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Marfan syndrome in the third Millennium
Gwenaëlle Collod-Béroud1, Catherine Boileau
1INSERM U383, Université Paris V, Hôpital Necker-Enfants Malades, 149-161 rue de sèvres, 75743 Paris Cedex 15, France.
Abstract:
The Marfan syndrome (MFS) is a prominent member of heritable disorders of connective tissue with manifestations involving primarily the skeletal, ocular and cardiovascular systems but also and less systematically investigated the lung, skin and integument, and dura. Over the last two decades, a considerable amount of clinical, molecular and protein data had accumulated. In combination with the study of natural and transgenic animal models, this new information provides greater insight into the pathogenic mechanisms underlying not only the pleiotropic manifestations of MFS but also the important degree of clinical variability (age of onset and severity) observed between patients. The following aspects will be described in this review: the structure and function of fibrillin-1; the fibrillin proteins; mutations in the FBN1 gene and pathogenic mechanisms; animal models. Finally, the currently available laboratory diagnostic tests and their limits will be discussed.
Insights
Marfan syndrome (MFS) is a connective tissue disorder affecting multiple systems. Research advances, including animal models, enhance understanding of MFS pathogenesis and clinical variability.
Area of Science:
- Genetics and Molecular Biology
- Connective Tissue Disorders
- Syndromology
Background:
- Marfan syndrome (MFS) is a heritable connective tissue disorder.
- MFS affects skeletal, ocular, and cardiovascular systems, with less studied involvement of lung, skin, and dura.
- Significant clinical variability in onset and severity exists among patients.
Purpose of the Study:
- To review current knowledge on Marfan syndrome.
- To explore the structure and function of fibrillin-1 and related proteins.
- To discuss FBN1 gene mutations, pathogenic mechanisms, and animal models.
Main Methods:
- Review of accumulated clinical, molecular, and protein data.
- Analysis of findings from natural and transgenic animal models.
- Discussion of laboratory diagnostic tests and their limitations.
Main Results:
- Recent data provide deeper insights into MFS pathogenesis.
- Understanding of pleiotropic manifestations and clinical variability has improved.
- Fibrillin-1 structure, function, FBN1 mutations, and animal models are key areas of study.
Conclusions:
- Advances in research offer a better grasp of Marfan syndrome.
- Continued investigation into fibrillin-1 and FBN1 is crucial.
- Current diagnostic tests have limitations that warrant further development.
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