condition originally described in three patients from two families harboring homozygous truncating SMG9 variants in a context of severe syndromic developmental disorder. To our knowledge, no additional patient has been described since this first report.

Methods: We performed exome sequencing in a patient exhibiting a syndromic developmental delay and in her unaffected parents and report the phenotypic features.

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Burkitt lymphoma (BL) is characterized by a translocation of the MYC oncogene that leads to the upregulation of MYC expression, cell growth and proliferation. It is well-established that MYC translocation is not a sufficient genetic event to cause BL. Next-generation sequencing has recently provided a comprehensive analysis of the landscape of additional genetic events that contribute to BL lymphomagenesis.

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Extreme microcephaly and rhombencephalosynapsis represent unusual pathological conditions, each of which occurs in isolation or in association with various other cerebral and or extracerebral anomalies. Unlike microcephaly for which several disease-causing genes have been identified with different modes of inheritance, the molecular bases of rhombencephalosynapsis remain unknown and rhombencephalosynapsis presents mainly as a sporadic condition consistent with de novo dominant variations. We report for the first time the association of extreme microcephaly with almost no sulcation and rhombencephalosynapsis in a fœtus for which comparative patient-parent exome sequencing strategy revealed a heterozygous de novo missense variant in the ADGRL2 gene.

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  • A massive parallel sequencing approach has been developed for diagnosing inherited colorectal cancer (CRC) by quickly capturing and analyzing specific genetic sequences in 10 key genes linked to Mendelian CRC.
  • The sequencing was performed using advanced Illumina platforms and involved a comprehensive bioinformatics pipeline for precise mapping, variant calling, and structural variant detection.
  • The analysis of 1644 cases revealed a 20% detection rate of harmful genetic variants, which increased to 37% for Lynch syndrome patients, highlighting the method's effectiveness in identifying complex genetic alterations related to CRC.
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Purposes: Hydrops fetalis is a life-threatening fetal condition, and 85% of all cases are classified as nonimmune hydrops fetalis (NIHF). Up to 15% of NIHF cases may be due to inborn errors of metabolism (IEM), but a large proportion of cases linked to metabolic disorders remains undiagnosed. This lack of diagnosis may be related to the limitations of conventional biological procedures, which involve sequential investigations and require multiple samples and steps.

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