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Consequences of JAG1 mutations.

B M Kamath1, L Bason, D A Piccoli

  • 1Division of Gastroenterology, The Children's Hospital of Philadelphia, The University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.

Journal of Medical Genetics
|December 20, 2003
PubMed
Summary
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Alagille syndrome (AGS) shows variable expressivity. Jagged1 (JAG1) mutation carriers may have mild or no symptoms, highlighting the need for genetic counseling in AGS families.

Area of Science:

  • Genetics
  • Medical Genetics
  • Syndromology

Background:

  • Alagille syndrome (AGS) is a multi-system, autosomal dominant disorder.
  • Mutations in the Jagged1 (JAG1) gene cause AGS.
  • AGS exhibits highly variable expressivity.

Purpose of the Study:

  • To determine the frequency of clinical findings in JAG1 mutation carriers within AGS families.
  • To understand the phenotypic spectrum of AGS in relatives of probands.

Main Methods:

  • Studied 53 mutation-positive relatives of 34 AGS probands.
  • Ascertained the frequency of clinical findings in JAG1 mutation carriers.

Main Results:

  • 21% of mutation carriers met AGS diagnostic criteria.

Related Experiment Videos

  • 32% had mild AGS features upon targeted evaluation.
  • 47% did not meet clinical criteria; 4% had no AGS features.
  • Cardiac and liver disease were less frequent in relatives than probands.
  • Characteristic AGS facies had the highest penetrance.
  • Conclusions:

    • Findings have implications for genetic counseling in AGS and JAG1 mutation families.
    • Highlights the variable expressivity and penetrance of AGS.
    • Informs diagnosis and management strategies for AGS.