Recent progress in genetics of Marfan syndrome and Marfan-associated disorders

Takeshi Mizuguchi1,2, Naomichi Matsumoto3,4

  • 1Department of Human Genetics, Yokohama City University Graduate School of Medicine, Fukuura 3-9, Kanazawa-ku, Yokohama, 236-0004, Japan.

Journal of Human Genetics
|October 25, 2006
PubMed

Insights

Marfan syndrome involves connective tissue defects, primarily linked to fibrillin-1. However, transforming growth factor beta (TGFbeta) signaling dysregulation also contributes to Marfan syndrome and related disorders, indicating genetic heterogeneity.

Area of Science:

  • Genetics
  • Molecular Biology
  • Pathology

Background:

  • Marfan syndrome (MFS) is a hereditary connective tissue disorder affecting skeletal, ocular, and cardiovascular systems.
  • Classical MFS is associated with fibrillin-1 defects, but some manifestations require further explanation.
  • Mouse models reveal transforming growth factor beta (TGFbeta) signaling dysregulation in MFS pathogenesis.

Purpose of the Study:

  • To explore the molecular pathogenesis of Marfan syndrome.
  • To investigate the role of TGFbeta signaling in MFS and related disorders.
  • To identify genetic heterogeneity in MFS and associated conditions.

Main Methods:

  • Analysis of mouse Fbn1 manipulation models.
  • Investigation of TGFbeta signaling pathways in affected tissues.
  • Genetic analysis of TGFBR2 and TGFBR1 mutations in patients.

Main Results:

  • Dysregulated TGFbeta signaling implicated in lung, mitral valve, and aortic tissues in MFS mouse models.
  • TGFBR2 and TGFBR1 mutations identified in a subset of MFS patients (MFS2).
  • Genetic heterogeneity confirmed in MFS and related conditions like Loeys-Dietz syndrome and familial thoracic aortic aneurysms.

Conclusions:

  • TGFbeta signaling plays a significant role in the pathogenesis of Marfan syndrome and related disorders.
  • Genetic heterogeneity contributes to the clinical spectrum of MFS and associated conditions.
  • Understanding these pathways is crucial for diagnosing and managing MFS-related conditions.

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