Identification Des Bases Moléculaires Et Physiopathologiques Des Syndromes Oro-Facio-Digitaux Ange-Line Bruel

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Identification Des Bases Moléculaires Et Physiopathologiques Des Syndromes Oro-Facio-Digitaux Ange-Line Bruel Identification des bases moléculaires et physiopathologiques des syndromes oro-facio-digitaux Ange-Line Bruel To cite this version: Ange-Line Bruel. Identification des bases moléculaires et physiopathologiques des syndromes oro-facio- digitaux. Génétique. Université de Bourgogne, 2016. Français. NNT : 2016DIJOS043. tel-01635713 HAL Id: tel-01635713 https://tel.archives-ouvertes.fr/tel-01635713 Submitted on 15 Nov 2017 HAL is a multi-disciplinary open access L’archive ouverte pluridisciplinaire HAL, est archive for the deposit and dissemination of sci- destinée au dépôt et à la diffusion de documents entific research documents, whether they are pub- scientifiques de niveau recherche, publiés ou non, lished or not. The documents may come from émanant des établissements d’enseignement et de teaching and research institutions in France or recherche français ou étrangers, des laboratoires abroad, or from public or private research centers. publics ou privés. UNIVERSITE DE BOURGOGNE UFR des Sciences de Santé THÈSE Pour obtenir le grade de Docteur de l’Université de Bourgogne Discipline : Sciences de la vie par Ange-Line Bruel 21 Septembre 2016 Identification des bases moléculaires et physiopathologiques des syndromes oro-facio-digitaux Directeur de thèse Pr Christel Thauvin-Robinet Co-directeur de thèse Dr Laurence Jego Dr Jean-Baptiste Rivière Jury Pr Faivre Laurence, Président Pr Thauvin-Robinet Christel, Directeur de thèse Dr Saunier Sophie, Rapporteur Pr Geneviève David, Rapporteur Pr Attié-Bittach Tania, Examinateur 1 A ma famille 2 Remerciements Je voudrais remercier en premier lieu Laurence Faivre, de m’avoir accueillie au sein du laboratoire Génétique des Anomalies du Développement, pour l’intérêt porté à mes travaux et pour son soutien. Toute ma reconnaissance va naturellement à Christel Thauvin-Robinet qui a encadrée cette thèse. Merci de m’avoir donnée cette chance de participer à ce beau projet, d’apprendre et d’évoluer au cours de ces trois dernières années. Merci pour ta confiance, ta disponibilité et tes encouragements. Je remercie également mes deux co-directeurs de thèse : Laurence Jego pour avoir veillée au bon déroulement de ces trois années, et Jean-Baptiste Rivière pour m’avoir fait découvrir le monde du SHD. Je souhaite remercier les rapporteurs de cette thèse, David Geneviève, Tania Attié-Bitach et Sophie Saunier pour avoir accepté de lire ce manuscrit durant l’été. Cette thèse est aussi le fruit de nombreuses collaborations nationales et internationales, je tiens donc à remercier tous les collaborateurs qui ont participé à ce travail, ainsi que les patients et leurs familles. Rien n’aurait été pareil sans la bonne entente qui règne dans l’équipe, je tiens donc à remercier toutes les personnes qui m’ont côtoyée quotidiennement: Julien Thevenon, pour m’avoir entrainée dans tous ces projets « hors thèse » et toute l’aide qui tu as pu m’apporter, Yannis Duffourd et Emilie Tisserant, pour votre indispensable savoir en bio-informatique, L’équipe des techniciens, Charlotte Poë, Judith St-Onge, Thibaut Jouan, Martin Chevarin et Nadège Gigot, pour tous les précieux coups de main dans les manips, Les post-docs, thésards, étudiants et voisins de bureau, Virginie Carmignac, Mirna Assoum, Romain Da Costa, Arthur Sorlin, Alexia Cossard, Aurélie Boucharny, Mathilde Lefebvre, Paul Kuentz, Sophie Nambot, Antonio Vitobello, pour votre bonne humeur communicative, ainsi que tous les stagiaires qui sont venus gonfler les rangs, le temps de quelques mois. 3 L’ensemble des cliniciens, internes et personnels administratifs pour leur travail, Je remercie également Patrick Callier et l’ensemble de l’équipe de biologie moléculaire et cytogénétique du PTB pour leur aide et leur sympathie. J’adresse aussi une pensée à mes anciens directeurs de stage, Sylvie Mazoyer et Khaled Bouhouch, qui m’ont fait découvrir le monde de la recherche et poussé à poursuivre dans cette voie. Ces trois années n’auraient pas eu la même saveur sans l’aventure Expérimentarium. Merci à Lionel Maillot, Coralie Biguzzi ainsi que les doctorants dijonnais pour les ateliers Expé, les apéros et les soirées restos que l’on a passé ensemble. Un grand merci également à ma famille : A mon petit frère, Benjamin, pour tous nos moments de complicité et de chamaillerie qui, je crois, ne cesseront jamais ! A mes parents, Marie-Claire et Patrick, pour avoir cru en moi, pour votre soutien indéfectible et votre disponibilité au cours de toutes ces années. C’est grâce à vous si j’ai pu en arriver là aujourd’hui, merci infiniment. A mes grands-parents, Aline et Christian, Annie et René, et mon arrière-grand-mère, Gisèle. A mes cousins, Renaud, Guillaume, Marline, Anna, Bérengère, Sylvain, Lucie, Elinah, Ayden, Raphael et Louane, pour tous les jeux, rires, … et chutes que l’on a partagé et qui ont marqués les annales familiales à jamais ; sans oublier les nouveaux membres Lucile et Virginie et la nouvelle génération Enoha et Gabriel qui font la joie de tous! A Chantal, Jean-Marc, Joël, Valérie, Jacques, Philippe, Dominique et Marie-Nöelle, ainsi qu'à toute la famille pour tous ces bons moments partagés. Mention spéciale à Chantal et Jean- Marc pour avoir suivi de très très près mon parcours. Je souhaite remercier tous mes amis d’Auvergne ou d’ailleurs, la promo M2GP 2013 et les thésards clermontois pour tous les weekends retrouvailles ainsi que les amis globe-trotteurs pour tous les séjours à l’autre bout du monde passés et à venir. Enfin je remercie tous ceux qui ont suivi de près ou de loin cette thèse. 4 Résumé Les syndromes oro-facio-digitaux (OFD) sont caractérisés par la présence d'une atteinte orale, faciale et digitale. Leur classification initiale en 13 sous-types, est basée principalement sur leur mode de transmission et leurs signes cliniques associés (malformations cérébrales, rénales, dysplasie osseuse, atteinte rétinienne). Pendant longtemps seul le gène OFD1, responsable du type I et codant pour une protéine centrosomale et du corps basal, était principalement connu, faisant suspecter l’implication du cil primaire dans les syndromes OFD. Des mutations ont été rapportées plus récemment dans les gènes TMEM216, DDX59, SCLT1, TBC1D32 et TCTN3 chez un ou deux patients. Dans le but d’identifier de nouveaux gènes impliqués dans ces syndromes, nous avons réalisé une stratégie de séquençage haut débit d’exome chez 24 patients. Cette stratégie a permis d’identifier 5 nouveaux gènes (C2CD3, TMEM107, INTU, KIAA0753, IFT57), d'étendre aux syndromes OFD le spectre clinique de 3 gènes déjà connus dans d'autres ciliopathies (C5orf42, TMEM138, TMEM231) et de confirmer l'implication de 3 gènes déjà connus comme responsable de syndrome OFD (OFD1, DDX59, WDPCP). Les analyses fonctionnelles ont montré l’implication de la croissance centriolaire, de la zone de transition et du transport intraflagellaire, avec notamment la caractérisation de 3 complexes protéiques principaux : le complexe ternaire KIAA0753/OFD1/FOPNL, régulant la croissance centriolaire, le complexe MKS (TMEM107, TMEM231, TMEM216) constituant majeur de la zone de transition et le complexe CPLANE (INTU/FUZ/WDPCP), favorisant l’assemblage des protéines périphériques du complexe de transport intraflagellaire IFT-A. En conclusion, cette étude, la plus importante consacrée aux syndromes OFD, démontre la très grande hétérogénéité clinique et génétique de ces syndromes, de même que de nombreux allélismes avec d’autres ciliopathies. Elle étend à 15 le nombre de gènes causaux, rendant la classification clinique initiale de 13 sous-types totalement obsolète et permettant de considérer les syndromes OFD comme un nouveau sous- groupe de ciliopathies à part entière. Mots-clés : Syndromes oro-facio-digitaux, séquençage haut-débit 5 Abstract Oral-facial-digital syndromes (OFDS) are characterized by the association of oral, facial and digital anomalies. The different modes of inheritance and additional features lead to clinically delineate 13 subtypes. For a long time, only the OFD1 gene, responsible for OFDI subtype and coding for a centrosomal protein, has been known, suggesting the involvement of the primary cilium in OFDS. Mutations have recently been reported in the TMEM216, DDX59, SCLT1, TBC1D32 and TCTN3 genes in anecdotic cases. To identify new genes involved in OFDS, we performed whole-exome sequencing in 24 patients. In 14/24 cases, we identified 5 novel genes (C2CD3, TMEM107, INTU, KIAA0753, IFT57), enlarged the clinical spectrum of OFDS of 3 known genes responsible for other ciliopathies (C5orf42, TMEM138, TMEM231) and confirmed the involvement of 3 known genes in OFDS (OFD1, DDX59, WDPCP). Functional studies demonstrated the involvement of the centriolar growth, the transition zone and the intraflagellar transport, through the characterization of 3 major protein complexes: the KIAA0753/OFD1/FOPNL complex controlling the centriole elongation, the MKS module (TMEM107/TMEM231/TMEM216), an essential component of the transition zone, and the CPLANE complex (INTU/FUZ/WDPCP) enabling in the IFT-A assembly. We demonstrated the large clinical and genetic heterogeneity of OFDS, yielding the initial classification in 13 subtypes obsolete, extending the number of 15 causal genes, and confirming OFDS as a new full subgroup of ciliopathies. Keywords: Oral-facial-digital syndromes, whole-exome sequencing 6 Table des matières INTRODUCTION .................................................................................................................... 16 1- Généralités ......................................................................................................................
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