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10.1038/gim.2016.126

http://scihub22266oqcxt.onion/10.1038/gim.2016.126
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C5207316!5207316!27632686
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suck abstract from ncbi


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pmid27632686      Genet+Med 2017 ; 19 (4): 386-95
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  • Loss-of-function mutations in the X-linked biglycan gene cause a severe syndromic form of thoracic aortic aneurysms and dissections #MMPMID27632686
  • Meester JA; Vandeweyer G; Pintelon I; Lammens M; Van Hoorick L; De Belder S; Waitzman K; Young L; Markham LW; Vogt J; Richer J; Beauchesne LM; Unger S; Superti-Furga A; Prsa M; Dhillon R; Reyniers E; Dietz HC; Wuyts W; Mortier G; Verstraeten A; Van Laer L; Loeys BL
  • Genet Med 2017[Apr]; 19 (4): 386-95 PMID27632686show ga
  • Purpose:: Thoracic aortic aneurysm and dissection (TAAD) is typically inherited in an autosomal dominant manner, but rare X-linked families have been described. So far, the only known X-linked gene is FLNA, which is associated with the periventricular nodular heterotopia type of Ehlers-Danlos syndrome. However, mutations in this gene explain only a small number of X-linked TAAD families. Methods:: We performed targeted resequencing of 368 candidate genes in a cohort of 11 molecularly unexplained Marfan probands. Subsequently, Sanger sequencing of BGN in 360 male and 155 female molecularly unexplained TAAD probands was performed. Results:: We found five individuals with loss-of-function mutations in BGN encoding the small leucine-rich proteoglycan biglycan. The clinical phenotype is characterized by early-onset aortic aneurysm and dissection. Other recurrent findings include hypertelorism, pectus deformity, joint hypermobility, contractures, and mild skeletal dysplasia. Fluorescent staining revealed an increase in TGF-? signaling, evidenced by an increase in nuclear pSMAD2 in the aortic wall. Our results are in line with those of prior reports demonstrating that Bgn-deficient male BALB/cA mice die from aortic rupture. Conclusion:: In conclusion, BGN gene defects in humans cause an X-linked syndromic form of severe TAAD that is associated with preservation of elastic fibers and increased TGF-? signaling.Genet Med19 4, 386?395.
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