The Novel Association of a Single Nucleotide Variant in the COL3A1 Gene with Diffuse Coronary Aneurysms
Charlene Norgan Radler1, Kevin Ku1, Alison Hodge1
1Sathyamoorthy Laboratory, Department of Medicine, Burnett School of Medicine at TCU, Fort Worth, TX 76104, USA.
Insights
A novel COL3A1 gene variant, p.P517R, is linked to diffuse coronary aneurysms. This finding expands our understanding of collagen-related vascular diseases and their genetic underpinnings.
Area of Science:
- Genetics and Molecular Biology
- Cardiovascular Medicine
- Biochemistry
Background:
- The COL3A1 gene provides instructions for making a component of type III collagen, crucial for blood vessel structure.
- Mutations in COL3A1 are associated with diseases like vascular Ehlers-Danlos syndrome and aortic aneurysms.
Observation:
- A single nucleotide variant, p.P517R, was identified in exon 22 of the COL3A1 gene.
- This variant was found in a patient with diffuse coronary aneurysms but no history of atherosclerosis or connective tissue disorders.
Findings:
- Computational and in silico analyses predict that the p.P517R variant disrupts the structure and function of the alpha 1 chain of type III collagen.
- This represents the first reported association between this specific COL3A1 variant and diffuse coronary aneurysms.
Implications:
- This novel genotype-phenotype correlation warrants further research into the mechanisms linking COL3A1 variants to coronary artery disease.
- Understanding these genetic links may lead to improved diagnostics and targeted therapies for collagen-mediated vascular conditions.
Abstract:
The COL3A1 gene, encoding the pro-alpha chain of type III collagen, has been implicated in a range of collagen-mediated diseases such as Ehlers-Danlos syndrome and aortic aneurysms. In this report, we present evidence for the first time associating a single nucleotide variant p.P517R in exon 22 of COL3A1 with the development of diffuse coronary aneurysms in a human subject without prior atherosclerotic cardiovascular disease, connective tissue disorder, or phenotypic characteristics diagnostic for vascular Ehlers-Danlos syndrome. Computational modeling of this specific variant in AlphaFold and in silico analyses predict deleterious alterations in the structure and function of the COL3A1 gene product, alpha 1 chain of type III collagen. This novel phenotype-to-genotype correlation should prompt further investigation into the mechanistic basis of this association.
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