Establishing an international ASXL3 registry and research portal

  • Research type

    Research Study

  • Full title

    Establishing an international ASXL3 gene registry and research portal

  • IRAS ID

    316055

  • Contact name

    Meena Balasubramanian

  • Contact email

    meena.balasubramanian@nhs.net

  • Sponsor organisation

    Sheffield Children's NHS Foundation Trust

  • Duration of Study in the UK

    6 years, 0 months, 0 days

  • Research summary

    Background: ASLX3-related disorder, also known as Bainbridge-Ropers syndrome, is a newly described syndrome characterised by developmental delay and learning difficulties. It is caused by disease-causing changes in a gene called ASXL3. Common features include: speech and feeding difficulties, behavioural difficulties and autistic traits, bone and teeth problems and seizures. Children share similar facial features and can have abnormal brain scans. Features can be seen in varying degrees and are not yet predictable as to the severity any one child will develop. We want to develop an international registry of patients with ASXL3 and collect natural history and longitudinal data. The short term goal is to become a point-of-contact specific clinic for patients, along with their families. The long term goal is improving evaluation of the gene and what it means in terms of individualised patient-centred care going forward.

    Approach: We will be collecting clinical and genotypic data on all participants. In addition, using cells (blood) obtained from ASXL3 patients, we will analyse the genetic variants.

    Outcome: ASXL3 is one of the top ten genes in which disease-causing variants have been found in recent large-scale genetic studies into developmental delay and learning difficulties in children. We expect there to be significantly more with increasing use of new genetic technologies.

    Impact: We currently have the largest cohort of ASXL3-related disorder in the UK; with over 40 families in the UK ASXL3 support group, therefore the project proposal is ideally located for immediate benefit. This work is timely because it forms a basis for future functional studies that are a stepping stone for potential future research into gene therapies.

  • REC name

    South Central - Berkshire Research Ethics Committee

  • REC reference

    23/SC/0151

  • Date of REC Opinion

    22 May 2023

  • REC opinion

    Favourable Opinion