Quantifying the Genetic Basis of Marfan Syndrome Clinical Variability

Thomas Grange1, Mélodie Aubart1,2, Maud Langeois3,4

  • 1INSERM U1148, 75018 Paris, France.

Genes
|May 24, 2020
PubMed

Insights

Inherited genetic factors significantly influence Marfan syndrome (MFS) variability, particularly within specific organ systems. This study quantifies the heritability of MFS clinical features, revealing shared modifiers across related traits.

Area of Science:

  • Genetics
  • Medical Genetics
  • Quantitative Genetics

Background:

  • Marfan syndrome (MFS) is an inherited connective tissue disorder characterized by significant clinical variability.
  • The role of inherited genetic modifiers in this variability remains largely unquantified.

Purpose of the Study:

  • To quantify the contribution of inherited modifiers to the clinical variability observed in Marfan syndrome.
  • To analyze the distribution and heritability of 23 distinct clinical features in MFS patients with FBN1 mutations.

Main Methods:

  • Analysis of phenotypic correlations among 1306 well-phenotyped MFS patients carrying FBN1 mutations.
  • Application of a quantitative genetics model to estimate heritability of clinical features.
  • Investigation of major locus contribution and the 'Carter effect' for cardiovascular phenotypes.

Main Results:

  • Strong correlations observed between clinical features within the same organ system (ophthalmologic, skeletal, cardiovascular), suggesting shared genetic determinants.
  • Most MFS clinical features demonstrated significant familial aggregation and high heritability.
  • The major locus significantly influenced only ectopia lentis; evidence for a polygenic model in cardiovascular variability was found, including the 'Carter effect'.

Conclusions:

  • A substantial portion of Marfan syndrome phenotypic variability is attributable to inherited genetic modifiers.
  • These modifiers appear to be shared among features within the same organ system but not across different systems.
  • Further research is needed to identify specific genetic modifiers influencing MFS severity.

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