Heritable Thoracic Aortic Disease Overview - ⦠Interestingly, the arginine 258 ACTA2 mutation is seen in families with TAAD and premature stroke, whereas other mutations predisposed to TAAD and CAD (alterations in arginine 149 or arginine 118). Frontiers | Molecular Regulation of Arterial Aneurysms ...ACTA2 single gene test - Blueprint Genetics When nemaline myopathy is caused by NEB gene mutations, signs and symptoms are typically present at ⦠Guo et al. Our results identified three mutations of ACTA2, two novel [p.G152_T205del (c.616+1G>T), p.R212Q] and one reported (p.R149C), in the 14 patients with familial TAAD, and ⦠Aneurysms are caused by a weakening in the arterial wall resulting in a local distension of the affected vessel. ACTA2 Gene Mutation in Women. NEB gene mutations account for about 50 percent of all cases of nemaline myopathy and ACTA1 gene mutations account for 15 to 25 percent of all cases. ACTA2 Gene Defect Pinpointed In Life-Threatening Hereditary Heart Disease. Mutations in the ACTA2 Gene are associated with loss of smooth muscle contractility. Previous epidemiological evidenceindicates increasing global rates of incidence and mortality ofhepatic cancer, with particularly high incidence rates in EastAsian countries including China (2,3). Mutations in the ACTA2 gene usually cause problems with vascular smooth muscle function that causes thoracic aortic aneurysms, coronary artery disease, Multisystem Smooth Muscle Dysfunction Syndrome and Moyamoya Disease. Single nucleotide variants. The anamnesis reveals that the child was from the fifth pregnancy proceeding with toxicosis. Penetrance is high, and most individuals with a mutation will have some finding related to the disorder. The ACTA2 gene encodes the vascular smooth muscle cell ( SMC )-specific isoform of alpha-actin is a major component of the contractile apparatus in SMC s of the arterial system and is important for cell movement and muscle contraction ( PMID: 19409525). Insertions, deletions and indels by sequence analysis. MTHFR tells our body how to create an enzyme involved in breaking down the amino acid homocysteine. It occurs in 1 out of every 5,000-10,000 individuals and is caused by pathogenic variants in the Fibrillin 1 (FBN1) gene. We describe 3 patients with an R179H mutation, all of whom presented with an aneurysmal patent ductus ⦠Marfan syndrome is a genetic, multi-systemic disorder that affects connective tissue. The Acta2 â/â knockout mouse is viable with a normal life span, and explanted Acta2 â/â VSMCs are hyperproliferative. Of the 53 women who had a total of 137 pregnancies, eight had aortic dissections in the third ⦠novo mutation, p.r178l, in the gene encoding the smooth muscle gamma-2 actin, ACTG2. The mutation detection rate in ACTA2 (2.6%) contrasts with what has been reported in the first studies identifying ACTA2 mutations in up to 16% of nonsyndromic H-TAD families [18-20]. Mutation-specific time to event analyses for 8 recurrent ACTA2 mutations showed that individuals who harbor mutations that disrupt p.R179 and R258 have significantly increased ⦠ACTA2 encodes smooth muscle specific α-actin, a critical component or the contractile complex of vascular smooth muscle. Furthermore , aortic tissue from ACTA2 mutation patients showed typical findings of medial degredation of the aorta. malformations (45). These mutations are displayed at the amino acid level across the full length of the gene by default. This disorder impairs the activity of smooth muscles throughout the body and leads to widespread problems including blood vessel abnormalities, decreased response of the pupils to light, a weak (hypotonic) bladder, and impairment of the muscle contractions that ⦠Themost common liver cancer subtype is hepatocellular carcinoma (HCC),which accounts for >80% of cases of ma⦠Here we examined the risk of aortic ⦠ACTA2 Gene Defect Pinpointed In Life-Threatening Hereditary Heart Disease. ACTA2 (Actin Alpha 2, Smooth Muscle) is a Protein Coding gene. NEB gene mutations account for about 50 percent of all cases of nemaline myopathy and ACTA1 gene mutations account for 15 to 25 percent of all cases. The region 10q contains the ACTA2 gene, which encodes for smooth muscle alpha-actin (ACTA2), and mutation in this gene can result in thoracic aneurysm and, in some instances, BAV (46). Although aneurysms can occur at various sites of the vasculature, aortic The gene view histogram is a graphical view of mutations across ACTA2. In order to further explore the role of ACTA2 variations in the pathogenesis of TAAD, we sequenced the coding regions of this gene in 40 unrelated German patients with TAAD (with ⦠The frequency of ACTA2 mutations in familial TAAD suggests that diagnostic sequencing of this gene should be considered in all familial TAAD patients. Marfan syndrome is a clinical diagnosis conferred to patients who meet the revised international criteria, with the majority having mutations in FBN1,which codes for a glycoprotein called fibrillin-1 . Performance of Blueprint Genetics high-quality, clinical grade NGS sequencing assay for single genes. ACTA2 (as with all the actins) is extremely highly conserved and found in nearly all mammals. We subsequently detected another de novo ACTG2 mutation, p.r178C, in an addi-tional child with MMIHs. The database of ACTA2 mutations was ⦠ACTA2mutations are associated with high risk of presentation with an acute aortic dissection. This database has been compiled to provide up-to-date information about ACTA2 gene mutations. A mouse model of ACTA2 ⦠To date only heterozygous missese mutations have been described in the ACTA2 gene (PMID 26034244,19409525,25207230). The majority of people with HCM will have mild symptoms and a normal life expectancy. Of the 53 women who had a total of 137 pregnancies, eight had aortic dissections in the third ⦠The ACTA2 variant p.Arg149Cys (R149C) is the most common alteration; however, only 60% of carriers have a dissection or undergo repair of an aneurysm by 70 years of age. All affected individuals carry a p.R179H heterozygous mutation in the ACTA2 gene. Carriers of R258C mutation show high penetrance and poor prognosis with a ⦠A certain mutation in the ACTA2 gene has been shown to cause this condition in some individuals. It aims at making the information readily accessible to anyone interested in the genetic variations of the ACTA2 gene, and to provide an easy way for those who investigate these variations to report their most recent findings.. Mutations in ACTA2 predispose to thoracic aortic aneurysms and dissection as well as coronary artery and cerebrovascular disease. Restrict the view to a region of the gene by dragging across the histogram to highlight the region of interest, or by using the sliders in the filters panel to the left. We add to the ophthalmologic involvement with 3 more patients. Point mutations in the ACTA2 gene encoding smooth muscle (SM) α-actin cause familial thoracic aortic aneurysms and dissections and predispose to premature coronary artery disease, stroke, and moyamoya disease. In humans, ACTA2 is encoded by the ACTA2 gene located on 10q22-q24. Smooth muscle cell contraction is an essential function of arteries and relies on the integrity of the actin-myosin apparatus. Point mutations in vascular smooth muscle α-actin (SM α-actin), encoded by the gene ACTA2, are the most prevalent cause of famil-ial thoracic aortic aneurysms and dissections (TAAD). Diseases associated with ACTA2 include Multisystemic Smooth Muscle Dysfunction Syndrome and Aortic Aneurysm, Familial Thoracic 6.Among its related pathways are Striated Muscle Contraction and Integrin Pathway.Gene Ontology (GO) annotations related to this gene include protein kinase binding. Summary of gene and mutations by cancer type from ICGC. 2011; 19:520â4. Pathogenic variants of the gene for smooth muscle α-actin (ACTA2), which encodes smooth muscle (SM) α-actin, predispose to heritable thoracic aortic disease. Fibroblasts cultured ⦠The lifetime risk for an aortic event is only 76%, suggesting that additional environmental or genetic factors play a role in expression of aortic disease in individuals with ACTA2mutations. Other disorders. The childbirth was third, operative, and in time. Recently, a specific mutation (Arg179His) in this gene has been associated with multisystem smooth muscle dysfunction presenting in childhood. Patients with mutations in ACTA2 are at risk for TAD, along with early-onset CAD and ischemic strokes (defined as an age of onset less than 55 years in men and less than 60 years in women, OMIM 611788).Specific ACTA2 mutations predispose to either early-onset CAD, or moyamoya-like cerebrovascular disease (OMIM 614042) [71]. Studies on the mechanistic basis of these diseases are partly hampered by inability to collect affected tissues from living patients. MTHFR is a gene. Sensitivity % (TP/ (TP+FN) Specificity %. ACTA2 gene related symptoms and diseases. When nemaline myopathy is caused ⦠We all carry two copies of MTHFR. Hoffjan S, Waldmuller S, Blankenfeldt W, Kotting J, Gehle P, Binner P, Epplen JT, Scheffold T. Three novel mutations in the ACTA2 gene in German patients with thoracic aortic ⦠Mutations in ACTA2 predispose to thoracic aortic aneurysms and dissection as well as coronary artery and cerebrovascular disease. EhlersâDanlos syndrome (mutations in COL3A1 gene [MIM 130050] in EDS type IV), neurofibromatosis 1 (NF1 gene (MIM 162200)) and cerebral amyloid angiopathy (APP gene [MIM 605714]) are the most well-known vasculopathies caused by single gene mutations. In class I read a case study about a woman with a mutation in her ACTA2 gene. ACTA2, ACTC1, APOB, COL3A1, DSC2, DSG2, DSP, FBN1, GLA, KCNH2, KCNQ1, LDLR, LMNA, ... Mutations in the MYH7 gene have been associated with the following disorders. [5] [6] Mutations in this ⦠Point mutations in the ACTA2 gene encoding smooth muscle (SM) α-actin cause familial thoracic aortic aneurysms and dissections and predispose to premature coronary ⦠1 Patients with the ACTA2 mutation have distinctive clinical (multisystem smooth-muscle involvement) and angiographic features 2 âspecifically, a combination of ectasia and ⦠When we identify a part of the sequence that varies, we call it a "variant." A research team led by scientists at The University of Texas Medical School at Houston has ⦠A genetic etiology for cerebrovascular disease is not unique to ACTA2 mutations. The tissue-specific α2-smooth muscle actin, encoded by ACTA2, is predominantly expressed in vascular smooth muscle cells. Similarly, the management of patients with FTAAD will depend on the presence or ⦠Liver cancer, also known as hepatic cancer, is asevere human malignant tumor; it is considered one of the majorcauses of cancer-associated mortality worldwide (1). The cerebral arteriopathy associated with Arg179His mutations in ACTA2 is a prototypical example of nonatherosclerotic cerebral arteriopathies, some of which are Mendelian disorders. Actg2 transcripts were primar-ily found in murine urinary bladder and intestinal tissues. structural analysis and functional experiments suggested ACTA2 Arg179 mutations impair the function of smooth muscle throughout various organs and systems of the body beyond the aorta, specifically affecting involuntary muscles found in the walls of hollow organs such as blood vessels, bladder, esophagus, stomach, and bronchioles. ACTA2 mutations predispose to development of aortic aneurysms and early onset coronary and cerebrovascular ⦠ACTA2 (as with all the actins) is extremely highly conserved and found in nearly all mammals. Our follow-up case involved a 7-year-old boy with malformations of the upper and lower extremities and pathology of the cardiovascular and nervous systems. A certain mutation in the ACTA2 gene has been shown to cause this condition in some individuals. Symptoms for people with ⦠This mutation caused systemic smooth muscle dysfunction, leading to ⦠Last updated: 10/28/2015 Symptoms Symptoms Listen. At least one mutation in the ACTA2 gene causes multisystemic smooth muscle dysfunction syndrome. In 2010, Milewicz et al [1] first reported a case of MSMDS associated with the p.R179H mutation of the ACTA2 gene. The mutation detection rate in the FBN1 gene in the nonsyndromic H-TAD patient group (1.9%) is in line with previously published data . Congenital fixed dilated pupils is a rare ⦠Hoffjan S, Waldmuller S, Blankenfeldt W, Kotting J, Gehle P, Binner P, Epplen JT, Scheffold T. Three novel mutations in the ACTA2 gene in German patients with thoracic aortic aneurysms and dissections. Ueyama et al. (1984) isolated and characterized the ACTA2 gene, encoding smooth muscle aortic actin. The gene has a transition point mutation in position 309, substituting thymine for cytosine. Ueyama et al. (1984) found that the ACTA2 gene contains at least 9 exons. In trimester I of pregnancy, the mother had an acute respiratory viral infection and also received an⦠At least one mutation in the ACTA2 gene causes multisystemic smooth muscle dysfunction syndrome. ACTA2 GEO Profiles, NCBI Search the gene expression profiles from curated DataSets in the Gene Expression Omnibus (GEO) repository. Other disorders. Mutations in the ACTA2 Gene are associated with loss of smooth muscle contractility. Smooth muscle cells form part of the wall of most vessels in the body, the lungs, the gastrointestinal system, the bladder and the eye among other organs. Our results identified three mutations of ACTA2, two novel [p.G152_T205del (c.616+1G>T), p.R212Q] and one reported (p.R149C), in the 14 patients with familial TAAD, and a novel mutation (p.Y145C) of ACTA2 in the 26 sporadic and youngâonset TAAD patients, each of which are considered to be causative for TAAD. Last updated: 10/28/2015 Symptoms Symptoms Listen. Eur J Hum Genet. [1] [2] [3] As is true for any gene, the DNA code of the MTHFR gene can vary. ACTA2 COSMIC, Sanger Institute Somatic mutation information and related details . ACTA2 missense pathogenic variants that ⦠We investigated the effect of the R258C mutation first because of its prevalence in patients (6), its relatively poor prognosis (median life expectancy of â¼35 y of age), and high penetrance (5), and because it causes TAAD as well as moyamoya-like disease, an ⦠Gene function. Here we examined the risk of aortic dissections, stroke and myocardial infarct with pregnancy in women with ACTA2 mutations. Mutations in the gene ACTA2 are a recognized cause of aortic aneurysms with aortic dissection in adulthood. However, the life expectancy of MFS has improved over the last 30 ... cm for those with MFS. Disease InformationRare Disease Video LibraryPatient and Caregiver Resource CenterInformation Clinical Trials and Research StudiesRare Disease Centers ExcellenceCOVID ResourcesHelp ⦠Based on the findings, authors suggest ACTA2 mutations cause a dominant negative pathogenesis. All the information presented here about the ACTA2 gene and its related diseases, symptoms, and test panels has been aggregated from the following public sources: ORPHANET,HGNC,NCBIGENE,OMIM, Mendelian Rare ⦠Here we examined the risk of aortic dissections, stroke and myocardial infarct with pregnancy in women with ACTA2 mutations. Over 30 ACTA2 gene mutations have been identified as contributors to thoracic aortic aneurysm and dissection (see Table 1). For more information regarding aortic health and dissection, please click HERE. Here, ⦠The hereditary history of the underlying disease was not burdened. Smooth muscle cells form part of the wall of most vessels in the body, the lungs, the gastrointestinal system, the bladder and the eye among other organs. This disorder impairs the activity of smooth muscles throughout the ⦠In humans, ACTA2 is encoded by the ACTA2 gene located on 10q22-q24. Request PDF | On Dec 8, 2021, Yu-Xing Liu and others published Novel heterozygous mutation of MCTP2 gene in a patient with coarctation of the aorta | Find, read and cite all the research you ⦠(2009) studied 20 families with 127 members harboring heterozygous ACTA2 mutations and phenotyped them for premature vascular disease, defined as an age of onset less than 55 years in men and less than 60 years in women. Several studies have addressed these mutations to get an insight into how ACTA2 mutations can cause TAAD. ACTA2 Cancer Genome Anatomy Project, NCI Gene Summary. 99.89% (99,153/99,266) >99.9999%. Mutations in the ACTA2 gene trigger inappropriate proliferation of vascular smooth muscle cells leading to occlusive diseases such as coronary artery disease, stroke, Moyamoya disease and livedo reticularis. Additionally, iris floccule has been reported in ACTA2 mutation carriers [ 18, 19, 25 ]. [PMC free article: PMC3083620] [PubMed: 21248741] Mutations in ACTA2 predispose to thoracic aortic aneurysms and dissections as well as coronary artery and cerebrovascular disease. The first, R179 mutations in the ACTA2 gene, correlate with a radiographically distinct subtype of moyamoya disease, identified in a very small cohort of patients related to a larger group of ACTA2 mutations that cause cardiac and aortic disorders 20). Mutations in ACTA2 are the most common â¦