Clinical trial NCT02486731: Hormonal Sensitivity in Patients With Noonan and LEOPARD Syndromes
Official title: Consequences of Noonan Syndrome/LEOPARD Syndrome Associated Shp2 Mutations on Different Signaling Pathways Activation: Relationship With Hormonal Sensitivity
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Noonan Syndrome
LEOPARD Syndrome
Keywords: Hormonal sensitivity
bone growth
Lead sponsor: Institut National de la Santé Et de la Recherche Médicale, France
Sponsor class: OTHER_GOV
First posted: 2015-07-01
Enrollment: 27
Sex: ALL
Minimum age (years): 5
Maximum age (years): 15
Standard ages: CHILD
Accepts healthy volunteers: yes
Observational model: CASE_CONTROL
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Data collected in patients with Noonan or LEOPARD syndromes will be compared to data of healthy subjects.

Brief summary: Noonan and LEOPARD syndromes share, with variable severity, different clinical traits, notably craniofacial manifestations, cardiopathies, short stature, and juvenile cancers.

The main genetic cause of these syndromes is missense mutation of the gene encoding the ubiquitous tyrosine phosphatase Shp2, found in more than half the patients with NS and in 80% of LS cases. Shp2 plays pivotal roles in development, growth, and metabolism by regulating key signalling pathways (Ras/Mitogen activated protein kinase (MAPK), Phosphoinositide-3 Kinases (PI3K)/Akt) in response to growth factors/hormones. Deregulation of these signalling pathways has been causally linked to NS and LS pathophysiology.

This project aims at better understanding hormonal sensitivity abnormalities in patients with Noonan syndrome (NS) or LEOPARD syndrome (LS) caused by mutations of the tyrosine phosphatase Shp2.

To reach this goal, the investigators will take advantage of different tissues (fibroblasts ± adipocytes) from patients with NS / LS compared to healthy controls.

All patients will have a skin biopsy and only patients about to undergo surgery will have a adipose tissue biopsy.

Detailed description: The activation of different signaling pathways (Ras/MAPK, PI3K/Akt) in response to growth factors/hormones (growth hormone, insulin) in fibroblasts and/or in adipocytes from patients with NS or LS will be compared to those of healthy subjects.

These data will be correlated to clinical, hormonal, and biochemical characteristics of patients

Eligibility criteria: Inclusion Criteria:

Patients with Noonan syndrome (NS) or LEOPARD syndrome (LS):

* female or male
* age between 5 to 15 years
* clinical diagnosis of NS or LS according to published criteria
* signed informed consent of parents

Healthy controls:

* female or male
* age between 5 to 15 years
* no personal history of syndrome or chronic disease
* planned surgical procedure
* signed informed consent of parents

Exclusion Criteria:

* age below 5 or above 15 years
* pregnancy

In healthy controls: syndromic or chronic disease

Primary outcomes:
measure: Phosphorylation of Erk and Akt in fibroblasts
timeFrame: Baseline
Secondary outcomes:
measure: Phosphorylation of Erk and Akt in adipocytes
timeFrame: Baseline
Other outcomes:
Locations:
city: Toulouse
country: France
facility: CIC de Toulouse- Unité pediatrique
Study officials:
References: