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Updated: Jul 31, 2026

Fetal Mouse Cardiovascular Imaging Using a High-frequency Ultrasound (30/45MHZ) System
Published on: May 5, 2018
[Williams syndrome without cardiovascular abnormalities].
P Cincinnati1, M Genuardi, C Rutiloni
1Sezione Autonoma di Pediatria, Ospedale E. de Santis, Genzano, Roma.
Williams Syndrome (WS) diagnosis is confirmed by elastin gene hemizygosity. However, the absence of cardiovascular defects in some patients suggests other genetic factors beyond hemizygosity are involved.
Area of Science:
- Genetics
- Molecular Biology
- Developmental Biology
Background:
- Williams Syndrome (WS) is a genetic disorder characterized by specific facial features, growth deficiency, and intellectual disability.
- Cardiovascular pathology in WS is traditionally attributed to elastin gene hemizygosity leading to inelastic vessels.
- The elastin gene is crucial for vascular integrity and function.
Observation:
- A patient with typical WS features (dysmorphic traits, growth deficiency, mental retardation) but no cardiovascular anomalies was diagnosed with WS.
- FISH analysis confirmed hemizygosity at the elastin locus in this patient.
- This case challenges the direct correlation between elastin hemizygosity and cardiovascular defects in WS.
Findings:
- The presence of WS without cardiovascular anomalies indicates that factors beyond elastin gene hemizygosity influence WS-related cardiovascular pathology.
- Transcriptional regulation of elastin gene expression may play a role.
- Other genes within the commonly deleted 7q11.23 region could contribute to cardiovascular defects.
Implications:
- Further investigation into the genetic regulation of elastin and other genes in the 7q11.23 region is necessary for a comprehensive understanding of WS.
- Clinical studies are needed to characterize patients with partial WS phenotypes and varying degrees of tissue damage.
- This research may lead to more targeted diagnostic and therapeutic strategies for Williams Syndrome.
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