Linkage of Marfan syndrome and a phenotypically related disorder to two different fibrillin genes
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Published on: August 15, 2019
1Brookdale Center for Molecular Biology, Mount Sinai School of Medicine, New York, New York 10029.
Abstract:
Marfan syndrome (MFS), one of the most common genetic disorders of connective tissue, is characterized by skeletal, cardiovascular and ocular abnormalities. The incidence of the disease is about 1 in 20,000, with life expectancy severely reduced because of cardiovascular complications. As the underlying defect is unknown, MFS diagnosis is based solely on clinical criteria. Certain phenotypic features of MFS are also shared by other conditions, which may be genetically distinct entities although part of a clinical continuum. Immunohistochemical studies have implicated fibrillin, a major component of elastin-associated microfibrils, in MFS aetiology. Genetic linkage analysis with random probes has independently localized the MFS locus to chromosome 15. Here we report that these two experimental approaches converge with the cloning and mapping of the fibrillin gene to chromosome 15q15-21, and with the establishment of linkage to MFS. We also isolated a second fibrillin gene and mapped it to chromosome 5q23-31. We linked this novel gene to a condition, congenital contractural arachnodactyly, that shares some of the features of MFS. Thus, the cosegregation of two related genes with two related syndromes implies that fibrillin mutations are likely to be responsible for different MFS phenotypes.
Insights
Researchers identified mutations in the fibrillin gene as a likely cause for Marfan syndrome (MFS) and related connective tissue disorders. This finding links specific genetic defects to distinct MFS phenotypes, improving diagnostic understanding.
Area of Science:
- Genetics
- Molecular Biology
- Connective Tissue Disorders
Background:
- Marfan syndrome (MFS) is a common genetic disorder affecting connective tissue, leading to skeletal, cardiovascular, and ocular issues.
- Current MFS diagnosis relies on clinical criteria as the underlying genetic defect remains unknown.
- Cardiovascular complications significantly reduce life expectancy in MFS patients.
Purpose of the Study:
- To identify the genetic basis of Marfan syndrome and related connective tissue disorders.
- To investigate the role of fibrillin in the etiology of MFS.
- To differentiate between genetically distinct conditions sharing MFS-like features.
Main Methods:
- Immunohistochemical studies implicating fibrillin in MFS.
- Genetic linkage analysis using random probes to localize the MFS locus.
- Cloning and mapping of fibrillin genes to specific chromosomal locations (15q15-21 and 5q23-31).
Main Results:
- The fibrillin gene was cloned, mapped to chromosome 15q15-21, and linked to Marfan syndrome.
- A second, related fibrillin gene was identified and mapped to chromosome 5q23-31.
- This second gene was linked to congenital contractural arachnodactyly, a condition with overlapping features with MFS.
Conclusions:
- The identification and mapping of two fibrillin genes provide a genetic explanation for Marfan syndrome and related phenotypes.
- Cosegregation of fibrillin genes with distinct syndromes suggests mutations in these genes are responsible for different MFS phenotypes.
- This research advances the understanding of connective tissue disorders and their genetic underpinnings.
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