Pulmonary arterial hypertension associated to systemic erythematosus lupus: molecular characterization of 3 cases.

Abstract:

BACKGROUND AND OBJECTIVE:Pulmonary arterial hypertension associated with systemic lupus erythematosus (PAH-SLE) is a rare disease with a low incidence rate. In this study, PAH related genes and genetic modifiers were characterised molecularly in patients with PAH-SLE. PATIENTS AND METHODS:Three patients diagnosed with PAH-SLE and 100 control individuals were analysed after signing an informed consent. RESULTS:Two out of the three analysed patients with PAH-SLE were carriers of pathogenic mutations in the genes BMPR2 and ENG. After an in silico analysis, pathogenic mutations were searched for in control individuals and different databases, with negative results, and they were thus functionally analysed. The third patients only showed polymorphisms in the genes BMPR2, ACVRL1 and ENG. Several genetic variants and genetic modifiers were identified in the three analysed patients. These modifiers, along with the pathogenic mutations, could lead to a more severe clinical course in patients with PAH. CONCLUSIONS:We present, for the first time, patients with PAH-SLE carrying pathogenic mutations in the main genes related to PAH and alterations in the genetic modifiers.

journal_name

Med Clin (Barc)

journal_title

Medicina clinica

authors

Pousada G,Lago-Docampo M,Baloira A,Valverde D

doi

10.1016/j.medcli.2018.01.023

subject

Has Abstract

pub_date

2018-08-10 00:00:00

pages

111-115

issue

3

eissn

0025-7753

issn

1578-8989

pii

S0025-7753(18)30073-3

journal_volume

151

pub_type

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