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Published on: July 30, 2014
Alpha-actin-2 mutations in Chinese patients with a non-syndromatic thoracic aortic aneurysm
Tie Ke1,2, Meng Han1,2, Miao Zhao1,2
1The Key Laboratory of Molecular Biophysics of Chinese Ministry of Education, College of Life Science and Technology, Huazhong University of Science and Technology, Wuhan, China.
Insights
Researchers identified three novel ACTA2 gene mutations in Chinese patients with thoracic aortic aneurysms and/or dissection (TAADs). This study highlights ACTA2 as a key gene in non-syndromic TAADs and demonstrates the effectiveness of HRM analysis for genetic screening.
Area of Science:
- Genetics
- Cardiovascular Diseases
- Molecular Biology
Background:
- Thoracic aortic aneurysms and/or dissection (TAADs) are significant causes of mortality.
- Genetic data on non-syndromic TAADs, particularly in Asian populations, are limited.
- Understanding the genetic underpinnings of TAADs is crucial for diagnosis and treatment.
Purpose of the Study:
- To investigate the genetic basis of non-syndromic TAADs in a Chinese population.
- To identify specific gene mutations associated with TAADs in this cohort.
- To evaluate the prevalence of mutations in commonly implicated TAAD genes.
Main Methods:
- Screening of 68 familial non-syndromic TAAD Chinese patients for mutations in ACTA2, MYH11, TGFBR1, TGFBR2, and SMAD3 using high-resolution melting (HRM) analysis.
- Analysis of 142 unrelated sporadic non-syndromic TAAD cases using HRM to determine mutation prevalence.
- Comparison of identified mutations against a control group of 480 subjects.
Main Results:
- Three novel ACTA2 mutations (N117I, L348R, Y168N) were identified in TAAD patients.
- These ACTA2 mutations were absent in the control population.
- No mutations were found in the other candidate genes (MYH11, TGFBR1, TGFBR2, SMAD3) within this cohort.
Conclusions:
- Novel ACTA2 mutations are a predominant cause of non-syndromic TAADs in the studied Chinese population.
- The findings contribute to elucidating the genetic architecture of TAADs.
- HRM analysis proved to be an effective, high-throughput method for genetic mutation screening in TAADs.
Background:
Aortic aneurysms and/or dissection (AADs) in the aorta are a leading cause of human morbidity and mortality. To date, data on non-syndromic thoracic AADs (TAADs) have been mainly derived from Caucasians, and the genetic basis of TAADs remains to be elucidated. In this study, we assessed gene mutations in a Chinese population with TAADs.
Methods:
A cohort of 68 non-syndromic familial TAAD Chinese patients was screened for the most common TAAD-causing genes (ACTA2, MYH11, TGFBR1, TGFBR2, and SMAD3) using high-resolution melting (HRM) analysis. Thereafter, 142 unrelated non-syndromic sporadic cases were recruited and further analyzed using HRM analysis to estimate the prevalence of disease-causing mutations in these candidate genes.
Results:
Two novel ACTA2 mutations (N117I and L348R) were identified in each familial TAAD proband separately, and an additional novel ACTA2 mutation (Y168N) was identified in one patient with sporadic TAADs. In contrast, none of the three mutations occurred in 480 control subjects. Also, no other gene mutations were identified in this cohort of Chinese TAAD patients.
Conclusions:
The current study identified three novel ACTA2 mutations in Chinese TAAD patients, and these mutations represented the most predominant genes responsible for non-syndromic TAADs. In addition, HRM analysis was shown to be a sensitive and high-throughput method for screening gene mutations.
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