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Loss-of-function mutations in TGFB2 cause a syndromic presentation of thoracic aortic aneurysm
Ist Teil von
Nature genetics, 2012-08, Vol.44 (8), p.922-927
Ort / Verlag
New York: Nature Publishing Group US
Erscheinungsjahr
2012
Quelle
MEDLINE
Beschreibungen/Notizen
Bart Loeys and colleagues identify mutations or deletions of
TGFB2
in individuals with thoracic aortic aneurysm and other features of Loeys-Dietz syndrome.
TGFB2
encodes the transforming growth factor-β2 ligand.
Loeys-Dietz syndrome (LDS) associates with a tissue signature for high transforming growth factor (TGF)-β signaling but is often caused by heterozygous mutations in genes encoding positive effectors of TGF-β signaling, including either subunit of the TGF-β receptor or SMAD3, thereby engendering controversy regarding the mechanism of disease. Here, we report heterozygous mutations or deletions in the gene encoding the TGF-β2 ligand for a phenotype within the LDS spectrum and show upregulation of TGF-β signaling in aortic tissue from affected individuals. Furthermore, haploinsufficient
Tgfb2
+/−
mice have aortic root aneurysm and biochemical evidence of increased canonical and noncanonical TGF-β signaling. Mice that harbor both a mutant Marfan syndrome (MFS) allele (
Fbn1
C1039G/+
) and
Tgfb2
haploinsufficiency show increased TGF-β signaling and phenotypic worsening in association with normalization of TGF-β2 expression and high expression of TGF-β1. Taken together, these data support the hypothesis that compensatory autocrine and/or paracrine events contribute to the pathogenesis of TGF-β–mediated vasculopathies.