Simpozij s međunarodnim sudjelovanjem Symposium with international participation GENETIKA U PEDIJATRIJSKOJ KARDIOLOGIJI I REUMATOLOGIJI GENETICS IN PEDIATRIC CARDIOLOGY AND RHEUMATOLOGY Vrijeme: 22. & 23.03.2013. Mjesto Hrvatski liječnički dom, HLZ, Zagreb, Šubićeva 9 Organizator Hrvatsko društvo za pedijatrijsku kardiologiju i reumatologiju, HLZ-a Hrvatsko društvo za humanu genetiku HLZ-a Time Petak/ Friday 15:00 - 19:00 Subota/ Saturday 9:00- 18:00 Ven’ue Croatian Medical Association, Zagreb, Šubićeva 9 Organiser: Croatian Association for Pediatric Cardiology and Rheumatology, Croatian Society for Human Genetic, Croatian Medical Association Uvod Introduction Genetika je svakodnevno prisutna u poslu pedijatrijskih kardiologa i reumatologa i sve smo svjesniji te činjenice. Zahvaljujući novim spoznajama promijenio se i način razmišljanja o srčanim i reumatskim bolestima u djece. Genetika je sve prisutnija kada promišljamo o uzrocima, mehanizmima nasljeđivanja kao i mogućnostima liječenja pojedinih bolesti. Sve je veći broj prikaza slučajeva, rasprava i znanstvenih radova u kojima se etiopatogeneza bolesti dovodi u vezu s genetikom. Uz ranije korištene metode za otkrivanje aneuploidija i delecijskih sindroma danas se sve više koriste novije dijagnostičke metode koje omogućuju otkrivanje manjih promjena (mikrodelecije, mutacije, translokacije, amplifikacije).Kada se zapitamo što smo u svojoj državi napravili na ovom planu, čini se da je odgovor prilično razočaravajući. Iako je kod nas do sada publicirano nekoliko članaka iz epidemiologije prirođenih srčanih grješaka (koja je esencijalno vezana uz genetsku osnovu) kao i pojedinačni prikazi pojedinih delecija i mutacija te nekoliko znanstvenih radova iz područja pedijatrijske reumatologije, nije bilo sistematskog razmatranja genetike u okviru našeg Društva. Svrha ovog simpozija jest sabrati dosadašnja saznanja o genetici u pedijatrijskoj kardiologiji i reumatologiji kao i upoznati se s novim suvremenim mogućnostima implementacije genetike u naš klinički i znanstveni rad. Stoga smo ujedinili snage našeg društva s aktivnim članovim društva za humanu genetiku HLZ i dobili podršku nekih istaknutih inozemnih predavača. Uvjereni smo da na taj način možemo obogatiti naše znanje na ovoj razini i još se jednom družiti u ugodnoj radnoj atmosferi. We are becoming increasingly aware of the everyday presence of genetics in the work of pediatric cardiologists and rheumatologists. New realizations have also changed the way of thinking about cardiac and rheumatic diseases in children. Genetics is increasingly present in reflecting upon the causes, inheritance mechanisms, but also treatment possibilities for particular diseases. Number of case reports, discussions and articles relating etiopathogenesis of diseases with genetics is also constantly increasing. Previously used methods for deletions and aneuploidies detection are supplied by new diagnostic methods which enable detection of smaller chromosomal changes (microdeletions, mutations, translocations, amplifications). If one asked himself what we have done in this field in our country, I believe the answer would be quite disappointing. Although we have published several articles related to the epidemiology of congenital heart diseases (essentially relying on the genetic basis), case reports on deletions and mutations, as well as several scientific articles from the field of paediatric rheumatology, genetics has not yet been systematically approached within our Society. The purpose of this symposium is to summarize the existing knowledge of genetics in paediatric cardiology and rheumatology as well as to introduce new modern possibilities of implementing genetics in our clinical and scientific work. In an effort to achieve these goals, our Society has combined forces with active members of Croatian Society of Human Genetics of the Croatian Medical Association and has also received backing from several distinguished foreign lecturers. We are confident that the pleasant working atmosphere of the symposium will lead to enhancing our knowledge to a new level. Prof dr sci Ivan Malčić Prof dr sci Ingeborg Barišić Petak, 22.03.2013 15:00 Friday, 22.03.2013 Opening ceremony Ivan Malčić, President of Croatian Association for Pediatric Cardiology and Rheumatology Ingeborg Barišić, President of Croatian Society for Human Genetic PROGRESS IN GENETIC AND DEVELOPMENTAL BIOLOGY OF CONGENITAL HEART DISEASES Voditelj/ Chairman: Ingeborg Barišić, Ivan Malčić 15:10- 15:40 Classification of congenital heart diseases toward etiopathogenetic mechanisms and importance of epidemiology in genetic consideration Ivan Malčić 15:40- 16:10 Genetic diagnostics and counselling in pediatric cardiology and cardiovascular researches Heide Seidl 16:10- 16:40 MLPA (Multiplex Ligation- dependent Probe Amplification) in diagnostics of congenital heart defects Ingeborg Barišić 16:40- 17:00 Three basic levels of genetic disorders in pediatric cardiology Sanda Huljev Frković 17:00- 17:30 Break FUNDAMENTALS OF GENETICS IN PEDIATRIC RHEUMATOLOGY Voditelj/ Chairman: Marija Jelušić, Ivan Krešimir Lukić 17:30- 18:00 Genetics of childhood rheumatic disease: an introduction Alberto Martini 18:00- 18:30 From gene mutation to inflammation: and overview on the pathogenesis of autoinflammatory diseases Marco Gattorno 18:30- 19:00 High Throughput Pediatric Rheumatology Ivan Krešimir Lukić 20:00 Dinner Subota, 23.03.2013 Saturday, 23.03. 2013 ANEUPLOIDIES, DELETIONS AND CONGENITAL HEART DISEASES Voditelj/ Chairman: Heide Seidl, Ivo Barić 9:00-9:15 Morphological and genetic differences of atrioventricular septal defect in patients with and without Down syndrome Tomica Božić 9:15-9:30 Microdeletion of chromosomal region 22q11 in patients with congenital conotruncal cardiac defects – our experiences Dorotea Bartoniček, Sanda Huljev Frković, Ivan Malčić et al. 9:30- 9:45 9:45-10:00 10:00-10:15 Clinical and molecular analysis of patients with Williams-Beuren syndrome Neven Čače, Aleksandar Ovuka Supravalvular aortic stenosis and peripheral pulmonary stenosis in family with balanced translocation T(7;14) and break point within the elastin gene region Daniel Dilber, Ivan Malčić et al. Hypoplastic left heart syndrome- genetic aspects of disease Andrea Dasović Buljević 10.15-10:30 Coarctation of the aorta in children with Turner syndrome Dražen Belina 10:30-10:45 Cardiomyopathies associated with inherited metabolic diseases Ivo Barić 10.45-11.30 Break GENETICS IN PEDIATRIC RHEUMATOLOGY Voditelj/ Chairman: Marco Gattorno, Marija Jelušić 11:30- 11:45 Osteoblastogenesis from synovial fluid-derived cells is related to the type and severity of juvenile idiopathic arthritis Elvira Lazić Mosler 11:45- 12.00 Cytokine regulation of inflammation and osteoclastogenesis in arthritis Danka Grčević 12.00-12.15 The inverse relationship of the soluble receptor for advanced glycation endproducts (sRAGE) to HMGB1 in children with systemic lupus erythematosus (SLE) Marija Jelušić Dražić 12.15- 12:30 HMGB-1, S100A12, and RAGE as biomarkers of juvenile idiopathic arthritis Dubravka Bobek 12:30-12:45 Neonatal lupus syndrome, cardiologic or rheumatologic syndrome – genetic aspects of disease Sanja Dorner 12:45-15:00 Lunch Subota Saturday MOLECULAR GENETICS, CASE REPORTS Voditelj/ Chairman: Dalibor Šarić, Kristina Crkvenac 15:00- 15:10 Mowat- Willson syndrome Hrvoje Kniewald 15:10- 15:20 Barth syndrome Marija Vidaković 15:20- 15:30 Coffin Lowry syndrome Željka Mustapić 15:30- 15:40 Ellis van Creveld syndrome Andrea Dasović Buljević 15:40- 15:50 Noonan syndrome Gabrijela Rendulić Wolf 15:50- 16:00 Role of the fetal echocardiography in detection of chromosomopathies- case report of triploidy Tonković Đurišević I, Crkvenac Gornik K, Lasan R, Letica Lj, Mikloš M, Huljev Frković S, Elveđi Gašparović V, Malčić I, Begović D 16:00- 16:30 Coffee break MISCELLANEOUS Voditelj/ Chairman: Vojko Rožmanić, Sanja Dorner 16:30- 16:40 Connective tissue diseases of cardiovascular system- case report of a patient with Loeys- Dietz syndrome Šarić Dalibor 16.40- 16:50 Case report: periodic fever – Familiar Mediterranean Fever, PFAPA or other syndrome Bilić Čače I, Rožmanić V, Babić-Božović I, Banac S, Čače N 16:50-17:00 R202Q polimorphism of MEFV gene in a family with Familiar Mediterranean Fever (FMF) Marko Barešić 17:00-17:10 PAPA or SAPHO syndrome in a 16 year old boy Iva Rukavina 17:10-17:20 17:30 Autosomal dominant spondyloarthropathy: a differential diagnosis of severe polyarticular type of juvenile idiopathic arthritis Marijan Frković Snack Predavači Lecturers Ivo Barić, Klinika za pedijatriju KBC Zagreb Marko Barešić, Klinika za unutarnje bolesti KBC Zagreb Ingeborg Barišić, Klinika za dječje bolesti Zagreb Dorotea Bartoniček, Klinika za pedijatriju KBC Zagreb Dražen Belina, Klinika za kardijalnu kirurgiju KBC Zagreb Dubravka Bobek, Zavod za fizikalnu i rehabilitacijsku medicinu i reumatologiju, KB Dubrava Tomica Božić, Klinika za pedijatriju KB Mostar Iva Bilić Čače, Klinika za pedijatriju KBC Rijeka Neven Čače, Klinika za pedijatriju KBC Rijeka Andrea Dasović Buljević, Klinika za pedijatriju KBC Zagreb Daniel Dilber, Klinika za pedijatriju KBC Zagreb Sanja Dorner, Klinika za pedijatriju KBC Osijek Marco Gattorno, Pediatria II Reumatologia, (EULAR Centre of Excellence in Rheumatology 2008-13) Gaslini Institute, Genoa, Italy Danka Grčević, Zavod za fiziologiju i imunologiju, Medicinski fakultet Zagreb Marijan Frković, Klinika za pedijatriju KBC Zagreb Sanda Huljev Frković, Klinika za pedijatriju KBC Zagreb Marija Jelušić Dražić, Klinika za pedijatriju KBC Zagreb Hrvoje Kniewald, Klinika za pedijatriju KBC Zagreb Elvira Lazić Mosler, Laboratorij za molekularnu imunologiju, Medicinski fakultet Zagreb Ivan Krešimir Lukić, Partek Inc., St. Louis (MO), USA, Katedra za istraživanja u biomedicini i zdravstvu, Medicinski fakultet Split Ivan Malčić, Klinika za pedijatriju KBC Zagreb Alberto Martini, University of Genoa, Director of Pediatria II Reumatologia (EULAR Centre of Excellence in Rheumatology 2008-13) Gaslini Institute, Genoa, Italy, President of the Pediatric Rheumatology European Society (PRES), Željka Mustapić, Klinika za pedijatriju KBC Zagreb Gabrijela Rendulić Wolf, Klinika za pedijatriju KBC Zagreb Iva Rukavina, Klinika za pedijatriju KBC Zagreb Heide Seidl, Institut für Humangenetik der TU München, Trogerstr. 32, München, Germany Dalibor Šarić, Klinika za pedijatriju KBC Zagreb Ivana Tonković Đurašević, Klinika za pedijatriju KBC Zagreb Marija Vidaković, Klinika za pedijatriju KBC Zagreb Predavanja se održavaju na hrvatskom i engleskom jeziku, a dijapozitivi su na engleskom jeziku. Lectures will be held on Croatian and English language, slides should be in English. Sudjelovanje se boduje prema pravilniku HLK: za sudionike za predavače Kontakt adrese: andrea.db.savoia@gmail.com ivan.malcic1@gmail.com ingeborg.barisic@kdb.hr marija.jelusic.drazic@gmail.com Kotizacija: 400 kn 200 kn za specijalizante besplatno za umirovljenike i studente Kotizacija se može platiti kod ulaza ili unaprijed broj računa: HLZ 2360000-1101214818 , poziv na broj 268-390 Sponzori Sponsors Udruga Veliko srce malom srcu A Big Heart for Little Heart Association Veliko srce malom srcu je neprofitna, humanitarna udruga liječnika, zdravstvenog osoblja i roditelja djece s prirođenim srčanim grješkama i drugim srčanim bolestima. Osnovana je 1994. godine u Zagrebu, kao takva je jedna od najstarijih u Hrvatskoj. Osnovni su ciljevi Udruge: •razvijanje svijesti o potrebi ranog utvrđivanja srčanih grješaka; •potpora njihovom pravodobnom i pravilnom liječenju; •prikupljanje sredstava za neophodne uređaje, pomagala i lijekove •osvješćivanje građana o tome što znači biti dijete sa prirođenom srčanom grješkom ili bolesti, što znači biti njihov roditelj ili liječnik •pružanje psihološke pomoći roditeljima djece sa srčanim bolestima A Big Heart For Little Heart is a non-profitable humanitarian association of doctors, medical staff and parents of children with congenital heart defects and other heart diseases. It was established in Zagreb in 1994 and is one of the oldest such associations in Croatia. The main aims of the Association are to: • develop awareness for the need of early detection of heart defects; • support appropriate and timely treatment • raise funds for essential equipment, apparatus and drugs; • educate citizens of Croatia about being a child with a congenital heart defect or heart disease and being a parent or the doctor of such children; • offer psychological support to parents of children with heart defects and heart disease