Total serum transforming growth factor-β1 is elevated in the entire spectrum of genetic aortic syndromes
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Total serum transforming growth factor-β1 is elevated in the entire spectrum of genetic aortic syndromes. / Hillebrand, Mathias; Millot, Nathalie; Sheikhzadeh, Sara; Rybczynski, Meike; Gerth, Sabine; Kölbel, Tilo; Keyser, Britta; Kutsche, Kerstin; Robinson, Peter N; Berger, Juergen; Mir, Thomas S; Zeller, Tanja; Blankenberg, Stefan; Kodolitsch, Yskert; Goldmann, Britta.
in: CLIN CARDIOL, Jahrgang 37, Nr. 11, 01.11.2014, S. 672-679.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Total serum transforming growth factor-β1 is elevated in the entire spectrum of genetic aortic syndromes
AU - Hillebrand, Mathias
AU - Millot, Nathalie
AU - Sheikhzadeh, Sara
AU - Rybczynski, Meike
AU - Gerth, Sabine
AU - Kölbel, Tilo
AU - Keyser, Britta
AU - Kutsche, Kerstin
AU - Robinson, Peter N
AU - Berger, Juergen
AU - Mir, Thomas S
AU - Zeller, Tanja
AU - Blankenberg, Stefan
AU - Kodolitsch, Yskert
AU - Goldmann, Britta
N1 - © 2014 Wiley Periodicals, Inc.
PY - 2014/11/1
Y1 - 2014/11/1
N2 - BACKGROUND: Total serum transforming growth factor-beta 1 (tsTGF-β1) is increased in patients with Marfan syndrome (MFS), but it has not been assessed in thoracic aortic aneurysm and dissection (TAAD), Loeys-Dietz syndrome (LDS), and bicuspid aortic valve disease (BAVD).HYPOTHESIS: tsTGF-β1 is increased in genetic aortic syndromes including TAAD, LDS, MFS, and BAVD.METHODS: We measured tsTGF-β1 and performed sequencing of the genes FBN1, TGFBR1, and TGFBR2 in 317 consecutive patients with suspected or known genetic aortic syndrome (167 men, 150 women; mean age 43 ± 14 years). TAAD was diagnosed in 20, LDS in 20, MFS in 128, and BAVD in 30 patients, and genetic aortic syndrome was excluded in 119 patients.RESULTS: Elevated tsTGF-β1 levels were associated with causative gene mutations (P = 0.008), genetic aortic syndrome (P = 0.009), and sporadic occurrence of genetic aortic syndrome (P = 0.048), whereas only genetic aortic syndrome qualified as an independent predictor of tsTGF-β1 (P = 0.001). The tsTGF-β1 levels were elevated in FBN1 and NOTCH1 mutations vs patients without mutations (both P = 0.004), and in NOTCH1 mutations vs ACTA2/MYH11 mutations (P = 0.015). Similarly, tsTGF-β1 levels were elevated in MFS (P = 0.003) and in BAVD (P = 0.006) vs patients without genetic aortic syndrome. In contrast to specific clinical features of MFS, FBN1 in-frame mutations (P = 0.019) were associated with increased tsTGF-β1 levels.CONCLUSIONS: tsTGF-β1 is elevated in the entire spectrum of genetic aortic syndromes. However, gradual differences in the increases of tsTGF-β1 levels may mirror different degrees of alteration of tsTGF-β1 signaling in different genetic aortic syndromes.
AB - BACKGROUND: Total serum transforming growth factor-beta 1 (tsTGF-β1) is increased in patients with Marfan syndrome (MFS), but it has not been assessed in thoracic aortic aneurysm and dissection (TAAD), Loeys-Dietz syndrome (LDS), and bicuspid aortic valve disease (BAVD).HYPOTHESIS: tsTGF-β1 is increased in genetic aortic syndromes including TAAD, LDS, MFS, and BAVD.METHODS: We measured tsTGF-β1 and performed sequencing of the genes FBN1, TGFBR1, and TGFBR2 in 317 consecutive patients with suspected or known genetic aortic syndrome (167 men, 150 women; mean age 43 ± 14 years). TAAD was diagnosed in 20, LDS in 20, MFS in 128, and BAVD in 30 patients, and genetic aortic syndrome was excluded in 119 patients.RESULTS: Elevated tsTGF-β1 levels were associated with causative gene mutations (P = 0.008), genetic aortic syndrome (P = 0.009), and sporadic occurrence of genetic aortic syndrome (P = 0.048), whereas only genetic aortic syndrome qualified as an independent predictor of tsTGF-β1 (P = 0.001). The tsTGF-β1 levels were elevated in FBN1 and NOTCH1 mutations vs patients without mutations (both P = 0.004), and in NOTCH1 mutations vs ACTA2/MYH11 mutations (P = 0.015). Similarly, tsTGF-β1 levels were elevated in MFS (P = 0.003) and in BAVD (P = 0.006) vs patients without genetic aortic syndrome. In contrast to specific clinical features of MFS, FBN1 in-frame mutations (P = 0.019) were associated with increased tsTGF-β1 levels.CONCLUSIONS: tsTGF-β1 is elevated in the entire spectrum of genetic aortic syndromes. However, gradual differences in the increases of tsTGF-β1 levels may mirror different degrees of alteration of tsTGF-β1 signaling in different genetic aortic syndromes.
U2 - 10.1002/clc.22320
DO - 10.1002/clc.22320
M3 - SCORING: Journal article
C2 - 25113270
VL - 37
SP - 672
EP - 679
JO - CLIN CARDIOL
JF - CLIN CARDIOL
SN - 0160-9289
IS - 11
ER -