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Families, researchers seek breakthrough on
rare genetic disorder
BY PAT
KROCHMAL STAFF
WRITER
Jake Miller will
celebrate his fourth birthday with a rip-roaring backyard carnival
in Mount Prospect Sunday.
That’s because Jake has earned it.
Jake was born with a rare genetic disorder known as Isodicentric
15, now a diagnosable cause of autism, and he’s working hard to
overcome its challenges.
“He couldn’t take a bottle or breast feed well because he
couldn’t suck when he was born, so we were feeding him with an
eyedropper. And, he was allergic to everything, soy as well as
milk,” said Jodi, Jake’s mother.
“We knew something was wrong when he wasn’t reaching his
milestones. For instance, he didn’t roll over. He never smiled; he
was stoic. But he was such a ‘good’ baby, he didn’t even cry — not
even for food,” she added.
Although both Jodi and Jamie, Jake’s father, told their physician
that Jake was not progressing the same way as his older sister,
Sarah, now a 10-year-old fifth-grader at Fairview School, the doctor
told them not to worry because children develop differently.
However, when Jake was five months old, he suffered a seizure.
“We rushed to an emergency room and medical personnel began
testing this, that and the other. We know now that poor muscle tone
and seizures are indicative of a lot of genetic disorders, but they
never wanted to test him for a genetic disorder,” Jodi said.
“They wanted to do invasive tests, like muscle and nerve
biopsies, and a spinal tap, looking for a degenerative disorder
before they ever did a blood test, which is how one tests for a
genetic disorder. Out of ignorance, I said ‘What about genetic
testing?’ and the geneticist asked, ‘Why? He looks fine,”she added.
Little known
However, that is what finally determined Jakes’s problem.
But even when the geneticists diagnosed his condition, they told
the Millers that it was so rare that they know very little about it.
That didn’t provide much direction for Jake’s parents, neither of
whom had medical training. Jodi was a marketing manager at Cahner’s
Publishing Co., Des Plaines, before Jake’s birth. Jamie is a senior
budget analyst at United Stationers, also in Des Plaines.
“We were left on our own and just desperate. We both come from
large families that had no genetic problems. Since then, more than
three years ago, we've met five or six other families whose children
were diagnosed with Isodicentric 15 — and they also were told
nothing is known about it,” Jodi said.
So the Millers did more than find out about it.
They joined IDEAS, an acronym for Isodicentric 15 Exchange,
Advocacy and Support, which is a network of parents and
professionals who provide information to families of those diagnosed
with the condition or other abnormalities of Chromosome 15.
“Now, I am the editor of the newsletter and working on a brochure
to educate geneticists, genetic counselors and parents all over the
country about it,” said Jodi, also a member of the board of
directors.
Chromosome 15
IDEAS defines Isodicentric 15 as a chromosome abnormality in
which extra genetic materials from chromosome 15 causes a child to
be born with 47 instead of 46 chromosomes in each of their cells — a
condition that occurs in one out of every 8,000 live births.
The extra chromosome is made of a piece of chromosome 15, which
has been duplicated end-to-end like a mirror image. The extra
genetic material is thought to cause the symptoms seen in some
people with the condition, according to IDEAS literature.
Although some people with small duplications seem to be
unaffected by them, those with larger duplications may have poor
muscle tone, developmental delay, seizure disorders, mental
retardation, autistic features, speech and language delays, sensory
processing disorders, small size for their age, scoliosis, ADD/ADHD
and anxiety disorders, as well as widely spaced eyes with skin folds
at the inner corners, unfolding of the ears’ edges, short, upturned
noses with a flat bridge, and full lips.
“Since Jake was six months old, he has been fighting adversity.
He has been taking speech twice a week, occupational therapy twice a
week and physical therapy twice a week,” Jodi said.
“Jake also had developmental therapy, which is play therapy that
encompasses multiple areas, but now he goes once a week to Gillet
School, a special needs school in Arlington Heights, and has applied
behavioral analysis, a therapy for children with autism, which
breaks skills down to tiny steps and works through repetitiveness,”
she added.
While all the therapy seems to be helping Jake, the prognosis for
his future is uncertain.
“What the doctors have told us was ‘Jake will be the best
indicator of what Jake will be.’ We didn’t like hearing that when we
were first told, but we have found out that it is so true, because
everyone who has it has such variations,” Jodi said.
Now Duke University researchers, who have been studying autism
for seven years, have discovered Isodicentric 15 genes in 2 percent
to 6 percent of autistic children, Jodi said.
“Usually autism has no explanation. So the researchers think they
might find something in these children that will solve the mystery
of autism in general. It is a real pioneering thing,” Jodi said.
Raising funds
So the Millers have been trying to raise money for research to
help children like Jake and to help IDEAS spread the word about
Isodicentric 15 across the country.
Pizza Huts throughout the Chicago area donated 20 percent of the
sales of those backing the cause on April 9. The Millers also
brought friends and family members to the Palatine restaurant, where
they raffled prizes donated by community businesses.
“About 150 people came — some we barely knew! A waitress stayed
after her shift to help us decorate ... When the Prospect High
School Knights football team heard about it, they changed their
plans to dine elsewhere and came to the Pizza Hut, too! People were
so nice,” Jodi said.
The effort raised about $2,500 and donations are still coming.
“It is not that if I could change Jake’s condition, I wouldn’t,
but I have never seen a child so tender,” Jodi said.
“He loves people and loves everything around him, although he has
had to work so hard just to reach for what we take for granted. So
when he turns 4, he will have the biggest, best birthday ever. Hot
dogs! Pop corn! Cotton candy!”
For more information about the organization, visit its Web site
at http://www.idic15.org/. Contributions may be sent
to IDEAS, c/o Paul Rivard, P.O. Box 4616, Manchester, NH 03108.
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