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Ring 14

International non profit support group for research on rare neurogenetic disease

By Stefania Azzali

Contact information

The registered office of the Association is in Reggio Emilia, via Victoire Maria Hugo 34, telephone number 0039 522 322607, fax number 0039 522 324835, e-mail info@ring14.com, website www.ring14.com.

The "Ring 14 International non profit support group for research on rare neurogenetic disease" (ONLUS) was established on May 30th 2002 in Reggio Emilia, Italy. The Association has been set up by a group of parents with children affected by Ring 14 Syndrome.

The most constant symptoms of Ring 14 Syndrome concern the central nervous system and the retina. Mental and motor retardation, hypotonia, microcephaly may vary, while speech delay and epilepsy are constant. Dysmorphisms include: flat occiput, high forehead with prominent sagittal suture, mild palpebral ptosis, epicanthic folds, elongated face, large root and round tip of nose anteverted nostrils, long philtrum, low set ears with big lobe and prominent antihelix, microretrognathia, short neck; lymphedema on the back of hands and feet. Intra-thoracal and intra-abdominal organs are normally developed. Hyper pigmented skin spots may be present. An immunoglobulin deficiency has been noted, with a high risk of respiratory infections.

The Association is registered in provincial register of volunteering associations and is connected to the service centre "Dar Voce", to the "Cooperativa Sociale Airone" of Reggio Emilia and to the European Network on rare genetic disease "Eurochromnet" in The Netherlands (www.chromosomehelpstation.com).

The operative office finds hospitality in Infantile Neuropsychiatry Department of "Santa Maria Nuova" Hospital, in Reggio Emilia.

The Association has two main goals:

  • Identifying and connecting all families with children affected by the Ring 14 syndrome in order to offer them the support of our association and to create a valid group of self help.
  • Creating a network of consultants including doctors, scientists, and health workers involved in the problems related to the Ring 14 syndrome, in order to design a protocol of medical survey for Ring 14 Syndrome patients. This should lead to the investigation of correlations between clinical manifestations and molecular genetic changes and the establishment of the first medical and scientific 'Data Bank' on this syndrome.

A "Scientific committee", including famous doctors working on genetics and neurosciences, has been set up in order to study the problems related to the Ring 14 syndrome. The committee is formed by:

  • Dr. Elvio Della Giustina, director of the Infantile Neuropsychiatry Department in Santa Maria Nuova Hospital, Reggio Emilia
  • Dr. Giuseppe Gobbi, director of the Infantile Neuropsychiatry Department in Pizzardi Hospital, Bologna
  • Dr. Giovanni Neri, director of the Genetics Institute at the Catholic University Sacro Cuore, Rome

The members of the scientific committee are working on 3 diagnostic research studies, which will be applied on children with Ring 14 Syndrome and also on children with deletion or aberration of chromosome 14.

  1. The genetic research is lead by Dr. Giovanni Neri and this research has the goal of identifying specific genes involved in deletions and other aberrations of chromosome 14 (especially the ring-shaped process) and to understand what kind of role these genes play in the syndrome process.
  2. The neurometabolic and neurophysiological research will be lead by Dr. Elvio Della Giustina and it will be based on new neuroradiological and nuclear techniques in order to study morphology and functions of the nervous system.
  3. The research on neuropsychological functions compared to cognitive functions will be lead by Dr. Giuseppe Gobbi. The study has several intentions like demonstrating the correlation between epilepsy and cognitive dysfunctions and to identify different functions of brain regions that are mostly involved in neuropsychological development.

The project based on the genetic research started on April 2004. The second and third project will start at the beginning of 2005. All three projects will go on for the coming 3 years.

Our Association is the only one in the world that is concerned with the Ring 14 syndrome and it represents the concreteness of the material and affective engagement that we put everyday in our children's care, hoping that our experience can be helpful for other families.

We invite all families with children affected by the Ring 14 Syndrome or children with other chromosome 14 aberrations to contact our Association and collaborate with us in this project. We truly hope that this project will be helpful in improving care and development of our children.

Thank you.
My best wishes,

Stefania Azzali,
President