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Simon,

Thanks so much for sending this abstract. Amazing!!

At 08:53 AM 8/9/2004, you wrote:

>Hi everyone

>

>Here's the abstract from the Nature Genetics website relating to the paper

>that has just been published. If anybody is interested the whole article can

>be purchased for $30 from the site.

>

>Regards

>

>Simon

>

>Mutations in a new member of the chromodomain gene family cause CHARGE

>syndrome

>

>

>Lisenka E L M Vissers1, Conny M A van Ravenswaaij1, Admiraal2, Jane A

>Hurst3, Bert B A de Vries1, Irene M Janssen1, Walter A van der Vliet1,

>H L P G Huys1, Pieter J de Jong4, Ben C J Hamel1, F P M Schoenmakers1,

>Han G Brunner1, Joris A Veltman1 & Ad Geurts van Kessel1

>1 Department of Human Genetics, University Medical Center Nijmegen, PO Box

>9101, 6500 HB Nijmegen, The Netherlands.

>

>2 Department of Otorhinolaryngology, University Medical Center Nijmegen, PO

>Box 9101, 6500 HB Nijmegen, The Netherlands.

>

>3 Department of Clinical Genetics, The Churchill Hospital, Old Road,

>Headington, Oxford OX3 7LJ, UK.

>

>4 Children's Hospital Oakland Research Institute, BACPAC Resources, 747

>52nd Street, Oakland, California 94609-1809, USA.

>

>Correspondence should be addressed to Joris A Veltman

>j.veltman@...

>

>

>CHARGE syndrome is a common cause of congenital anomalies affecting several

>tissues in a nonrandom fashion. We report a 2.3-Mb de novo overlapping

>microdeletion on chromosome 8q12 identified by array comparative genomic

>hybridization in two individuals with CHARGE syndrome. Sequence analysis of

>genes located in this region detected mutations in the gene CHD7 in 10 of 17

>individuals with CHARGE syndrome without microdeletions, accounting for the

>disease in most affected individuals.

>

>

>

>

>Membership of this email support groups does not constitute membership in

>the CHARGE Syndrome Foundation.

>For information about the CHARGE Syndrome

>Foundation or to become a member (and get the newsletter)

>please contact marion@... or visit

>the CHARGE Syndrome Foundation web page

>at <http://www.chargesyndrome.org>http://www.chargesyndrome.org

>7th International

>CHARGE Syndrome Conference, Miami Beach, Florida, July 22-24, 2005.

>Information will be available at our website

>www.chargesyndrome.org or by calling 1-. In Canada, you may

>contact CHARGE Syndrome Canada at 1- (families), visit

>www.chargesyndrome.ca, or email info@.... Thank you!

>

>

>

>

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Simon,

Thanks so much for sending this abstract. Amazing!!

At 08:53 AM 8/9/2004, you wrote:

>Hi everyone

>

>Here's the abstract from the Nature Genetics website relating to the paper

>that has just been published. If anybody is interested the whole article can

>be purchased for $30 from the site.

>

>Regards

>

>Simon

>

>Mutations in a new member of the chromodomain gene family cause CHARGE

>syndrome

>

>

>Lisenka E L M Vissers1, Conny M A van Ravenswaaij1, Admiraal2, Jane A

>Hurst3, Bert B A de Vries1, Irene M Janssen1, Walter A van der Vliet1,

>H L P G Huys1, Pieter J de Jong4, Ben C J Hamel1, F P M Schoenmakers1,

>Han G Brunner1, Joris A Veltman1 & Ad Geurts van Kessel1

>1 Department of Human Genetics, University Medical Center Nijmegen, PO Box

>9101, 6500 HB Nijmegen, The Netherlands.

>

>2 Department of Otorhinolaryngology, University Medical Center Nijmegen, PO

>Box 9101, 6500 HB Nijmegen, The Netherlands.

>

>3 Department of Clinical Genetics, The Churchill Hospital, Old Road,

>Headington, Oxford OX3 7LJ, UK.

>

>4 Children's Hospital Oakland Research Institute, BACPAC Resources, 747

>52nd Street, Oakland, California 94609-1809, USA.

>

>Correspondence should be addressed to Joris A Veltman

>j.veltman@...

>

>

>CHARGE syndrome is a common cause of congenital anomalies affecting several

>tissues in a nonrandom fashion. We report a 2.3-Mb de novo overlapping

>microdeletion on chromosome 8q12 identified by array comparative genomic

>hybridization in two individuals with CHARGE syndrome. Sequence analysis of

>genes located in this region detected mutations in the gene CHD7 in 10 of 17

>individuals with CHARGE syndrome without microdeletions, accounting for the

>disease in most affected individuals.

>

>

>

>

>Membership of this email support groups does not constitute membership in

>the CHARGE Syndrome Foundation.

>For information about the CHARGE Syndrome

>Foundation or to become a member (and get the newsletter)

>please contact marion@... or visit

>the CHARGE Syndrome Foundation web page

>at <http://www.chargesyndrome.org>http://www.chargesyndrome.org

>7th International

>CHARGE Syndrome Conference, Miami Beach, Florida, July 22-24, 2005.

>Information will be available at our website

>www.chargesyndrome.org or by calling 1-. In Canada, you may

>contact CHARGE Syndrome Canada at 1- (families), visit

>www.chargesyndrome.ca, or email info@.... Thank you!

>

>

>

>

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Guest guest

Simon,

Thanks so much for sending this abstract. Amazing!!

At 08:53 AM 8/9/2004, you wrote:

>Hi everyone

>

>Here's the abstract from the Nature Genetics website relating to the paper

>that has just been published. If anybody is interested the whole article can

>be purchased for $30 from the site.

>

>Regards

>

>Simon

>

>Mutations in a new member of the chromodomain gene family cause CHARGE

>syndrome

>

>

>Lisenka E L M Vissers1, Conny M A van Ravenswaaij1, Admiraal2, Jane A

>Hurst3, Bert B A de Vries1, Irene M Janssen1, Walter A van der Vliet1,

>H L P G Huys1, Pieter J de Jong4, Ben C J Hamel1, F P M Schoenmakers1,

>Han G Brunner1, Joris A Veltman1 & Ad Geurts van Kessel1

>1 Department of Human Genetics, University Medical Center Nijmegen, PO Box

>9101, 6500 HB Nijmegen, The Netherlands.

>

>2 Department of Otorhinolaryngology, University Medical Center Nijmegen, PO

>Box 9101, 6500 HB Nijmegen, The Netherlands.

>

>3 Department of Clinical Genetics, The Churchill Hospital, Old Road,

>Headington, Oxford OX3 7LJ, UK.

>

>4 Children's Hospital Oakland Research Institute, BACPAC Resources, 747

>52nd Street, Oakland, California 94609-1809, USA.

>

>Correspondence should be addressed to Joris A Veltman

>j.veltman@...

>

>

>CHARGE syndrome is a common cause of congenital anomalies affecting several

>tissues in a nonrandom fashion. We report a 2.3-Mb de novo overlapping

>microdeletion on chromosome 8q12 identified by array comparative genomic

>hybridization in two individuals with CHARGE syndrome. Sequence analysis of

>genes located in this region detected mutations in the gene CHD7 in 10 of 17

>individuals with CHARGE syndrome without microdeletions, accounting for the

>disease in most affected individuals.

>

>

>

>

>Membership of this email support groups does not constitute membership in

>the CHARGE Syndrome Foundation.

>For information about the CHARGE Syndrome

>Foundation or to become a member (and get the newsletter)

>please contact marion@... or visit

>the CHARGE Syndrome Foundation web page

>at <http://www.chargesyndrome.org>http://www.chargesyndrome.org

>7th International

>CHARGE Syndrome Conference, Miami Beach, Florida, July 22-24, 2005.

>Information will be available at our website

>www.chargesyndrome.org or by calling 1-. In Canada, you may

>contact CHARGE Syndrome Canada at 1- (families), visit

>www.chargesyndrome.ca, or email info@.... Thank you!

>

>

>

>

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,

We are working on an explanation to help all of us understand this

discovery and what to expect will happen next. We'll share it with you

as soon as we can. Also the doctor who is part of the research team is

preparing an article for our newsletter which will be available this

fall - probably late September or early October. If you are a current

member of the Foundation, you will receive the newsletter; if you aren't

a member, it may be a good time to join.

n

--

n A Norbury, Executive Director

CHARGE Syndrome Foundation, Inc.

2004 Parkade Blvd, Columbia MO 65202 USA

phone/fax; (families only)

mailto:mnorbury@... or mailto:marion@...

web site: http://www.chargesyndrome.org

ShKendra@... wrote:

> I am not very smart on all this genetic stuff I guess! I really would

> love to

> understand what that means. Can somebody explain it to me?

>

> Thank you!

>

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,

We are working on an explanation to help all of us understand this

discovery and what to expect will happen next. We'll share it with you

as soon as we can. Also the doctor who is part of the research team is

preparing an article for our newsletter which will be available this

fall - probably late September or early October. If you are a current

member of the Foundation, you will receive the newsletter; if you aren't

a member, it may be a good time to join.

n

--

n A Norbury, Executive Director

CHARGE Syndrome Foundation, Inc.

2004 Parkade Blvd, Columbia MO 65202 USA

phone/fax; (families only)

mailto:mnorbury@... or mailto:marion@...

web site: http://www.chargesyndrome.org

ShKendra@... wrote:

> I am not very smart on all this genetic stuff I guess! I really would

> love to

> understand what that means. Can somebody explain it to me?

>

> Thank you!

>

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Share on other sites

,

We are working on an explanation to help all of us understand this

discovery and what to expect will happen next. We'll share it with you

as soon as we can. Also the doctor who is part of the research team is

preparing an article for our newsletter which will be available this

fall - probably late September or early October. If you are a current

member of the Foundation, you will receive the newsletter; if you aren't

a member, it may be a good time to join.

n

--

n A Norbury, Executive Director

CHARGE Syndrome Foundation, Inc.

2004 Parkade Blvd, Columbia MO 65202 USA

phone/fax; (families only)

mailto:mnorbury@... or mailto:marion@...

web site: http://www.chargesyndrome.org

ShKendra@... wrote:

> I am not very smart on all this genetic stuff I guess! I really would

> love to

> understand what that means. Can somebody explain it to me?

>

> Thank you!

>

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SIMON: GREAT news! (I guess I will eat crow, except they are

infected in part with WEST NILE here :) )

PS MEG HEFNER will be in Toronto for a CHARGE workshop on OCTOBER

15/16, hopefully she can shed light on some of this very technical

language. (There will be news and registration information for this

out in the next week from CSC.)

Ann Gloyn

Canada

>

> > I am not very smart on all this genetic stuff I guess! I really would

> > love to

> > understand what that means. Can somebody explain it to me?

> >

> > Thank you!

> >

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SIMON: GREAT news! (I guess I will eat crow, except they are

infected in part with WEST NILE here :) )

PS MEG HEFNER will be in Toronto for a CHARGE workshop on OCTOBER

15/16, hopefully she can shed light on some of this very technical

language. (There will be news and registration information for this

out in the next week from CSC.)

Ann Gloyn

Canada

>

> > I am not very smart on all this genetic stuff I guess! I really would

> > love to

> > understand what that means. Can somebody explain it to me?

> >

> > Thank you!

> >

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SIMON: GREAT news! (I guess I will eat crow, except they are

infected in part with WEST NILE here :) )

PS MEG HEFNER will be in Toronto for a CHARGE workshop on OCTOBER

15/16, hopefully she can shed light on some of this very technical

language. (There will be news and registration information for this

out in the next week from CSC.)

Ann Gloyn

Canada

>

> > I am not very smart on all this genetic stuff I guess! I really would

> > love to

> > understand what that means. Can somebody explain it to me?

> >

> > Thank you!

> >

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I think that only professional in the field understand the method the

Dutch team used. The University Medical Center St. Radboud (Nijmegen the

Netherlands) made a press release which is more easily understand than

the article. I translate the most important paragraphs.

The release states that Charge Syndrome affects 1:12.000 new born. It is

not a disease which runs in the family, parents and other family members

are not sick. In Charge patients so far no useful deletions in the

chromosomes have been found, which could have been a starting point

point for further research. The UMC uses already for a few years the so

called " micro array method " , " without this method we would not have been

able to discover the gene " (Dr. van Ravenswaay)

The micro array method makes the genetic defect visible, these are the

so called micro deletions, missing parts of the dna which may comprise

tens of genes. In a pilot study of 2 patients with Charge Syndrome these

deletions could be shown. The next step was which genes are located on

this missing piece of dna and next which of these genes are mutilated in

other patients. Finally the researchers found one gene, which comprised

in 10 of the 17 patients a mutations: the CHD7 gene.

These finding is important for Charge patients and their parents.Dr. Van

Ravenswaay: " The diagnosis of Charge is sometimes difficult, because the

clinical picture is so variable. Now that we know the gene, we can

determine via dna-diagnosis whether someone has the mutation. Then we

are sure that the patient has Charge and we can guide and inform the

patient and his/her parents. Moreover we can offer parents with a Charge

child, in a next pregnancy a test whether the child will have the

disease also, although the chance is small.

The CHD7-gene belongs to the well known family of regulation genes,

which functions as a kind of relay panel in switching on/off of other

genes. A defect of this process lead to problems in the early

embryological development. This explains why many organ systems are

involved in Chare Syndrome.

Partially Translated unauthorized press release from Dutch by Dr. Jan

van Dijk,

-Original Message-----

From: ShKendra@...

Sent: Monday, August 09, 2004 11:56 PM

To: CHARGE

Subject: Re: GENETICS

I am not very smart on all this genetic stuff I guess! I really would

love to

understand what that means. Can somebody explain it to me?

Thank you!

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Share on other sites

> The CHD7-gene belongs to the well known family of regulation genes,

> which functions as a kind of relay panel in switching on/off of other

> genes. A defect of this process lead to problems in the early

> embryological development. This explains why many organ systems are

> involved in Chare Syndrome.

I also wonder about the genes impact on the neurotransmitters, and in daily

neurological function. It seems it would be useful in more than just

embryological development. Everything we describe with the " behaviors " and

fluctuating states, hyper one day and unable to move the next, indicate

difficulty with communication across the synapses. I would love to know

more about that gene.

Kim L

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> The CHD7-gene belongs to the well known family of regulation genes,

> which functions as a kind of relay panel in switching on/off of other

> genes. A defect of this process lead to problems in the early

> embryological development. This explains why many organ systems are

> involved in Chare Syndrome.

I also wonder about the genes impact on the neurotransmitters, and in daily

neurological function. It seems it would be useful in more than just

embryological development. Everything we describe with the " behaviors " and

fluctuating states, hyper one day and unable to move the next, indicate

difficulty with communication across the synapses. I would love to know

more about that gene.

Kim L

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> The CHD7-gene belongs to the well known family of regulation genes,

> which functions as a kind of relay panel in switching on/off of other

> genes. A defect of this process lead to problems in the early

> embryological development. This explains why many organ systems are

> involved in Chare Syndrome.

I also wonder about the genes impact on the neurotransmitters, and in daily

neurological function. It seems it would be useful in more than just

embryological development. Everything we describe with the " behaviors " and

fluctuating states, hyper one day and unable to move the next, indicate

difficulty with communication across the synapses. I would love to know

more about that gene.

Kim L

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I read the book. A better book is Sensory Integration and the Child by A.

Ayres. It is more detailed. My son, Will, has CHARGe and SID. We feel

that his developemental delays are due to the SID. I also think that SID may

very well be part of CHARGE. It stands to reason. Of course, the beauty of it

is that you are suppose to be able to rewire the brain to integrate the

sensory input more efficiently with the SI therapy. I have seen a tremendous

change

in my son, especially with the vestibular stimulation. I am also looking

into theraputic listening/somoans therapy. My son is 2 and not walking or

talking yet. It makes since to me that with the vestibular system being tied so

closely with the ear functions....music/sound therapy should help.

Unfortunately, I'm not guarenteed that he will wear the required head phones and

the cost

is $300+ not covered by insurance or medicaid.

Kim McKie

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So my questions are:

Is the gene already defective or did something interrupt it to become

defective and that is what the mutation is? Or, did either parent pass on a

defective gene that exists in one of us? If so, then the parent's could

pass it on to other children who would not be affective, but would now exist

in them as well?

Debbie Matasker

Re: GENETICS

I am not very smart on all this genetic stuff I guess! I really would

love to

understand what that means. Can somebody explain it to me?

Thank you!

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Share on other sites

I know Meg has been on vacation and am sure she will send us a wonderful

post with lots of info when she gets back.

My impression is this really doesn't change any of the existing theories

about what happens with CHARGE. Meg has written before a wonderful

explanation of why they felt CHARGE was genetic and how that relates to the

heritability of it. If I recall from Meg's post, the first child to have

the CHARGE gene it would be a genetic mutation. No one really knows what

causes the mutation, but no common teratogen has been found. Children who

have the defective gene could then pass that gene on to their families

leading to an inherited version in some instances.

The biggest advantage for now, is that families where the CHARGE diagnosis

is tentative they could use this to screen for it.

My personal feeling is that even if the test came back negative, it would

not rule out CHARGE completely. This finding is too new, no one knows if

other genes are involved etc. In my mind it is a step forward, but not the

whole answer. We'll all be glad to hear from Meg when she gets back.

Kim L

> So my questions are:

>

> Is the gene already defective or did something interrupt it to become

> defective and that is what the mutation is? Or, did either parent pass on a

> defective gene that exists in one of us? If so, then the parent's could

> pass it on to other children who would not be affective, but would now exist

> in them as well?

>

> Debbie Matasker

>

> Re: GENETICS

>

>

> I am not very smart on all this genetic stuff I guess! I really would

> love to

> understand what that means. Can somebody explain it to me?

>

> Thank you!

>

>

>

>

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Share on other sites

I know Meg has been on vacation and am sure she will send us a wonderful

post with lots of info when she gets back.

My impression is this really doesn't change any of the existing theories

about what happens with CHARGE. Meg has written before a wonderful

explanation of why they felt CHARGE was genetic and how that relates to the

heritability of it. If I recall from Meg's post, the first child to have

the CHARGE gene it would be a genetic mutation. No one really knows what

causes the mutation, but no common teratogen has been found. Children who

have the defective gene could then pass that gene on to their families

leading to an inherited version in some instances.

The biggest advantage for now, is that families where the CHARGE diagnosis

is tentative they could use this to screen for it.

My personal feeling is that even if the test came back negative, it would

not rule out CHARGE completely. This finding is too new, no one knows if

other genes are involved etc. In my mind it is a step forward, but not the

whole answer. We'll all be glad to hear from Meg when she gets back.

Kim L

> So my questions are:

>

> Is the gene already defective or did something interrupt it to become

> defective and that is what the mutation is? Or, did either parent pass on a

> defective gene that exists in one of us? If so, then the parent's could

> pass it on to other children who would not be affective, but would now exist

> in them as well?

>

> Debbie Matasker

>

> Re: GENETICS

>

>

> I am not very smart on all this genetic stuff I guess! I really would

> love to

> understand what that means. Can somebody explain it to me?

>

> Thank you!

>

>

>

>

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Share on other sites

I know Meg has been on vacation and am sure she will send us a wonderful

post with lots of info when she gets back.

My impression is this really doesn't change any of the existing theories

about what happens with CHARGE. Meg has written before a wonderful

explanation of why they felt CHARGE was genetic and how that relates to the

heritability of it. If I recall from Meg's post, the first child to have

the CHARGE gene it would be a genetic mutation. No one really knows what

causes the mutation, but no common teratogen has been found. Children who

have the defective gene could then pass that gene on to their families

leading to an inherited version in some instances.

The biggest advantage for now, is that families where the CHARGE diagnosis

is tentative they could use this to screen for it.

My personal feeling is that even if the test came back negative, it would

not rule out CHARGE completely. This finding is too new, no one knows if

other genes are involved etc. In my mind it is a step forward, but not the

whole answer. We'll all be glad to hear from Meg when she gets back.

Kim L

> So my questions are:

>

> Is the gene already defective or did something interrupt it to become

> defective and that is what the mutation is? Or, did either parent pass on a

> defective gene that exists in one of us? If so, then the parent's could

> pass it on to other children who would not be affective, but would now exist

> in them as well?

>

> Debbie Matasker

>

> Re: GENETICS

>

>

> I am not very smart on all this genetic stuff I guess! I really would

> love to

> understand what that means. Can somebody explain it to me?

>

> Thank you!

>

>

>

>

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