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10.1002/mgg3.376

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suck abstract from ncbi


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pmid29500860
      Mol+Genet+Genomic+Med 2018 ; 6 (3 ): 446-451
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  • Proliferative vasculopathy and hydranencephaly-hydrocephaly syndrome or Fowler syndrome: Report of a family and insight into the disease s mechanism #MMPMID29500860
  • Radio FC ; Di Meglio L ; Agolini E ; Bellacchio E ; Rinelli M ; Toscano P ; Boldrini R ; Novelli A ; Di Meglio A ; Dallapiccola B
  • Mol Genet Genomic Med 2018[May]; 6 (3 ): 446-451 PMID29500860 show ga
  • BACKGROUND: Fowler syndrome is a rare autosomal recessive disorder characterized by hydranencephaly-hydrocephaly and multiple pterygium due to fetal akinesia. To date, around 45 cases from 27 families have been reported, and the pathogenic bi-allelic mutations in FLVCR2 gene described in 15 families. The pathogenesis of this condition has not been fully elucidated so far. METHODS: We report on an additional family with two affected fetuses carrying a novel homozygous mutation in FLVCR2 gene, and describe the impact of known mutants on the protein structural and functional impairment. RESULTS: The present report confirms the genetic homogeneity of Fowler syndrome and describes a new FLVCR2 mutation affecting the protein function. The structural analysis of the present and previously published FLVCR2 mutations supports the hypothesis of a reduced heme import as the underlying disease's mechanism due to the stabilization of the occluded conformation or a protein misfolding. CONCLUSION: Our data suggest the hypothesis of heme deficiency as the major pathogenic mechanism of Fowler syndrome.
  • |Alleles [MESH]
  • |Amino Acid Sequence/genetics [MESH]
  • |Fetus/pathology [MESH]
  • |Heme/genetics/metabolism [MESH]
  • |Humans [MESH]
  • |Hydranencephaly/*genetics/physiopathology [MESH]
  • |Hydrocephalus/genetics [MESH]
  • |Membrane Transport Proteins/*genetics/physiology [MESH]
  • |Mutation [MESH]
  • |Receptors, Virus/*genetics/physiology [MESH]


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