Loeys-Dietz Syndrome

被引:94
作者
Van Laer, Lut [1 ]
Dietz, Harry [2 ]
Loeys, Bart [1 ]
机构
[1] Univ Antwerp, Antwerp Univ Hosp, Fac Med & Hlth Sci, Ctr Med Genet, B-2650 Antwerp, Belgium
[2] Johns Hopkins Univ, Sch Med, McKusick Nahtans Inst Genet Med, Baltimore, MD USA
来源
PROGRESS IN HERITABLE SOFT CONNECTIVE TISSUE DISEASES | 2014年 / 802卷
关键词
Loeys-Dietz syndrome; Hypertelorism; Aortic aneurysm with tortuosity; Aortic dissection; Mutations in TGFBR1; TGFBR2; SMAD3 or TGFB2; Increased TGF beta signalling; Overlap with Marfan and Ehlers-Danlos syndrome; THORACIC AORTIC-ANEURYSM; EHLERS-DANLOS-SYNDROME; TGF-BETA RECEPTOR; MARFAN-SYNDROME; OSTEOARTHRITIS SYNDROME; ROOT DILATION; CUTIS LAXA; MUTATIONS; DISSECTIONS; LOSARTAN;
D O I
10.1007/978-94-007-7893-1_7
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Loeys-Dietz syndrome is an autosomal dominant aortic aneurysm syndrome characterized by multisystemic involvement. The most typical clinical triad includes hypertelorism, bifid uvula or cleft palate and aortic aneurysm with tortuosity. Natural history is significant for aortic dissection at smaller aortic diameter and arterial aneurysms throughout the arterial tree. The genetic cause is heterogeneous and includes mutations in genes encoding for components of the transforming growth factor beta (TGF beta) signalling pathway: TGFBR1, TGFBR2, SMAD3 and TGFB2. Despite the loss of function nature of these mutations, the patient-derived aortic tissues show evidence of increased (rather than decreased) TGF beta signalling. These insights offer new options for therapeutic interventions.
引用
收藏
页码:95 / 105
页数:11
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