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La mucoviscidose, hasard, coïncidence ou prédestination? | Nadine Pellen | TEDxUBO


Hello everyone, my name is nadine

pellen

I’m 40 years old and if I’m in front of you

today it’s not a martin martin

and translator to tell you everything I

called them in January for him

wish the happy new year and I have him

asked martine what are you

translate right now and she tells me I

translate conference guides

they kill know I have to you

to confess I take them is not at all

they explained to me the principle it’s

simple is to share an idea that

We care about you

so if I am before you today

it’s to introduce you to a subject that

Dear to my heart

I have cystic fibrosis in my family

two of my aunts died of

this disease one in 1953 the other in

1983 and very early I asked myself

why 9

is it a coincidence is this a coincidence

and then are my descendants

will be ready destined to undergo this

sickness that’s the subject of my talk

today the mucovisidosis chance

coincidence or predestination

we will start with the chance I will

talk about cystic fibrosis but I

could you talk about any other any

other illness

sickle cell disease charcot disease

marie tooth there hemochromatosis

matter I’m talking to you about the

cystic fibrosis because that’s what I

know what is prophecy

doses the term is composed of two words

viscous lucus street is mucus

viscous that accumulates in the body

my first tent died in 1953

she was skinny but she had

the bloated belly alone

she had diarrhea and

fever

she left at 16 months

we did not know the disease yet

whooping cough said the doctor

my second time you were born in 1966

symptoms were the same all

diarrhea and and skinny belly

bloated with fever

but meanwhile the searches had

advanced we had seen naming the disease the

describe an association of patients

it was even finally reunited Thursday of

sick but of parents since

life expectancy was 7 years a

health center had opened at the

tip of Brittany to roscoff for

take charge of the males

suffering from this disease my second

joël time was fast

headed to the center of perharidy to

roscoff

he was tested the test of the

sweat his sweat was very very salty

the diagnosis fell

luc to the visitors in 1989 there was a

revolution we found the gene coding

for cystic fibrosis

it was a wave of hope in

families we saw what it was that

gene

in fact they served to preserve

the balance between water and salt in

cells

but if this gene is mutated it works

not well there is an imbalance

moisturizing lmcu mucosa

accumulate and then there hello the

infections the blockage of digestion and

so this is the disease has been described

the gene was found but we are

almost 30 years later and we heal

still not cystic fibrosis

let’s not be pessimistic in 2002 since

2002 all children born in

france are tested to find out if they

are sick or not

if they are sick they are led

very quickly to a health center

specialized to take care of them

and there the battle begins every

days and must take

pancreatic enzyme drugs

antibiotics vitamins

they must make the physio world

Rennes this mucus

it’s a daily battle in more

it is not physically see the

cystic fibrosis

but with this early support

this daily battle and well the

sick have gained hope of

life

today a child who is born

today in France his hope of

life is 40 so that’s it quickly

for cystic fibrosis

I am a healthy carrier of

cystic fibrosis

is it a chance no I will you

explain how this gene came

until you like them

dragibus what I did a

presentation based on dragibus for

explain how cystic fibrosis

happened until – originally in

my family in the dragibus family there

had that yellow dragibus

and then there is a mutation

now there are two-color dragibus

this is the case of my grandparents they

are both healthy carriers of a

cystic fibrosis gene

here is what happens at each

children’s design each the dad and

the mom gives a part

of its genetic heritage every

two so the first in the first case

the child he is not wearing because he has

received a non-mutated gene of each of

his parents take a second case is

a third his two children received

a gene mutated from their parents they are

healthy carriers and in the fourth

quarter

orange dragibus is sick he has received

two mutated genes from each of its

Parents of a jet and purpose of each of

his parents my grandparents had

five children the first dragibus

orange the second he died

before doing test 3 and 4

two-color dragibus and the fifth

sick orange dragibus this is the case

from my grandparents

this lottery is with each pregnancy

with each conception that it

renew let’s take the case of my parents

my mother and non- carriers but they do not

know it off

she lived her pregnancies in the

anxiety to give birth to a child

sick but she was not a carrier

she could not transmit the gene

mutated if my dad is healthy carrier but

did not know he just knew

that he had some remains of the probabilities

to have a sick child he transmitted

he was a healthy carrier and transmitted it

a part

of his genetic inheritance me I

be part of the 2 dragibus right

since the game supports scene

my parents had three children

we are three carriers it’s the lottery

with every purchase design in France

there are seven thousand patients with

cystic fibrosis and we are about 2

millions of healthy carriers I have the

luck I dry it

most do not know it me I

know it’s not by chance that I

have seen I know he’s doing this gene done

part of my family history

but the question is is it a

coincidence

is it a coincidence if my greats

parents are both carriers

healthy and if they had two children

sick in France there is a birth

of sick children for 4900 birth in

bretagne there was a birth

of sick children about three

thousand births and in Brittany you

give in which department

the incidence is the most

it’s the finistère a birth

of sick children on 1200 birth and

in the finistère

a study had been done she

to reach between 1946 and 1972

a birth of sick children on 377

birth my grand parents are born

in the canton of bertincourt and bd

funny coincidence 1

I did not want to stop there I know I

support that’s part of my story

domestic

there are still two strongly

affect for me to have ancestors

to wear but I wanted to go further

I interviewed doctors from

geneticists to know where were coming from

these mutations

no one answered me so I

decided to lead myself blanquette

and I enrolled in PhD I’m going

not tell you ten years of research

in five minutes I’m just going to

to say that I went back a lot a lot

of a genealogy of affected patients

cystic fibrosis

for which result

on this map we can see where the

ancestors of the carriers of a mutation

very common in brittany on this

second card

we see where the signs live to be

bearer of another mutation of the

cystic fibrosis and on this third

map

we see where the ancestors live

third invitation we see that in

going up the family trees of the

sick until the 16th century we see that

according to the mutations there is a

differential distribution of patients

and their ancestors by mutation

okay very well but I knew

this card I knew that

bretons and migration tissues

ie Carole third century

in brittany there was almost

person and between the third and the

6th century

there have been very large migrations my

idea is that cystic fibrosis

would have come with the migrants and that’s

an absurd struggle of these mutations in

their luggage

and that’s surely what happened

because the mutation that we find

especially in the west of the department

in the northwest

we find it a lot in ireland

mutation that funny found in

the south of brittany this mutation on

only found it in bigouden country and

in Wales there is surely a

link between these two populations

similarly between English Cornwall

and Armorican Cornish so this

what happened is that between the

third is the seventh century

there have been major migrations

are made by clans and the migrants get

are laid and stayed there for

centuries and centuries without it

there has been genetic mixing

I hear you from here consanguinity

you will tell me no no no I will you

stop mutations right away

were so present in the

population that by lack of brewing

genetic

healthy carriers have developed

As to the

generation and chiefdoms gibus

orange also by a very big

geographical stability is not a

mix between these migrant clans I

will show you a map here lived

a couple generations ago this eleven

couple he has more than 100 patients in his

descendants and here is where lived his

descendants generation by

generation for what I have in my

database

so to generation 6 5 4 3 2 1

until now we see we are

there in the presence of stability

geographical location that there was no

genetic mixing and this stability

geographical consequence means that

the two-color dragibus is gaining ground

so sailboat coincidences are

very many but the third

issue that what can we

make

what can we do to stop

that’s what we really are

predestined to undergo it

in 1996 was born in Paris unfortunately she

had a bloated stomach sweat it

the wings and and skinny she

coughed the vein and diarrhea the

diagnosis very quickly fell a co

visitor if you followed well

his dad and mom are both

carriers myself I am a carrier

because not going to wear it but not mom

my grandmother is carrying my back

grandfather and carry my back

great grandfather too

and this great great grandfather he

has a sister who is a girl who has a

girl who has a son who is the dad of

the little eller born in Paris in 1996

when I leave, I told myself it’s

not possible it is not possible

are we going to suffer this

predestination for further

years of centuries and centuries

we must stop this chain

transmit from generation to

generation

today there is no medicine

modify the mutated gene from the

cystic fibrosis

but there is a screening is carrier

healthy it costs about 100 euros

hundreds of euros

when we have a sick person in the family is

reimbursed in the safety of me I

do this test I am very happy

when I got married I told my

husband you do it too and he did it said

non- carriers

but if he had done it if he was

carrier we could have made choices

enlightened life we ​​could have decided to

to give birth to a sick child or not

we do not know when I

did we have the choice I do not say

you need more orange dragibus

it’s because I mean but I

mean that it’s important to be able to

make informed choices

I’m happy to have done this

choice

and when I ask the parents of a

sick child their situation they me

all say if we had known if we had

know me I have three children they are not

ill

if you followed well since my husband

is not a carrier and that led to the

birth they were tracked they

are not sick

I do not know if they are healthy carriers

apples they can do the test

when they turn 18 but they have the

chance to know we have this disease

in the family and that they will be able to do

this test there how much are you in the

room a hundred and ben there are six

of you who are healthy carriers I

Cystic fibrosis

I want my kids their cousins

your children their cousins ​​can do

the cystic fibrosis test

the screening test is healthy carrier

and good stuffs charcot marie disease

sickle cell anemia

all these barbaric names hides a disease

a disease that presents in our

genetic heritage but in ten

fifteen twenty years she will still be there

we must finish with predestination

to conclude I will tell you that

solution exists

this is the test of the screenings of

healthy carriers we healthy carriers

new parents that is transmitted the

disease

are we who can stop

how to do it is simple if you have

a sick person in your very family

far away even very far away you

have seen him well he must take

go to chu with a consultant

genetic to do the test

it’s as simple as that

knowledge is always better than

ignorance is the idea that I wanted

get ahead of you today and

it’s weird to remind you of the book that

martin translated and ben my conclusion

it completely joins that of

chris anderson

our future belongs to us no matter

what life has given us we can

shape it and that can change the life

others also before you leave

I will tell you the last things

at haribo

they stopped producing

orange dragibus

it’s a sign

[Applause]

”

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