Case Conference

Cytoskeleton in neurons differentiating from induced pluripotent stem cells

The CGS Interventional Genomics Case Conference is a multi-disciplinary forum attended by clinicians, researchers, genetic-disease experts, and genomic engineers to review patients with well-defined, monogenetic disorders that may be candidates for novel precision medicine therapies.

In partnership with the Innovative Genomics Institute’s CRISPR Cures program and the Chan Zuckerberg Biohub, funding is available to develop personalized genome therapies for a small number of patients affected by inborn errors of metabolism or inborn errors of immunity.

Case discussions begin with an overview of the clinical presentation, disease natural history, prognosis, and existing standard-of-care treatment. The Interventional Genomics Board reviews the genetic variants for therapeutic tractability using various genome surgery approaches (including genome editing, gene replacement, RNA therapeutics, and engineered cell therapies) and identifies the steps needed to develop a therapy, the potential obstacles, and the opportunities for research.

Refer a Patient
Clinicians may refer patients for expert review and potential inclusion in research and therapeutic development programs. We welcome referrals for patients with genetic disorders including:

  • Inborn errors of metabolism, particularly urea cycle disorders
  • Inborn errors of immunity
  • Lysosomal storage diseases
  • Other monogenic conditions

For most individuals with a genetic diagnosis, there will not be a pathway to develop a genomic therapy at this time. Still, every referral allows us to hone our processes and identify gaps in knowledge or resources that must be addressed to develop patient-specific genome therapies.

Providers or patients may submit a case for review by completing this referral form.

Research Priorities Arising from Case Conferences
The CGS Interventional Genomics Case Conference identifies knowledge gaps that provide opportunities for discovery and translational research. Many of the cases reviewed need more research regarding pathophysiology of the disease, the tissues affected, and the percentage of corrected cells needed to improve the disease manifestations. Every case reviewed can inform the scientific community of promising pathways for research.

UCSF faculty interested in collaborative research on any of the genes discussed in the CGS Case Conference may email [email protected] for access to a summary of the case conference, including specific gene variants.

Genes discussed in case conference

A-Z

Gene        Condition
ABCA4     Stargardt disease
ACVR1     Fibrodysplasia ossificans progressiva 
ADA          Adenosine deaminase deficiency severe combined immunodeficiency (ADA-SCID)
ATL1         Related hereditary spastic paraplegia (SPG3A)
ASS1        Citrullinemia type 1 
BTK          X-linked agammaglobulinemia
CAD         CAD deficiency - developmental and epileptic encephalopathy 50 (DEE-50)
CLN1        Batten's disease 
COL4A1   COL4A1-related disorder (Gould syndrome) 
CSF1R     ALSP 
CTFR       Cystic fibrosis
DEAF1     DEAF1-related neurodevelopmental disorder
DGAT1     DGAT1 deficiency 
ENPP1     ENPP1-related disorders (GACI) 
F2             Prothrombin thrombophilia 
FANCA     Fanconi anemia 
FLII           FLII-related dilated cardiomyopathy 
FOXP3     IPEX syndrome 
GAA          Infantile-onset Pompe disease 
GLDN       Lethal congenital contracture syndrome 11 
GUSB       MPS VII 
KAT6B      KAT6B-related neurodevelopmental disorder 
KCND3     Spinocerebellar ataxia 19 
MUSK       MUSK-related disorder 
PFIC2       Progressive familial intrahepatic cholestasis
PIK3CA    CLOVES Syndrome
POLG       POLG-related mitochondrial disorder 
PTPN11    Noonan syndrome 
RENU4-2  ReNU syndrome 
SCN5A     MEPPC 
SYT1        Baker-Gordon syndrome 
TCIRG1    Osteopetrosis 
TECRL     CPVT3 
TEK          Arteriovenous malformation 
WAS         Wiskott-Aldrich syndrome

Genes by disease

Cardiovascular

Gene        Condition
COL4A1   COL4A1-related disorder / Gould syndrome 
FLII           FLII-related dilated cardiomyopathy 
SCN5A     Multifocal ectopic Purkinje-related premature contractions (MEPPC)
TECRL     Catecholaminergic polymorphic VT type 3 (CPVT3)

Hematologic & Immunologic

Gene      Condition
ADA        Adenosine deaminase deficiency severe combined immunodeficiency (ADA-SCID)
BTK        X-linked agammaglobulinemia
F2           Prothrombin thrombophilia
FANCA   Fanconi anemia
FOXP3   IPEX syndrome
WAS       Wiskott-Aldrich syndrome

Hepatic & Gastrointestinal

Gene       Condition
ABCB11   Progressive familial intrahepatic cholestasis type 2 (PFIC2)

Lysosomal Storage Diseases

Gene     Condition
CLN1     Neuronal ceroid lipofuscinosis (Batten disease) 
(PPT1)
GAA       Infantile-onset Pompe disease 
GUSB     Mucopolysaccharidosis VII (Sly syndrome)

Metabolic & Mitochondrial

Gene      Condition
ASS1      Citrullinemia type 1
DGAT1    DGAT1 deficiency (congenital diarrhea)
ENPP1    ENPP1-related disorders / GACI
POLG      POLG-related mitochondrial disorder

Neuromuscular & Musculoskeletal

Gene        Condition
ACVR1     Fibrodysplasia ossificans progressiva 
GLDN       Lethal congenital contracture syndrome 11
MUSK       MuSK-related congenital myasthenic syndrome
TCIRG1    Infantile malignant osteopetrosis

Neurologic & Neurodevelopmental

Gene       Condition 
ATL1         Related hereditary spastic paraplegia (SPG3A)
CAD         CAD deficiency / DEE-50 
CSF1R     Adult-onset leukoencephalopathy (ALSP)
DEAF1     DEAF1-related neurodevelopmental disorder 
KAT6B      KAT6B-related neurodevelopmental disorder 
KCND3     Spinocerebellar ataxia 19 
RNU4-2    ReNU syndrome 
SYT1        Baker-Gordon syndrome

Ophthalmologic

Gene      Condition
ABCA4   Stargardt disease

RASopathy / Multisystem Developmental

Gene        Condition
PTPN11    Noonan syndrome

Respiratory

Gene     Condition
CFTR    Cystic fibrosis

Somatic Mosaic Vascular & Overgrowth

Gene         Condition
PIK3CA     CLOVES syndrome / PIK3CA-related overgrowth spectrum 
TEK           Venous malformation