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Published on: December 16, 2021
Genetic fibrillinopathies: new insights in molecular diagnosis and clinical management
Abstract:
The Marfan syndrome (MFS) is an autosomal dominant connective tissue disorder with a prevalence of 2-3 per 10,000 individuals and symptoms ranging from skeletal overgrowth, cutaneous striae to ectopia lentis and aortic dilatation leading to dissection. Mutation in the gene for fibrillin-1 (FBN1) cause MFS and other related disorders of connective tissue, grouped as fibrillinopathies. Fibrillin-1 is the main constituent of extracellular microfibrils. Microfibrils can exist as individual structures or associate with elastin to form elastic fibers. This article provides an overview of the current diagnostic criteria and medical management, estimates the role of fibrillin-1 mutation analysis, sheds new light on genotype-phenotype correlations and summarizes new insights on the pathogenesis of this disorder based on mouse models.
Insights
Marfan syndrome (MFS) is a genetic connective tissue disorder caused by fibrillin-1 (FBN1) mutations. This review covers MFS diagnosis, management, FBN1 mutation analysis, and pathogenesis insights from mouse models.
Area of Science:
- Genetics
- Molecular Biology
- Pathology
Background:
- Marfan syndrome (MFS) is an autosomal dominant connective tissue disorder affecting 2-3 per 10,000 individuals.
- Key features include skeletal overgrowth, cutaneous striae, ectopia lentis, and aortic dilatation, potentially leading to dissection.
- Mutations in the fibrillin-1 (FBN1) gene are the primary cause, leading to a group of disorders known as fibrillinopathies.
Discussion:
- Fibrillin-1 is crucial for extracellular microfibrils, which are components of elastic fibers.
- This article reviews current diagnostic criteria and medical management strategies for MFS.
- It also evaluates the utility of FBN1 mutation analysis in diagnosis and understanding genotype-phenotype correlations.
Key Insights:
- Fibrillin-1 mutations are central to MFS pathogenesis.
- Understanding genotype-phenotype correlations is vital for personalized patient care.
- Mouse models provide valuable insights into the molecular mechanisms underlying MFS.
Outlook:
- Further research into fibrillinopathies may reveal novel therapeutic targets.
- Advancements in genetic analysis will refine MFS diagnosis and classification.
- Continued investigation using animal models will deepen our understanding of MFS pathogenesis.
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