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Twenty patients including 7 probands with autosomal dominant cutis laxa confirm clinical and molecular homogeneity

Identifieur interne : 000452 ( Main/Exploration ); précédent : 000451; suivant : 000453

Twenty patients including 7 probands with autosomal dominant cutis laxa confirm clinical and molecular homogeneity

Auteurs : Smail Hadj-Rabia [France] ; Bert L. Callewaert [Belgique] ; Emmanuelle Bourrat [France] ; Marlies Kempers [Pays-Bas] ; Astrid S. Plomp [Pays-Bas] ; Valerie Layet [France] ; Deborah Bartholdi [Suisse] ; Marjolijn Renard [Belgique] ; Julie De Backer [Belgique] ; Fransiska Malfait [Belgique] ; Olivier M. Vanakker [Belgique] ; Paul J. Coucke [Belgique] ; Anne M. De Paepe [Belgique] ; Christine Bodemer [France]

Source :

RBID : PMC:3599008

English descriptors

Abstract

Background

Elastin gene mutations have been associated with a variety of phenotypes. Autosomal dominant cutis laxa (ADCL) is a rare disorder that presents with lax skin, typical facial characteristics, inguinal hernias, aortic root dilatation and pulmonary emphysema. In most patients, frameshift mutations are found in the 3’ region of the elastin gene (exons 30-34) which result in a C-terminally extended protein, though exceptions have been reported.

Methods

We clinically and molecularly characterized the thus far largest cohort of ADCL patients, consisting of 19 patients from six families and one sporadic patient.

Results

Molecular analysis showed C-terminal frameshift mutations in exon 30, 32, and 34 of the elastin gene and identified a mutational hotspot in exon 32 (c.2262delA). This cohort confirms the previously reported clinical constellation of skin laxity (100%), inguinal hernias (51%), aortic root dilatation (55%) and emphysema (37%).

Conclusion

ADCL is a clinically and molecularly homogeneous disorder, but intra- and interfamilial variability in the severity of organ involvement needs to be taken into account. Regular cardiovascular and pulmonary evaluations are imperative in the clinical follow-up of these patients.


Url:
DOI: 10.1186/1750-1172-8-36
PubMed: 23442826
PubMed Central: 3599008


Affiliations:


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<name sortKey="Bodemer, Christine" sort="Bodemer, Christine" uniqKey="Bodemer C" first="Christine" last="Bodemer">Christine Bodemer</name>
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<nlm:aff id="I1">Service de Dermatologie – Centre de référence national des Maladies Génétiques à Expression Cutanée (MAGEC), INSERM U781, Hôpital Necker - Enfants Malades, Université Paris V-Descartes, 149, rue de Sèvres 75743 Paris Cedex 15, Paris, France</nlm:aff>
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<title level="j">Orphanet Journal of Rare Diseases</title>
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<term>Autosomal dominant cutis laxa</term>
<term>ELN</term>
<term>Elastin</term>
<term>Genotype</term>
<term>Phenotype</term>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>Elastin gene mutations have been associated with a variety of phenotypes. Autosomal dominant cutis laxa (ADCL) is a rare disorder that presents with lax skin, typical facial characteristics, inguinal hernias, aortic root dilatation and pulmonary emphysema. In most patients, frameshift mutations are found in the 3’ region of the elastin gene (exons 30-34) which result in a C-terminally extended protein, though exceptions have been reported.</p>
</sec>
<sec>
<title>Methods</title>
<p>We clinically and molecularly characterized the thus far largest cohort of ADCL patients, consisting of 19 patients from six families and one sporadic patient.</p>
</sec>
<sec>
<title>Results</title>
<p>Molecular analysis showed C-terminal frameshift mutations in exon 30, 32, and 34 of the elastin gene and identified a mutational hotspot in exon 32 (c.2262delA). This cohort confirms the previously reported clinical constellation of skin laxity (100%), inguinal hernias (51%), aortic root dilatation (55%) and emphysema (37%).</p>
</sec>
<sec>
<title>Conclusion</title>
<p>ADCL is a clinically and molecularly homogeneous disorder, but intra- and interfamilial variability in the severity of organ involvement needs to be taken into account. Regular cardiovascular and pulmonary evaluations are imperative in the clinical follow-up of these patients.</p>
</sec>
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<author>
<name sortKey="Castaldo, P" uniqKey="Castaldo P">P Castaldo</name>
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<name sortKey="Iodice, L" uniqKey="Iodice L">L Iodice</name>
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<name sortKey="Miceli, F" uniqKey="Miceli F">F Miceli</name>
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<author>
<name sortKey="Barrese, V" uniqKey="Barrese V">V Barrese</name>
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<author>
<name sortKey="Bellini, G" uniqKey="Bellini G">G Bellini</name>
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<name sortKey="Miraglia Del Giudice, E" uniqKey="Miraglia Del Giudice E">E Miraglia del Giudice</name>
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<author>
<name sortKey="Bonatti, S" uniqKey="Bonatti S">S Bonatti</name>
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<author>
<name sortKey="Annunziato, L" uniqKey="Annunziato L">L Annunziato</name>
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<author>
<name sortKey="Taglialatela, M" uniqKey="Taglialatela M">M Taglialatela</name>
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<author>
<name sortKey="Vujic, M" uniqKey="Vujic M">M Vujic</name>
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<name sortKey="Ekman Joelsson, Bm" uniqKey="Ekman Joelsson B">BM Ekman-Joelsson</name>
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<author>
<name sortKey="Kohlhase, J" uniqKey="Kohlhase J">J Kohlhase</name>
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</author>
<author>
<name sortKey="Li, Sw" uniqKey="Li S">SW Li</name>
</author>
<author>
<name sortKey="Schwarze, U" uniqKey="Schwarze U">U Schwarze</name>
</author>
<author>
<name sortKey="Petty, E" uniqKey="Petty E">E Petty</name>
</author>
<author>
<name sortKey="Wertelecki, W" uniqKey="Wertelecki W">W Wertelecki</name>
</author>
<author>
<name sortKey="Wilcox, W" uniqKey="Wilcox W">W Wilcox</name>
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<author>
<name sortKey="Krakow, D" uniqKey="Krakow D">D Krakow</name>
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<author>
<name sortKey="Cohn, Dh" uniqKey="Cohn D">DH Cohn</name>
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<author>
<name sortKey="Reardon, W" uniqKey="Reardon W">W Reardon</name>
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<author>
<name sortKey="Petty, Em" uniqKey="Petty E">EM Petty</name>
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<name sortKey="Jenkins, Tg" uniqKey="Jenkins T">TG Jenkins</name>
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<author>
<name sortKey="Byers, Ph" uniqKey="Byers P">PH Byers</name>
</author>
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<name sortKey="Hu, Q" uniqKey="Hu Q">Q Hu</name>
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<author>
<name sortKey="Loeys, Bl" uniqKey="Loeys B">BL Loeys</name>
</author>
<author>
<name sortKey="Coucke, Pj" uniqKey="Coucke P">PJ Coucke</name>
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<author>
<name sortKey="De Paepe, A" uniqKey="De Paepe A">A De Paepe</name>
</author>
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<author>
<name sortKey="Choi, J" uniqKey="Choi J">J Choi</name>
</author>
<author>
<name sortKey="Davis, Ec" uniqKey="Davis E">EC Davis</name>
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<author>
<name sortKey="Urban, Z" uniqKey="Urban Z">Z Urban</name>
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<li>France</li>
<li>Pays-Bas</li>
<li>Suisse</li>
</country>
<region>
<li>Canton de Zurich</li>
<li>Gueldre</li>
<li>Hollande-Septentrionale</li>
</region>
<settlement>
<li>Amsterdam</li>
<li>Le Havre</li>
<li>Nimègue</li>
<li>Paris</li>
<li>Zurich</li>
</settlement>
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<li>Université de Zurich</li>
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<name sortKey="Hadj Rabia, Smail" sort="Hadj Rabia, Smail" uniqKey="Hadj Rabia S" first="Smail" last="Hadj-Rabia">Smail Hadj-Rabia</name>
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<name sortKey="Bourrat, Emmanuelle" sort="Bourrat, Emmanuelle" uniqKey="Bourrat E" first="Emmanuelle" last="Bourrat">Emmanuelle Bourrat</name>
<name sortKey="Layet, Valerie" sort="Layet, Valerie" uniqKey="Layet V" first="Valerie" last="Layet">Valerie Layet</name>
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<name sortKey="De Paepe, Anne M" sort="De Paepe, Anne M" uniqKey="De Paepe A" first="Anne M" last="De Paepe">Anne M. De Paepe</name>
<name sortKey="Malfait, Fransiska" sort="Malfait, Fransiska" uniqKey="Malfait F" first="Fransiska" last="Malfait">Fransiska Malfait</name>
<name sortKey="Renard, Marjolijn" sort="Renard, Marjolijn" uniqKey="Renard M" first="Marjolijn" last="Renard">Marjolijn Renard</name>
<name sortKey="Vanakker, Olivier M" sort="Vanakker, Olivier M" uniqKey="Vanakker O" first="Olivier M" last="Vanakker">Olivier M. Vanakker</name>
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<name sortKey="Kempers, Marlies" sort="Kempers, Marlies" uniqKey="Kempers M" first="Marlies" last="Kempers">Marlies Kempers</name>
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<name sortKey="Plomp, Astrid S" sort="Plomp, Astrid S" uniqKey="Plomp A" first="Astrid S" last="Plomp">Astrid S. Plomp</name>
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<region name="Canton de Zurich">
<name sortKey="Bartholdi, Deborah" sort="Bartholdi, Deborah" uniqKey="Bartholdi D" first="Deborah" last="Bartholdi">Deborah Bartholdi</name>
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</record>

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