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Mutations in FOXC2 are strongly associated with primary valve failure in veins of the lower limb

Identifieur interne : 000483 ( PascalFrancis/Corpus ); précédent : 000482; suivant : 000484

Mutations in FOXC2 are strongly associated with primary valve failure in veins of the lower limb

Auteurs : Russell H. Mellor ; Glen Brice ; Anthony W. B. Stanton ; Jane French ; Alberto Smith ; Steve Jeffery ; J. Rodney Levick ; Kevin G. Burnand ; Peter S. Mortimer

Source :

RBID : Pascal:07-0207378

Descripteurs français

English descriptors

Abstract

Background-Mutations in the FOXC2 gene cause lymphedema distichiasis, an inherited primary lymphedema in which a significant number of patients have varicose veins. Because lymphedema distichiasis is believed to be caused by lymphatic valve failure (reflux), and FOXC2 is highly expressed on venous valves in mouse embryos, we tested the hypothesis that FOXC2 mutations may be linked to venous valve failure and reflux. Methods and Results-The venous system of the leg was investigated with Duplex ultrasound. Pathological reflux was recorded by color Duplex ultrasound in all 18 participants with a FOXC2 mutation, including 3 without lymphedema. Every participant with a mutation in FOXC2 showed reflux in the great saphenous vein (n=18), compared with only 1 of 12 referents (including 10 family members; P<0.0001, Fisher exact test). Deep vein reflux was recorded in 14 of 18 participants. Conclusions-FOXC2 is the first gene in which mutations have been strongly associated with primary venous valve failure in both the superficial and deep veins in the lower limb. This gene appears to be important for the normal development and maintenance of venous and lymphatic valves.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0009-7322
A02 01      @0 CIRCAZ
A03   1    @0 Circulation : (N. Y. N.Y.)
A05       @2 115
A06       @2 14
A08 01  1  ENG  @1 Mutations in FOXC2 are strongly associated with primary valve failure in veins of the lower limb
A11 01  1    @1 MELLOR (Russell H.)
A11 02  1    @1 BRICE (Glen)
A11 03  1    @1 STANTON (Anthony W. B.)
A11 04  1    @1 FRENCH (Jane)
A11 05  1    @1 SMITH (Alberto)
A11 06  1    @1 JEFFERY (Steve)
A11 07  1    @1 LEVICK (J. Rodney)
A11 08  1    @1 BURNAND (Kevin G.)
A11 09  1    @1 MORTIMER (Peter S.)
A14 01      @1 Cardiac & Vascular Sciences (Dermatology), St George's, University of London @2 London @3 GBR @Z 1 aut. @Z 3 aut. @Z 9 aut.
A14 02      @1 Clinical Genetics, St George's, University of London @2 London @3 GBR @Z 2 aut.
A14 03      @1 Vascular Laboratory, St George's Hospital @2 London @3 GBR @Z 4 aut.
A14 04      @1 Department of Academic Surgery, St Thomas' Hospital @2 London @3 GBR @Z 5 aut. @Z 8 aut.
A14 05      @1 Clinical Developmental Sciences, St George's, University of London @2 London @3 GBR @Z 6 aut.
A14 06      @1 Physiology, St George's, University of London @2 London @3 GBR @Z 7 aut.
A20       @1 1912-1920
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 5907 @5 354000143507070120
A44       @0 0000 @1 © 2007 INIST-CNRS. All rights reserved.
A45       @0 36 ref.
A47 01  1    @0 07-0207378
A60       @1 P
A61       @0 A
A64 01  1    @0 Circulation : (New York, N.Y.)
A66 01      @0 USA
C01 01    ENG  @0 Background-Mutations in the FOXC2 gene cause lymphedema distichiasis, an inherited primary lymphedema in which a significant number of patients have varicose veins. Because lymphedema distichiasis is believed to be caused by lymphatic valve failure (reflux), and FOXC2 is highly expressed on venous valves in mouse embryos, we tested the hypothesis that FOXC2 mutations may be linked to venous valve failure and reflux. Methods and Results-The venous system of the leg was investigated with Duplex ultrasound. Pathological reflux was recorded by color Duplex ultrasound in all 18 participants with a FOXC2 mutation, including 3 without lymphedema. Every participant with a mutation in FOXC2 showed reflux in the great saphenous vein (n=18), compared with only 1 of 12 referents (including 10 family members; P<0.0001, Fisher exact test). Deep vein reflux was recorded in 14 of 18 participants. Conclusions-FOXC2 is the first gene in which mutations have been strongly associated with primary venous valve failure in both the superficial and deep veins in the lower limb. This gene appears to be important for the normal development and maintenance of venous and lymphatic valves.
C02 01  X    @0 002B12B03
C02 02  X    @0 002B25F
C02 03  X    @0 002B05B02C
C03 01  X  FRE  @0 Appareil circulatoire pathologie @5 01
C03 01  X  ENG  @0 Cardiovascular disease @5 01
C03 01  X  SPA  @0 Aparato circulatorio patología @5 01
C03 02  X  FRE  @0 Lymphoedème @5 02
C03 02  X  ENG  @0 Lymphedema @5 02
C03 02  X  SPA  @0 Linfedema @5 02
C03 03  X  FRE  @0 Mutation @5 09
C03 03  X  ENG  @0 Mutation @5 09
C03 03  X  SPA  @0 Mutación @5 09
C03 04  X  FRE  @0 Valvule veine @5 10
C03 04  X  ENG  @0 Vein valve @5 10
C03 04  X  SPA  @0 Válvula vena @5 10
C03 05  X  FRE  @0 Membre inférieur @5 11
C03 05  X  ENG  @0 Lower limb @5 11
C03 05  X  SPA  @0 Miembro inferior @5 11
C03 06  X  FRE  @0 Homme @5 12
C03 06  X  ENG  @0 Human @5 12
C03 06  X  SPA  @0 Hombre @5 12
C07 01  X  FRE  @0 Lymphatique pathologie @5 37
C07 01  X  ENG  @0 Lymphatic vessel disease @5 37
C07 01  X  SPA  @0 Linfático patología @5 37
N21       @1 141
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 07-0207378 INIST
ET : Mutations in FOXC2 are strongly associated with primary valve failure in veins of the lower limb
AU : MELLOR (Russell H.); BRICE (Glen); STANTON (Anthony W. B.); FRENCH (Jane); SMITH (Alberto); JEFFERY (Steve); LEVICK (J. Rodney); BURNAND (Kevin G.); MORTIMER (Peter S.)
AF : Cardiac & Vascular Sciences (Dermatology), St George's, University of London/London/Royaume-Uni (1 aut., 3 aut., 9 aut.); Clinical Genetics, St George's, University of London/London/Royaume-Uni (2 aut.); Vascular Laboratory, St George's Hospital/London/Royaume-Uni (4 aut.); Department of Academic Surgery, St Thomas' Hospital/London/Royaume-Uni (5 aut., 8 aut.); Clinical Developmental Sciences, St George's, University of London/London/Royaume-Uni (6 aut.); Physiology, St George's, University of London/London/Royaume-Uni (7 aut.)
DT : Publication en série; Niveau analytique
SO : Circulation : (New York, N.Y.); ISSN 0009-7322; Coden CIRCAZ; Etats-Unis; Da. 2007; Vol. 115; No. 14; Pp. 1912-1920; Bibl. 36 ref.
LA : Anglais
EA : Background-Mutations in the FOXC2 gene cause lymphedema distichiasis, an inherited primary lymphedema in which a significant number of patients have varicose veins. Because lymphedema distichiasis is believed to be caused by lymphatic valve failure (reflux), and FOXC2 is highly expressed on venous valves in mouse embryos, we tested the hypothesis that FOXC2 mutations may be linked to venous valve failure and reflux. Methods and Results-The venous system of the leg was investigated with Duplex ultrasound. Pathological reflux was recorded by color Duplex ultrasound in all 18 participants with a FOXC2 mutation, including 3 without lymphedema. Every participant with a mutation in FOXC2 showed reflux in the great saphenous vein (n=18), compared with only 1 of 12 referents (including 10 family members; P<0.0001, Fisher exact test). Deep vein reflux was recorded in 14 of 18 participants. Conclusions-FOXC2 is the first gene in which mutations have been strongly associated with primary venous valve failure in both the superficial and deep veins in the lower limb. This gene appears to be important for the normal development and maintenance of venous and lymphatic valves.
CC : 002B12B03; 002B25F; 002B05B02C
FD : Appareil circulatoire pathologie; Lymphoedème; Mutation; Valvule veine; Membre inférieur; Homme
FG : Lymphatique pathologie
ED : Cardiovascular disease; Lymphedema; Mutation; Vein valve; Lower limb; Human
EG : Lymphatic vessel disease
SD : Aparato circulatorio patología; Linfedema; Mutación; Válvula vena; Miembro inferior; Hombre
LO : INIST-5907.354000143507070120
ID : 07-0207378

Links to Exploration step

Pascal:07-0207378

Le document en format XML

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<term>Appareil circulatoire pathologie</term>
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<div type="abstract" xml:lang="en">Background-Mutations in the FOXC2 gene cause lymphedema distichiasis, an inherited primary lymphedema in which a significant number of patients have varicose veins. Because lymphedema distichiasis is believed to be caused by lymphatic valve failure (reflux), and FOXC2 is highly expressed on venous valves in mouse embryos, we tested the hypothesis that FOXC2 mutations may be linked to venous valve failure and reflux. Methods and Results-The venous system of the leg was investigated with Duplex ultrasound. Pathological reflux was recorded by color Duplex ultrasound in all 18 participants with a FOXC2 mutation, including 3 without lymphedema. Every participant with a mutation in FOXC2 showed reflux in the great saphenous vein (n=18), compared with only 1 of 12 referents (including 10 family members; P<0.0001, Fisher exact test). Deep vein reflux was recorded in 14 of 18 participants. Conclusions-FOXC2 is the first gene in which mutations have been strongly associated with primary venous valve failure in both the superficial and deep veins in the lower limb. This gene appears to be important for the normal development and maintenance of venous and lymphatic valves.</div>
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<s1>Physiology, St George's, University of London</s1>
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<s0>Background-Mutations in the FOXC2 gene cause lymphedema distichiasis, an inherited primary lymphedema in which a significant number of patients have varicose veins. Because lymphedema distichiasis is believed to be caused by lymphatic valve failure (reflux), and FOXC2 is highly expressed on venous valves in mouse embryos, we tested the hypothesis that FOXC2 mutations may be linked to venous valve failure and reflux. Methods and Results-The venous system of the leg was investigated with Duplex ultrasound. Pathological reflux was recorded by color Duplex ultrasound in all 18 participants with a FOXC2 mutation, including 3 without lymphedema. Every participant with a mutation in FOXC2 showed reflux in the great saphenous vein (n=18), compared with only 1 of 12 referents (including 10 family members; P<0.0001, Fisher exact test). Deep vein reflux was recorded in 14 of 18 participants. Conclusions-FOXC2 is the first gene in which mutations have been strongly associated with primary venous valve failure in both the superficial and deep veins in the lower limb. This gene appears to be important for the normal development and maintenance of venous and lymphatic valves.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B12B03</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002B25F</s0>
</fC02>
<fC02 i1="03" i2="X">
<s0>002B05B02C</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Appareil circulatoire pathologie</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Cardiovascular disease</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Aparato circulatorio patología</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Lymphoedème</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Lymphedema</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Linfedema</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Mutation</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Mutation</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Mutación</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Valvule veine</s0>
<s5>10</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Vein valve</s0>
<s5>10</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Válvula vena</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Membre inférieur</s0>
<s5>11</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Lower limb</s0>
<s5>11</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Miembro inferior</s0>
<s5>11</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Homme</s0>
<s5>12</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Human</s0>
<s5>12</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>12</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Lymphatique pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Lymphatic vessel disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Linfático patología</s0>
<s5>37</s5>
</fC07>
<fN21>
<s1>141</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
<server>
<NO>PASCAL 07-0207378 INIST</NO>
<ET>Mutations in FOXC2 are strongly associated with primary valve failure in veins of the lower limb</ET>
<AU>MELLOR (Russell H.); BRICE (Glen); STANTON (Anthony W. B.); FRENCH (Jane); SMITH (Alberto); JEFFERY (Steve); LEVICK (J. Rodney); BURNAND (Kevin G.); MORTIMER (Peter S.)</AU>
<AF>Cardiac & Vascular Sciences (Dermatology), St George's, University of London/London/Royaume-Uni (1 aut., 3 aut., 9 aut.); Clinical Genetics, St George's, University of London/London/Royaume-Uni (2 aut.); Vascular Laboratory, St George's Hospital/London/Royaume-Uni (4 aut.); Department of Academic Surgery, St Thomas' Hospital/London/Royaume-Uni (5 aut., 8 aut.); Clinical Developmental Sciences, St George's, University of London/London/Royaume-Uni (6 aut.); Physiology, St George's, University of London/London/Royaume-Uni (7 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Circulation : (New York, N.Y.); ISSN 0009-7322; Coden CIRCAZ; Etats-Unis; Da. 2007; Vol. 115; No. 14; Pp. 1912-1920; Bibl. 36 ref.</SO>
<LA>Anglais</LA>
<EA>Background-Mutations in the FOXC2 gene cause lymphedema distichiasis, an inherited primary lymphedema in which a significant number of patients have varicose veins. Because lymphedema distichiasis is believed to be caused by lymphatic valve failure (reflux), and FOXC2 is highly expressed on venous valves in mouse embryos, we tested the hypothesis that FOXC2 mutations may be linked to venous valve failure and reflux. Methods and Results-The venous system of the leg was investigated with Duplex ultrasound. Pathological reflux was recorded by color Duplex ultrasound in all 18 participants with a FOXC2 mutation, including 3 without lymphedema. Every participant with a mutation in FOXC2 showed reflux in the great saphenous vein (n=18), compared with only 1 of 12 referents (including 10 family members; P<0.0001, Fisher exact test). Deep vein reflux was recorded in 14 of 18 participants. Conclusions-FOXC2 is the first gene in which mutations have been strongly associated with primary venous valve failure in both the superficial and deep veins in the lower limb. This gene appears to be important for the normal development and maintenance of venous and lymphatic valves.</EA>
<CC>002B12B03; 002B25F; 002B05B02C</CC>
<FD>Appareil circulatoire pathologie; Lymphoedème; Mutation; Valvule veine; Membre inférieur; Homme</FD>
<FG>Lymphatique pathologie</FG>
<ED>Cardiovascular disease; Lymphedema; Mutation; Vein valve; Lower limb; Human</ED>
<EG>Lymphatic vessel disease</EG>
<SD>Aparato circulatorio patología; Linfedema; Mutación; Válvula vena; Miembro inferior; Hombre</SD>
<LO>INIST-5907.354000143507070120</LO>
<ID>07-0207378</ID>
</server>
</inist>
</record>

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