Familial structural rearrangements of chromosomes represent a factor of mal
formation risk that could vary over a large range, making genetic counselin
g difficult. However, they also represent a powerful tool for increasing kn
owledge of the genome, particularly by studying breakpoints and Viable imba
lances of the genome. We have developed a collaborative database that now i
ncludes data on more than 4100 families, from which we have developed a web
site called HC Forum(R) (http://HCForum.imag.fr), It offers geneticists as
sistance in diagnosis and in genetic counseling by assessing the malformati
on risk with statistical models. For researchers, interactive interfaces ex
hibit the distribution of chromosomal breakpoints and of the genome regions
observed at birth in trisomy or in monosomy, Dedicated tools including an
interactive pedigree allow electronic submission of data, which will be ano
nymously shown in a forum for discussions. After validation, data are defin
itively registered in the database with the email of the sender, allowing d
irect location of biological material. Thus HC Forum(R) constitutes a link
between diagnosis laboratories and genome research centers, and after 1 yea
r, more than 700 users from about 40 different countries already exist.