New insight into clinical heterogeneity and inheritance diversity of FBLN5-related cutis laxa

New insight into clinical heterogeneity and inheritance diversity of FBLN5-related cutis laxa


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نویسندگان: یلدا جباری مقدم , جواد احمدیان هریس , امیر حسین جعفری روحی , مریم رضازاده

کلمات کلیدی: clinical heterogeneity, FBLN5-related, cutis laxa

نشریه: 26380 , 51 (2021) , 16 , 2021

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مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه دانشکده پزشکی
کد مقاله 75028
عنوان فارسی مقاله New insight into clinical heterogeneity and inheritance diversity of FBLN5-related cutis laxa
عنوان لاتین مقاله New insight into clinical heterogeneity and inheritance diversity of FBLN5-related cutis laxa
ناشر 8
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ بلی
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نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت

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Background FBLN5-related cutis laxa (CL) is a rare disorder that involves elastic fiber-enriched tissues and is characterized by lax skin and variable systemic involvement such as pulmonary emphysema, arterial involvement, inguinal hernias, hollow viscus diverticula and pyloric stenosis. This type of CL follows mostly autosomal recessive (AR) and less commonly autosomal dominant patterns of inheritance. Results In this study, we detected a novel homozygous missense variant in exon 6 of FBLN5 gene (c.G544C, p.A182P) by using whole exome sequencing in a consanguineous Iranian family with two affected members. Our twin patients showed some of the clinical manifestation of FBLN5-related CL but they did not present pulmonary complications, gastrointestinal and genitourinary abnormalities. The notable thing about this monozygotic twin sisters is that only one of them showed ventricular septal defect, suggesting that this type of CL has intrafamilial variability. Co-segregation analysis showed the patients’ parents and relatives were heterozygous for detected variation suggesting AR form of the CL. In silico prediction tools showed that this mutation is pathogenic and 3D modeling of the normal and mutant protein revealed relative structural alteration of fibulin-5 suggesting that the A182P can contribute to the CL phenotype via the combined effect of lack of protein function and partly misfolding-associated toxicity. Conclusion We underlined the probable roles and functions of the involved domain of fibulin-5 and proposed some possible mechanisms involved in AR form of FBLN5-related CL. However, further functional studies and subsequent clinical and molecular investigations are needed to confirm our findings.

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نویسنده نفر چندم مقاله
یلدا جباری مقدمچهارم
جواد احمدیان هریسپنجم
امیر حسین جعفری روحیششم
مریم رضازادههشتم

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Gharesouran2021_Article_NewInsightIntoClinicalHeteroge (1).pdf1399/11/141524419دانلود
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