Publications by authors named "Alexandre Janin"

Context: Congenital adrenal hyperplasia (CAH) can be due to 11β-hydroxylase deficiency (11βOHD). Sporadic reports of 11βOHD are frequent but overviews on molecular landscape in some populations are lacking.

Objective: The aim of this research was to compile a genetic landscape from a 11βOHD cohort, and to report a novel yet recurrent splice variant.

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Lamins A/C, coded by LMNA gene, are crucial for nuclear architecture preservation. Pathogenic LMNA variants cause a wide range of inherited diseases called "laminopathies". A subgroup is referred to "progeroid syndromes" characterized by premature aging and other manifestations including cardiac valve abnormalities.

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Suspected splicing variants can be very challenging to evaluate more particularly when RNA samples are not available to perform RNA sequencing or when the gene of interest is expressed in specific tissues not easily reachable. One alternative strategy to study the potential splicing effect of a variant is to use the patient's DNA. Indeed, it is easily possible to amplify the region of interest and include it in the reporting system such as hybrid minigene, which could then be transfected in eukaryotic cells in order to estimate the impact of the mutated region in comparison to a wild-type version of the region.

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Background & Aims: Familial hypobetalipoproteinemia 1 (FHBL-SD2) is the most common monogenic form of primary hypocholesterolaemia, related to truncating variants in the APOB gene encoding apolipoprotein B. Due to its high level of complexity, variants of uncertain significance (VUS) require further investigations. This study aims to demonstrate the value of setting minigene assays in the FHBL-SD2's genetic diagnosis.

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Dynamic changes in the arrangement of myonuclei and the organization of the sarcoplasmic reticulum are important determinants of myofiber formation and muscle function. To find factors associated with muscle integrity, we perform an siRNA screen and identify SH3KBP1 as a new factor controlling myoblast fusion, myonuclear positioning, and myotube elongation. We find that the N-terminus of SH3KBP1 binds to dynamin-2 while the C-terminus associates with the endoplasmic reticulum through calnexin, which in turn control myonuclei dynamics and ER integrity, respectively.

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Scientific advances in genomics are transforming healthcare and prevention. However, they also increase situations of uncertainty, which in turn increase vulnerability not only for patients and their families but also for professionals. Cardiogenetics plays a crucial role in preventing sudden death in young individuals, but it can pose complex challenges for healthcare teams.

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Mobile elements (ME) can transpose by copy-and-paste mechanisms. A heterozygous insertion in APOB exon 3 coding sequence was suspected in a patient with hypobetalipoproteinemia (HBL), by gel electrophoresis of the PCR products. An insertion of a 85 bp fragment flanked by a polyA stretch and a target replication site duplication was identified as a ME insertion (MEI) from the AluYa5 subfamily, NM_000384.

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Background: Short-coupled ventricular fibrillation (SCVF) is increasingly being recognized as a distinct primary electrical disorder and cause of otherwise unexplained cardiac arrest. However, the pathophysiology of SCVF remains largely elusive. Despite extensive genetic screening, there is no convincing evidence of a robust monogenic disease gene, thus raising the speculations for alternative pathogeneses.

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Article Synopsis
  • Skeletal dysplasia, a group of disorders impacting bone development and growth in children, involves potentially up to 552 genes, with common mutations identified in specific genes related to conditions like achondroplasia and hypochondroplasia.
  • A unique case of a Caucasian adult exhibiting achondroplasia symptoms was studied, revealing an intronic variant that changes FGFR3 function, although no common pathogenic variants were found.
  • The study emphasizes the need to refine diagnostic methods and include certain intronic variants in routine tests for better detection of causal mutations, which can enhance patient management and inform new therapeutic strategies.
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  • Biallelic variants in the ALPK3 gene are linked to severe cardiomyopathy in children, while heterozygous variants in adults can lead to hypertrophic cardiomyopathy (HCM).
  • A study involving genetic testing of 16,183 cardiomyopathy cases found 36 patients with null ALPK3 variants, highlighting the gene's significance in HCM.
  • The research emphasizes the need for ALPK3 screening in patients with idiopathic HCM due to its strong association with the condition, particularly in pediatric cases presenting severe outcomes.
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  • The study identifies a novel homozygous missense variant (p.Gly603Ser) in the KCNH2 gene linked to severe long-QT syndrome (LQTS) in a family context.
  • The research employs functional analysis using Xenopus oocytes to compare the effects of this variant with the wild-type version of the gene, revealing significant differences in electrical properties.
  • The findings suggest that while this variant leads to severe yet survivable LQTS in homozygous individuals, it causes a milder Type 2 LQTS in heterozygous carriers, marking a unique discovery in the genetic understanding of heart rhythm disorders.
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  • The study investigates the prevalence and effects of pathogenic variants in a specific gene related to cardiomyopathy and sudden cardiac death among patients.
  • Out of 9,516 tested individuals, 31 were found to carry pathogenic variants, mostly presenting with dilated cardiomyopathy, with some also experiencing severe cardiac issues.
  • Although the overall prognosis for dilated cardiomyopathy in variant carriers seems favorable, severe conditions and early onset were noted, especially in those with double variants.
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Background And Objective: Pediatric cardiomyopathies are clinically heterogeneous heart muscle disorders associated with significant morbidity and mortality for which substantial evidence for a genetic contribution was previously reported. We present a detailed molecular investigation of a cohort of 231 patients presenting with primary cardiomyopathy below the age of 18 years.

Methods: Cases with pediatric cardiomyopathies were analyzed using a next-generation sequencing (NGS) workflow based on a virtual panel including 57 cardiomyopathy-related genes.

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  • DNASE1L3 is an enzyme linked to the breakdown of chromatin from dying cells and is associated with lupus, but its role in interferon signaling in humans is not fully understood.
  • In this study, researchers analyzed five new patients with rare DNASE1L3 mutations, finding that they exhibited a temporary increase in interferon-stimulated genes during disease activity.
  • The findings underscore the severity of DNASE1L3 deficiencies, which often lead to conditions like lupus nephritis and other serious symptoms, with additional patients reviewed revealing a general trend of poor outcomes.
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Hypobetalipoproteinemia is characterized by LDL-cholesterol and apolipoprotein B (apoB) plasma levels below the fifth percentile for age and sex. Familial hypobetalipoproteinemia (FHBL) is mostly caused by premature termination codons in the gene, a condition associated with fatty liver and steatohepatitis. Nevertheless, many families with a FHBL phenotype carry missense variants of uncertain significance (VUS).

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  • Andersen-Tawil Syndrome (ATS) is a rare condition associated with heart issues, periodic paralysis, and physical abnormalities, caused by specific gene mutations, but it can be misdiagnosed as Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) when external symptoms are not clear.
  • CPVT is a dangerous heart arrhythmia linked to a risk of sudden death, and correctly identifying the genetic variants involved is crucial since standard treatments like beta blockers may not work as well.
  • The study reports two patients with CPVT-like symptoms and identifies new harmful gene variants, emphasizing the need for thorough cardiac evaluations and recognition of external symptoms to properly differentiate between CPVT and atypical ATS.
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Purpose: Biallelic hypomorphic variants in PPA2, encoding the mitochondrial inorganic pyrophosphatase 2 protein, have been recently identified in individuals presenting with sudden cardiac death, occasionally triggered by alcohol intake or a viral infection. Here we report 20 new families harboring PPA2 variants.

Methods: Synthesis of clinical and molecular data concerning 34 individuals harboring five previously reported PPA2 variants and 12 novel variants, 11 of which were functionally characterized.

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