An unanticipated copy number variant of chromosome 15 disrupting SMAD3 reveals a three-generation family at serious risk for aortic dissection.

Abstract:

:Several genes involved in the familial appearance of thoracic aortic aneurysms and dissections (FTAAD) have been characterized recently, one of which is SMAD3. Mutations of SMAD3 cause a new syndromic form of aortic aneurysms and dissections associated with skeletal abnormalities. We discovered a small interstitial deletion of chromosome 15, leading to disruption of SMAD3, in a boy with mild mental retardation, behavioral problems and revealed features of the aneurysms-osteoarthritis syndrome (AOS). Several family members carried the same deletion and showed features including aortic aneurysms and a dissection. This finding demonstrates that haploinsufficiency of SMAD3 leads to development of both thoracic aortic aneurysms and dissections, and the skeletal abnormalities that form part of the aneurysms-osteoarthritis syndrome. Interestingly, the identification of this familial deletion is an example of an unanticipated result of a genomic microarray and led to the discovery of important but unrelated serious aortic disease in the proband and family members.

journal_name

Clin Genet

journal_title

Clinical genetics

authors

Hilhorst-Hofstee Y,Scholte AJ,Rijlaarsdam ME,van Haeringen A,Kroft LJ,Reijnierse M,Ruivenkamp CA,Versteegh MI,Pals G,Breuning MH

doi

10.1111/j.1399-0004.2012.01931.x

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

337-44

issue

4

eissn

0009-9163

issn

1399-0004

journal_volume

83

pub_type

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