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Discovery gives answers to parents of children with rare disease

Scientists identify gene mutations that cause debilitating neurodevelopmental problems in infancy

Shortly after Kelly Cervantes鈥 daughter Adelaide was born, she started having terrible seizures. Doctors were unable to give her a solution, or even a cause.

鈥淲e never had an overarching diagnosis for her, which was extraordinarily frustrating and isolating,鈥 she says. 鈥淚f we did, we could join groups or talk to people who had various symptoms in common. We also had no idea what her prognosis looked like, or if we could have other children.鈥

Over time her condition worsened and sadly she died five days before her fourth birthday.

鈥淪he never really progressed past about a three-to-six-month physical development, and we鈥檙e not entirely sure where she was intellectually. She was incredible but her life was really challenging and really hard.鈥

Cervantes had enrolled her daughter in a research program for people with undiagnosed illnesses. After her daughter鈥檚 death she got a call asking if she鈥檇 like to participate in a study being conducted at The Neuro.

The scientists analyzed samples from Adeliade and 21 other people with the condition. By growing stem cells in a dish using the participants鈥 genetic code, the scientists found that mutations in a gene called DENND5A create disfunction, and this disfunction stops brain cells from dividing properly during development. The result is a developing brain with less stem cells, shortening the crucial time period that the brain forms as an embryo.

The finding provides answers to family of people with this rare condition. It also allowed family members to be tested for the mutations so they can make informed choices about family planning. For example, for aspiring parents who carry the mutation, genetic counselors can recommend genetic testing for their partners and give the odds of passing on the condition.

With advancements in gene editing technology, one day the mutation might be corrected with the knowledge this study provides. While such a step is years away at best, Cervantes says it would provide comfort knowing her daughter contributed to a cure.

鈥淢aybe someday down the road, the next Adelaide will have a treatment, and there will be an answer for that family. And how incredible is that to think, that my baby girl had a hand in that?鈥

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The Neuro (Montreal Neurological Institute-Hospital)听is a bilingual academic healthcare institution. We are a听黑料不打烊 research and teaching institute; delivering high-quality patient care, as part of the Neuroscience Mission of the 黑料不打烊 University Health Centre.听We are听proud to be a Killam Institution, supported by the Killam Trusts.

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