Expanding the cerebrovascular phenotype of the p.R258H variant in ACTA2 related hereditary thoracic aortic disease (HTAD)
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Expanding the cerebrovascular phenotype of the p.R258H variant in ACTA2 related hereditary thoracic aortic disease (HTAD). / Diness, Birgitte Rode; Palmquist, Rachel Nina; Norling, Rikke; Hove, Hanne; Bundgaard, Henning; Hertz, Jens Michael; Kondziella, Daniel; Krieger, Derk; Dunø, Morten; Grønborg, Sabine.
In: Journal of the Neurological Sciences, Vol. 415, 116897, 2020.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Expanding the cerebrovascular phenotype of the p.R258H variant in ACTA2 related hereditary thoracic aortic disease (HTAD)
AU - Diness, Birgitte Rode
AU - Palmquist, Rachel Nina
AU - Norling, Rikke
AU - Hove, Hanne
AU - Bundgaard, Henning
AU - Hertz, Jens Michael
AU - Kondziella, Daniel
AU - Krieger, Derk
AU - Dunø, Morten
AU - Grønborg, Sabine
PY - 2020
Y1 - 2020
N2 - Heterozygous variants in smooth muscle alpha-actin gene (ACTA2) are the most frequent cause of autosomal dominant hereditary thoracic aortic disease (HTAD). Several genotype-phenotype associations have been described, including a severe multisystemic smooth muscle disorder associated with de novo ACTA2 p.R179 variants, characterized by highly penetrant and early onset vascular disease, involvement of smooth muscle cell (SMC)-dependent organs and a distinct cerebrovascular phenotype. Missense variants at position 258 (p.R258C and p.R258H) have also been reported to have a more severe presentation including an increased risk for aortic dissection and a high risk of stroke. It has previously been suggested that the cerebrovascular phenotype of patients with p.R258 variants could represent a mild presentation of the cerebrovascular phenotype associated with p.R179 variants. Here we report on a five generation HTAD family with the p.R258H variant and describe the cerebrovascular findings seen in three family members, to expand on the previously reported phenotype associated with variants at this codon.
AB - Heterozygous variants in smooth muscle alpha-actin gene (ACTA2) are the most frequent cause of autosomal dominant hereditary thoracic aortic disease (HTAD). Several genotype-phenotype associations have been described, including a severe multisystemic smooth muscle disorder associated with de novo ACTA2 p.R179 variants, characterized by highly penetrant and early onset vascular disease, involvement of smooth muscle cell (SMC)-dependent organs and a distinct cerebrovascular phenotype. Missense variants at position 258 (p.R258C and p.R258H) have also been reported to have a more severe presentation including an increased risk for aortic dissection and a high risk of stroke. It has previously been suggested that the cerebrovascular phenotype of patients with p.R258 variants could represent a mild presentation of the cerebrovascular phenotype associated with p.R179 variants. Here we report on a five generation HTAD family with the p.R258H variant and describe the cerebrovascular findings seen in three family members, to expand on the previously reported phenotype associated with variants at this codon.
KW - ACTA2
KW - Arteriopathy
KW - HTAD
U2 - 10.1016/j.jns.2020.116897
DO - 10.1016/j.jns.2020.116897
M3 - Journal article
C2 - 32464348
AN - SCOPUS:85085166977
VL - 415
JO - Journal of the Neurological Sciences
JF - Journal of the Neurological Sciences
SN - 0022-510X
M1 - 116897
ER -
ID: 250970666