Clinical and genetic study of 46 Italian patients with primary lymphedema.
Identifieur interne : 002049 ( PubMed/Curation ); précédent : 002048; suivant : 002050Clinical and genetic study of 46 Italian patients with primary lymphedema.
Auteurs : S. Michelini [Italie] ; D. Degiorgio ; M. Cestari ; D. Corda ; M. Ricci ; M. Cardone ; A. Mander ; L. Famoso ; E. Contini ; R. Serrani ; L. Pinelli ; S. Cecchin ; M. BertelliSource :
- Lymphology [ 0024-7766 ] ; 2012.
Descripteurs français
- KwdFr :
- Analyse de mutations d'ADN, Exons, Facteurs de transcription Forkhead (génétique), Femelle, Humains, Italie, Jeune adulte, Lymphangiogenèse (génétique), Lymphoedème (anatomopathologie), Lymphoedème (génétique), Lymphoedème (physiopathologie), Mutation, Mâle, Phénotype, Prédisposition génétique à une maladie, Réaction de polymérisation en chaîne, Récepteur-3 au facteur croissance endothéliale vasculaire (génétique), Âge de début, Études cas-témoins.
- MESH :
- anatomopathologie : Lymphoedème.
- génétique : Facteurs de transcription Forkhead, Lymphangiogenèse, Lymphoedème, Récepteur-3 au facteur croissance endothéliale vasculaire.
- physiopathologie : Lymphoedème.
- Analyse de mutations d'ADN, Exons, Femelle, Humains, Italie, Jeune adulte, Mutation, Mâle, Phénotype, Prédisposition génétique à une maladie, Réaction de polymérisation en chaîne, Âge de début, Études cas-témoins.
- Wicri :
- geographic : Italie.
English descriptors
- KwdEn :
- Age of Onset, Case-Control Studies, DNA Mutational Analysis, Exons, Female, Forkhead Transcription Factors (genetics), Genetic Predisposition to Disease, Humans, Italy, Lymphangiogenesis (genetics), Lymphedema (genetics), Lymphedema (pathology), Lymphedema (physiopathology), Male, Mutation, Phenotype, Polymerase Chain Reaction, Vascular Endothelial Growth Factor Receptor-3 (genetics), Young Adult.
- MESH :
- chemical , genetics : Forkhead Transcription Factors, Vascular Endothelial Growth Factor Receptor-3.
- geographic : Italy.
- genetics : Lymphangiogenesis, Lymphedema.
- pathology : Lymphedema.
- physiopathology : Lymphedema.
- Age of Onset, Case-Control Studies, DNA Mutational Analysis, Exons, Female, Genetic Predisposition to Disease, Humans, Male, Mutation, Phenotype, Polymerase Chain Reaction, Young Adult.
Abstract
Primary lymphedema is characterized by altered morphological development of lymphatic vessels causing fluid accumulation in interstitial spaces. In familial forms, it is primarily transmitted as a dominant Mendelian trait with heterozygous mutations in genes involved in lymphangiogenesis. We used PCR and direct sequencing to analyze the region of the fms-related tyrosine kinase 4 (FLT4) gene encoding the "tyrosine-kinase domain" and the single exon of the forkhead box C2 (FOXC2) gene in 46 Italian probands with primary lymphedema, 42 of whom had familial forms. We identified 12 mutations in 12 patients (12/46, 26%), six in the FLT4 gene and six in the FOXC2 gene. Most of the mutations (9/12, 75%) were new, and none were identified in 100 healthy subjects or listed in the NCBI dbSNP. A clear relation emerged between genotype and phenotype because 4/5 (80%) probands with onset at birth showed FLT4 mutations and 4/5 (80%) probands without distichiasis and with FOXC2 mutations had an amino-acid substitution outside the forkhead domain. Besides the allelic heterogeneity shown by unique mutations in each proband, the absence of mutations in almost 75% of familial cases of primary lymphedema also suggests genetic heterogeneity.
PubMed: 22768468
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pubmed:22768468Le document en format XML
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<term>Female</term>
<term>Forkhead Transcription Factors (genetics)</term>
<term>Genetic Predisposition to Disease</term>
<term>Humans</term>
<term>Italy</term>
<term>Lymphangiogenesis (genetics)</term>
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<term>Humains</term>
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<term>Âge de début</term>
<term>Études cas-témoins</term>
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<front><div type="abstract" xml:lang="en">Primary lymphedema is characterized by altered morphological development of lymphatic vessels causing fluid accumulation in interstitial spaces. In familial forms, it is primarily transmitted as a dominant Mendelian trait with heterozygous mutations in genes involved in lymphangiogenesis. We used PCR and direct sequencing to analyze the region of the fms-related tyrosine kinase 4 (FLT4) gene encoding the "tyrosine-kinase domain" and the single exon of the forkhead box C2 (FOXC2) gene in 46 Italian probands with primary lymphedema, 42 of whom had familial forms. We identified 12 mutations in 12 patients (12/46, 26%), six in the FLT4 gene and six in the FOXC2 gene. Most of the mutations (9/12, 75%) were new, and none were identified in 100 healthy subjects or listed in the NCBI dbSNP. A clear relation emerged between genotype and phenotype because 4/5 (80%) probands with onset at birth showed FLT4 mutations and 4/5 (80%) probands without distichiasis and with FOXC2 mutations had an amino-acid substitution outside the forkhead domain. Besides the allelic heterogeneity shown by unique mutations in each proband, the absence of mutations in almost 75% of familial cases of primary lymphedema also suggests genetic heterogeneity.</div>
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<Abstract><AbstractText>Primary lymphedema is characterized by altered morphological development of lymphatic vessels causing fluid accumulation in interstitial spaces. In familial forms, it is primarily transmitted as a dominant Mendelian trait with heterozygous mutations in genes involved in lymphangiogenesis. We used PCR and direct sequencing to analyze the region of the fms-related tyrosine kinase 4 (FLT4) gene encoding the "tyrosine-kinase domain" and the single exon of the forkhead box C2 (FOXC2) gene in 46 Italian probands with primary lymphedema, 42 of whom had familial forms. We identified 12 mutations in 12 patients (12/46, 26%), six in the FLT4 gene and six in the FOXC2 gene. Most of the mutations (9/12, 75%) were new, and none were identified in 100 healthy subjects or listed in the NCBI dbSNP. A clear relation emerged between genotype and phenotype because 4/5 (80%) probands with onset at birth showed FLT4 mutations and 4/5 (80%) probands without distichiasis and with FOXC2 mutations had an amino-acid substitution outside the forkhead domain. Besides the allelic heterogeneity shown by unique mutations in each proband, the absence of mutations in almost 75% of familial cases of primary lymphedema also suggests genetic heterogeneity.</AbstractText>
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<MeshHeading><DescriptorName UI="D016133" MajorTopicYN="N">Polymerase Chain Reaction</DescriptorName>
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<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
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