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A missense TGFB2 variant p.(Arg320Cys) causes a paradoxical and striking increase in aortic TGFB1/2 expression.

Accepted version
Peer-reviewed

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Type

Article

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Authors

Al Maskari, Raya 
Yasmin 
Cleary, S 
Figg, Nikki 

Abstract

Loeys-Dietz syndrome (LDS) is an autosomal dominant connective tissue disorder with a range of cardiovascular, skeletal, craniofacial and cutaneous manifestations. LDS type 4 is caused by mutations in TGFβ ligand 2 (TGFB2) and based on the family pedigrees described to date, appears to have a milder clinical phenotype, often presenting with isolated aortic disease. We sought to investigate its molecular basis in a new pedigree. We identified a missense variant p.(Arg320Cys) (NM_003238.3) in a highly evolutionary conserved region of TGFB2 in a new LDS type 4 pedigree with multiple cases of aortic aneurysms and dissections. There was striking upregulation of TGFB1 and TGFB2 expression on immunofluorescent staining, and western blotting of the aortic tissue from the index case confirming the functional importance of the variant. This case highlights the striking paradox of predicted loss-of-function mutations in TGFB2 causing enhanced TGFβ signaling in this emerging familial aortopathy.

Description

Keywords

Aortic Aneurysm, Gene Expression Regulation, Humans, Loeys-Dietz Syndrome, Male, Middle Aged, Mutation, Missense, Pedigree, Transforming Growth Factor beta1, Transforming Growth Factor beta2

Journal Title

Eur J Hum Genet

Conference Name

Journal ISSN

1018-4813
1476-5438

Volume Title

Publisher

Springer Science and Business Media LLC
Sponsorship
British Heart Foundation (None)
British Heart Foundation (None)
Raya Al Maskari has a PhD studentship funded by the Omani government.