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Published on: August 8, 2022
Marfan syndrome: from molecular pathogenesis to clinical treatment
Francesco Ramirez1, Harry C Dietz
1Child Health Institute of New Jersey, Robert W. Johnson Medical School, 89 French Street, New Brunswick, NJ 08901, USA. ramirefr@umdnj.edu [corrected]
Abstract:
Marfan syndrome is a connective tissue disorder with ocular, musculoskeletal and cardiovascular manifestations that are caused by mutations in fibrillin-1, the major constituent of extracellular microfibrils. Mouse models of Marfan syndrome have revealed that fibrillin-1 mutations perturb local TGFbeta signaling, in addition to impairing tissue integrity. This discovery has led to the identification of a new syndrome with overlapping Marfan syndrome-like manifestations that is caused by mutations in TGFbeta receptor types I and II. It has also prompted the idea that TGFbeta antagonism will be a productive treatment strategy in Marfan syndrome and perhaps in other related disorders. More generally, these studies have established that Marfan syndrome is part of a group of developmental disorders with broad and complex effects on morphogenesis, homeostasis and organ function.
Insights
Marfan syndrome, a connective tissue disorder, involves mutations in fibrillin-1, impacting TGFbeta signaling and tissue integrity. This research suggests TGFbeta antagonism as a potential treatment for Marfan syndrome and related conditions.
Area of Science:
- Genetics and Molecular Biology
- Developmental Biology
- Pathology
Background:
- Marfan syndrome is a genetic connective tissue disorder.
- It is characterized by ocular, musculoskeletal, and cardiovascular issues.
- Mutations in fibrillin-1, a key component of extracellular microfibrils, cause Marfan syndrome.
Purpose of the Study:
- To investigate the role of fibrillin-1 in Marfan syndrome.
- To explore the connection between fibrillin-1 mutations and TGFbeta signaling.
- To identify potential therapeutic strategies for Marfan syndrome.
Main Methods:
- Utilized mouse models of Marfan syndrome.
- Analyzed the impact of fibrillin-1 mutations on tissue integrity.
- Investigated alterations in local TGFbeta signaling pathways.
Main Results:
- Fibrillin-1 mutations impair tissue integrity.
- These mutations disrupt local TGFbeta signaling.
- Identified a related syndrome caused by mutations in TGFbeta receptors.
Conclusions:
- Marfan syndrome is linked to dysregulated TGFbeta signaling.
- TGFbeta antagonism is a promising therapeutic approach for Marfan syndrome.
- Marfan syndrome belongs to a class of developmental disorders affecting morphogenesis and organ function.
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