Genotype-phenotype correlation in pseudoxanthoma elasticum
نویسندگان
چکیده
Background and aimsPseudoxanthoma elasticum (PXE) is caused by variants in the ABCC6 gene. It results calcification skin, peripheral arteries eyes, but has considerable phenotypic variability. We investigated association between genotype clinical phenotypes these different organs.MethodsABCC6 sequencing was performed 289 PXE patients. Genotypes were grouped as two truncating, mixed, or non-truncating variants. Arterial mass quantified on whole body, low dose CT scans; arterial disease measured with ankle brachial index after treadmill test. The presence of pseudoxanthoma skin systematically scored. Ophthalmological length angioid streaks a measure Bruchs membrane calcification, choroidal neovascularizations, severity macular atrophy visual acuity. Regression models built to test age sex adjusted genotype-phenotype association.Results158 patients (median 51 years) had truncating variants, 96 54 mixed genotype, 18 47 associated lower (?: 0.39, 95%CI:-0.62;-0.17) total 0.28, 95%CI:-0.47;-0.10) scores, prevalence neovascularizations (OR: 0.41 95%CI:0.20; 0.83) compared No pseudoxanthomas found.ConclusionsPXE have less severe ophthalmological than Research into environmental genetic modifiers might provide further insights unexplained
منابع مشابه
Pseudoxanthoma elasticum
Pseudoxanthoma elasticum (PXE) is a genetic metabolic disease with autosomal recessive inheritance caused by mutations in the ABCC6 gene. The lack of functional ABCC6 protein leads to ectopic mineralization that is most apparent in the elastic tissues of the skin, eyes and blood vessels. The clinical prevalence of PXE has been estimated at between 1 per 100,000 and 1 per 25,000, with slight fem...
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ژورنال
عنوان ژورنال: Atherosclerosis
سال: 2021
ISSN: ['0021-9150', '1879-1484']
DOI: https://doi.org/10.1016/j.atherosclerosis.2021.03.012