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GenIDA是一个针对智力残疾遗传形式的参与式患者登记库,它提供了由照料者报告的关于237名库伦-德弗里斯综合征患者的详细信息。

GenIDA, a participatory patient registry for genetic forms of intellectual disability provides detailed caregiver-reported information on 237 individuals with Koolen-de Vries syndrome.

作者信息

Colin Florent, Burger Pauline, Mazzucotelli Timothée, Strehle Axelle, Kummeling Joost, Collot Nicole, Broly Elyette, Morgan Angela T, Myers Kenneth A, Bloch-Zupan Agnès, Ockeloen Charlotte W, de Vries Bert B A, Kleefstra Tjitske, Parrend Pierre, Koolen David A, Mandel Jean-Louis

机构信息

Institute of Genetics and Molecular and Cellular Biology (IGBMC), Université de Strasbourg, INSERM U1258, CNRS UMR7104, Illkirch, France.

INSERM UMR_S1109, Tumor Biomechanics Lab, University of Strasbourg, Fédération de Médecine Translationnelle de Strasbourg (FMTS), Strasbourg, France.

出版信息

Genet Med Open. 2023 May 18;1(1):100817. doi: 10.1016/j.gimo.2023.100817. eCollection 2023.

Abstract

PURPOSE

GenIDA is an international patient registry for individuals diagnosed with intellectual disability, autism spectrum disorder, and/or epilepsy, which is based on an online questionnaire that is completed by parent caregivers. In this study, the GenIDA data on Koolen-de Vries syndrome (KdVS) was analyzed illustrating the value of GenIDA and patient/caregiver participation in rare genetic neurodevelopmental disorders (NDDs).

METHODS

Recruitment was done on the GenIDA website from November 2016 to February 2022. Clinical information on individuals with KdVS was extracted for in-depth analysis and for comparison with the GenIDA data of individuals diagnosed with other NDDs.

RESULTS

A total of 1417 patients/caregivers across 35 genetic conditions answered to the GenIDA questionnaire, including caregivers of 237 individuals with KdVS. GenIDA findings on KdVS were consistent with the existing literature, and there were no significant differences between individuals with a 17q21.31 microdeletion and those with a pathogenic variant in the gene. GenIDA provided detailed clinical information including features that are over-represented in KdVS compared with other NDDs (eg, laryngomalacia). Modeling of the natural history showed a positive development of speech and language over time and relatively good reading ability in KdVS. Valproate and oxcarbazepine were reported as effective antiepileptic drugs, and responses to open-ended questions indicated that childhood recurrent pneumonia and asthma are clinically relevant comorbidities that were not described in KdVS before.

CONCLUSION

GenIDA is a powerful registry to collect and harness valuable data on rare NDDs. The study shows that caregiver-driven data collection is effective in terms of global recruitment and centralization of clinical data.

摘要

目的

GenIDA是一个针对被诊断患有智力残疾、自闭症谱系障碍和/或癫痫的个体的国际患者登记处,它基于一份由家长照顾者填写的在线问卷。在本研究中,对GenIDA中有关库伦 - 德弗里斯综合征(KdVS)的数据进行了分析,以说明GenIDA以及患者/照顾者参与罕见遗传性神经发育障碍(NDDs)研究的价值。

方法

2016年11月至2022年2月在GenIDA网站上进行招募。提取了KdVS患者的临床信息用于深入分析,并与被诊断患有其他NDDs的个体的GenIDA数据进行比较。

结果

共有来自35种遗传疾病的1417名患者/照顾者回答了GenIDA问卷,其中包括237名KdVS患者的照顾者。GenIDA关于KdVS的研究结果与现有文献一致,17q21.31微缺失个体与该基因致病性变异个体之间无显著差异。GenIDA提供了详细的临床信息,包括与其他NDDs相比在KdVS中过度表现的特征(如喉软化)。自然病史建模显示,随着时间的推移,KdVS患者的言语和语言有积极发展,阅读能力相对较好。丙戊酸盐和奥卡西平被报告为有效的抗癫痫药物,对开放式问题的回答表明,儿童复发性肺炎和哮喘是此前KdVS中未描述的临床相关合并症。

结论

GenIDA是一个强大的登记处,可用于收集和利用有关罕见NDDs的宝贵数据。该研究表明,由照顾者驱动的数据收集在全球招募和临床数据集中化方面是有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30ef/11613717/fe7cd9e147ca/gr1.jpg

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