This research concerns the contribution of a new examination, high-throughput exome sequencing, in the diagnosis of the cause of polymalformative fetal syndromes. With currently available examinations, the causes of polyformative syndromes, which correspond to the association of several congenital malformations with varying degrees of severity in different organs, remain unknown in a large number of cases. High-throughput exome sequencing (HTES) is a diagnostic tool that allows the simultaneous analysis of all of the coding parts of DNA. This examination has already shown its superior diagnostic capability in every post-natal diagnostic context, in particulier in infants with malformations associated or not with intellectual deficiency. Its contribution has not yet been studied in a large number of fetuses with polymalformations. To investigate the usefulness of HTES, we propose to carry out the examination in 100 fetuses with polymalformations, as well as the usual examinations including chromosomal microarray analysis and possibly the study of specific genes that may explain these malformations. A blood sample will be taken from both parents to allow interpretation of the results.
Study Type
OBSERVATIONAL
Enrollment
100
CHU de Clermont-Ferrand
Clermont-Ferrand, France
CHU de DIJON
Dijon, France
CHU Montpellier
Montpellier, France
CH de Mulhouse (Hôpital Emile Muller)
Mulhouse, France
CHRU de Reims (Hôpital Maison Blanche)
Reims, France
CHU de Rennes
Rennes, France
CHU de Rouen
Rouen, France
CHU de STRASBOURG (Hôpital Hautepierre)
Strasbourg, France
CHRU de Tours
Tours, France
CHU de NANCY
Vandœuvre-lès-Nancy, France
Number of additional diagnoses made thanks to HTES compared with the usual examinations
Time frame: baseline
Number of diagnoses not made by HTES compared with usual examinations
Time frame: baseline
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