Biocollection on the Familial Forms of Intracranial Aneurysm (GAÏA)
Genetic Study on the Familial Forms of Intracranial Aneurysm
Intracranial aneurysm (IA) is an asymptomatic cerebrovascular abnormality affecting 3.2% of the general population. The devastating complication of IA is its rupture, resulting in subarachnoid haemorrhage that can lead to severe disability and death.
Unfortunately, there are neither reliable clues nor diagnostic tools to predict the formation and/or the fate of an IA in a given individual. Also, there is no pharmacological drug available to prevent the rupture of aneurysm and subsequent subarachnoid haemorrhage. Current treatments are invasive with a significant risk of procedural morbidity. Thus, still now, the management of patients with IA remains extremely challenging and still controversial.
Although the pathogenesis of IA has been the subject of many studies for the last decade, the mechanisms underlying IA formation, growth and rupture are still mostly unknown and relevant animal models of IA are not available.
Familial history of IA predisposes to IA formation and rupture and increasing evidence suggest a genetic component of IA formation, with heterogeneous modes of inheritance and penetrance.
This project, gathering neuroradiologists, geneticists and vascular biologists, addresses the urgent need to understand the pathogenic mechanisms of IA to develop diagnostic and predictive tools of risk of IA.
The investigators propose to identify IA-causing variants by whole-exome sequencing in familial forms of the disease.
The investigators hypothesises that the functional analysis of the causal / susceptibility variants thus identified will provide clues to understanding the pathological mechanisms of IA formation, and the bases for developing diagnostic tools. This project aims at meeting this challenge. Based on preliminary data that already allowed to identify such a variant, and the combination of genetic and functional investigations, the specific objectives of this project are: - To identify IA-causing variants in familial forms of the disease by whole-exome sequencing; - To understand the function of these genes/ variants in the formation and rupture of IA by molecular and cellular approaches and generation of relevant animal models; - To discover potential biomarkers of risk of IA formation and/or rupture.
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Studientyp
Einschreibung (Tatsächlich)
Kontakte und Standorte
Studienorte
-
-
-
Créteil, Frankreich, 94000
- AP-HP, Henri Mondor hospital
-
La Roche sur YON, Frankreich, 85925
- CHD La Roche sur Yon
-
Nantes, Frankreich, 44093
- Nantes University Hospital
-
Poitiers, Frankreich, 86021
- University Hospital Poitiers
-
Rennes, Frankreich, 35033
- University Hospital Rennes
-
Rouen, Frankreich, 76031
- Rouen University Hospital
-
Talence, Frankreich, 33404
- Bordeaux University Hospital
-
Tours, Frankreich, 37044
- Tours University Hospital
-
-
Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Probenahmeverfahren
Studienpopulation
The initial stage of this biocollection based on the recruitment of large families for genetic linkage analysis.
In the first instance, we identify patients with intracranial aneurysms occurring in a family context, and to conduct a comprehensive investigation according to clinical guidelines in force to assess the potentially informative family and ensure their adherence to the prior biocollection. The next step consists on the fine and accurate phenotyping of each of the family members (imaging) and the collection of a blood sample for DNA extraction for molecular genetic analysis.
The population recruited will be composed of index and their healthy relatives and cases with sporadic cases and IA. The kinship links will be established from family trees.
Beschreibung
Inclusion criteria :
Inclusion criteria indexes and related cases (familial) of intracranial aneurysms:
- Index: Any patient consulting for a major IA and some typical bifurcation with at least one other case reached akin IA 1st degree
- Related: All similar to the first degree, aged 20 or more, patients with a family background of IA and some typical bifurcation (≥2 achieved) For the latter, directed by screening with Magnetic resonance imaging (MRI) sequence Time of Flight (TOF), axial T2, EGT2.
- Consent oral and in writing to the Biocollection consent Form for participation in the collection of biological samples
Inclusion criteria sporadic cases of IA:
- Any patient consulting for IA and some typical bifurcation
- Patients aged of 20 years or older
- Consent oral and in writing to the Biocollection consent Form for participation in the collection of biological samples
Exclusion Criteria :
- Non Inclusion Criteria:
- Patients who have shown the inability or have refused to sign the consent informed biocollection
- Syndromic diagnosis known as IA provider
- Marfan Syndrome
- AOS with SMAD 3
- Danlos Syndrome Elhers type II and IV
- Autosomal Dominant Polycystic
- Moyamoya Syndrome
- Character of IA:
- Dissecting or fusiform
- Combined with an arteriovenous malformation
- Blister-like
- Mycotic
- Pathology of the cerebral white matter detected on MRI, evoking:
- COL4A1 mutation
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
|---|---|
|
DNA analysis to identify new genes (and new physiological pathways) associated to the risk of intracranial aneurysm
Zeitfenster: Until one year
|
Until one year
|
Mitarbeiter und Ermittler
Sponsor
Ermittler
- Hauptermittler: Romain BOURCIER, PhD, Nantes University Hospital
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- Vlak MH, Algra A, Brandenburg R, Rinkel GJ. Prevalence of unruptured intracranial aneurysms, with emphasis on sex, age, comorbidity, country, and time period: a systematic review and meta-analysis. Lancet Neurol. 2011 Jul;10(7):626-36. doi: 10.1016/S1474-4422(11)70109-0.
- Canham PB, Finlay HM. Morphometry of medial gaps of human brain artery branches. Stroke. 2004 May;35(5):1153-7. doi: 10.1161/01.STR.0000124926.76836.df. Epub 2004 Mar 11.
- Rhoton AL Jr. Aneurysms. Neurosurgery. 2002 Oct;51(4 Suppl):S121-58. No abstract available.
- Rinkel GJ, Djibuti M, Algra A, van Gijn J. Prevalence and risk of rupture of intracranial aneurysms: a systematic review. Stroke. 1998 Jan;29(1):251-6. doi: 10.1161/01.str.29.1.251.
- Ronkainen A, Hernesniemi J, Ryynanen M. Familial subarachnoid hemorrhage in east Finland, 1977-1990. Neurosurgery. 1993 Nov;33(5):787-96; discussion 796-97. doi: 10.1227/00006123-199311000-00001.
- Zuurbier CCM, Bourcier R, Constant Dit Beaufils P, Redon R, Desal H; ICAN Investigators; Bor ASE, Lindgren AE, Rinkel GJE, Greving JP, Ruigrok YM. Number of Affected Relatives, Age, Smoking, and Hypertension Prediction Score for Intracranial Aneurysms in Persons With a Family History for Subarachnoid Hemorrhage. Stroke. 2022 May;53(5):1645-1650. doi: 10.1161/STROKEAHA.121.034612. Epub 2022 Feb 11.
- Bakker MK, van der Spek RAA, van Rheenen W, Morel S, Bourcier R, Hostettler IC, Alg VS, van Eijk KR, Koido M, Akiyama M, Terao C, Matsuda K, Walters RG, Lin K, Li L, Millwood IY, Chen Z, Rouleau GA, Zhou S, Rannikmae K, Sudlow CLM, Houlden H, van den Berg LH, Dina C, Naggara O, Gentric JC, Shotar E, Eugene F, Desal H, Winsvold BS, Borte S, Johnsen MB, Brumpton BM, Sandvei MS, Willer CJ, Hveem K, Zwart JA, Verschuren WMM, Friedrich CM, Hirsch S, Schilling S, Dauvillier J, Martin O; HUNT All-In Stroke; China Kadoorie Biobank Collaborative Group; BioBank Japan Project Consortium; ICAN Study Group; CADISP Group; Genetics and Observational Subarachnoid Haemorrhage (GOSH) Study investigators; International Stroke Genetics Consortium (ISGC); Jones GT, Bown MJ, Ko NU, Kim H, Coleman JRI, Breen G, Zaroff JG, Klijn CJM, Malik R, Dichgans M, Sargurupremraj M, Tatlisumak T, Amouyel P, Debette S, Rinkel GJE, Worrall BB, Pera J, Slowik A, Gaal-Paavola EI, Niemela M, Jaaskelainen JE, von Und Zu Fraunberg M, Lindgren A, Broderick JP, Werring DJ, Woo D, Redon R, Bijlenga P, Kamatani Y, Veldink JH, Ruigrok YM. Genome-wide association study of intracranial aneurysms identifies 17 risk loci and genetic overlap with clinical risk factors. Nat Genet. 2020 Dec;52(12):1303-1313. doi: 10.1038/s41588-020-00725-7. Epub 2020 Nov 16. Erratum In: Nat Genet. 2020 Dec 22;:
- Bourcier R, Le Scouarnec S, Bonnaud S, Karakachoff M, Bourcereau E, Heurtebise-Chretien S, Menguy C, Dina C, Simonet F, Moles A, Lenoble C, Lindenbaum P, Chatel S, Isidor B, Genin E, Deleuze JF, Schott JJ, Le Marec H; ICAN Study Group; Loirand G, Desal H, Redon R. Rare Coding Variants in ANGPTL6 Are Associated with Familial Forms of Intracranial Aneurysm. Am J Hum Genet. 2018 Jan 4;102(1):133-141. doi: 10.1016/j.ajhg.2017.12.006.
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- RC12_0458
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .
Klinische Studien zur Non-Interventional
-
AstraZenecaAbgeschlossenBrustkrebs | Onkologie | EpidemiologieAlgerien
-
Northwell HealthAktiv, nicht rekrutierendHerz-Kreislauf-RisikofaktorVereinigte Staaten
-
Dartmouth-Hitchcock Medical CenterEunice Kennedy Shriver National Institute of Child Health and Human Development... und andere MitarbeiterAktiv, nicht rekrutierendKindheitsfettleibigkeitVereinigte Staaten
-
Ziv HospitalHillel Yafe MC HaderaAbgeschlossenChronische Hepatitis-C-VirusinfektionIsrael
-
Pontificia Universidad Catolica de ChileFondo Nacional de Desarrollo Científico y Tecnológico, ChileUnbekannt
-
Moorfields Eye Hospital NHS Foundation TrustAbgeschlossenMakulaloch in voller DickeVereinigtes Königreich
-
Catharina Ziekenhuis EindhovenAbgeschlossen
-
University of UtahAbgeschlossenRisikoschwangerschaftVereinigte Staaten
-
University College, LondonNoch keine Rekrutierung
-
Fundación EPICAbgeschlossenHerz-Kreislauf-Erkrankungen | Arterielle ErkrankungSpanien