Abstract | BACKGROUND: METHODS AND RESULT: In 110 non-syndromic TAAD patients that previously tested negative for FBN1 or TGFBR1/2 mutations, we identified 7 ACTA2 mutations in a cohort of 43 familial TAAD patients, including 2 premature truncating mutations. Sequencing of MYH11 revealed an in frame splice-site alteration in one out of two probands with TAA(D) associated with PDA but none in the series of 22 probands from the cohort of 110 patients with non-syndromic TAAD. Interestingly, immunohistochemical staining of aortic biopsies of a patient and a family member with MYH11 and patients with ACTA2 missense mutations showed upregulation of the TGFβ signaling pathway. CONCLUSIONS: MYH11 mutations are rare and typically identified in patients with TAAD associated with PDA. ACTA2 mutations were identified in 16% of a cohort presenting familial TAAD. Different molecular defects in TAAD may account for a different pathogenic mechanism of enhanced TGFβ signaling.
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Authors | Marjolijn Renard, Bert Callewaert, Machteld Baetens, Laurence Campens, Kay MacDermot, Jean-Pierre Fryns, Maryse Bonduelle, Harry C Dietz, Isabel Mendes Gaspar, Diogo Cavaco, Eva-Lena Stattin, Constance Schrander-Stumpel, Paul Coucke, Bart Loeys, Anne De Paepe, Julie De Backer |
Journal | International journal of cardiology
(Int J Cardiol)
Vol. 165
Issue 2
Pg. 314-21
(May 10 2013)
ISSN: 1874-1754 [Electronic] Netherlands |
PMID | 21937134
(Publication Type: Case Reports, Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2011 Elsevier Ireland Ltd. All rights reserved. |
Chemical References |
- ACTA2 protein, human
- Actins
- MYH11 protein, human
- Transforming Growth Factor beta
- Myosin Heavy Chains
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Topics |
- Actins
(chemistry, genetics)
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Aortic Dissection
(diagnosis, genetics)
- Aortic Aneurysm, Thoracic
(diagnosis, genetics)
- Cohort Studies
- Female
- Humans
- Male
- Middle Aged
- Mutation
(genetics)
- Myosin Heavy Chains
(chemistry, genetics)
- Pedigree
- Signal Transduction
(genetics, physiology)
- Transforming Growth Factor beta
(genetics, physiology)
- Up-Regulation
(genetics)
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