Identification of Variants of Uncertain Significance in the Genes Associated with Thoracic Aortic Disease in Russian Patients with Nonsyndromic Sporadic Subtypes of the Disorder

Nonsyndromic sporadic thoracic aortic aneurysm (nssTAA) is characterized by diverse genetic variants that may vary in different populations. Our aim was to identify clinically relevant variants in genes implicated in hereditary aneurysms in Russian patients with nssTAA. Forty-one patients with nssTA...

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Veröffentlicht in:International journal of molecular sciences 2024-08, Vol.25 (15), p.8315
Hauptverfasser: Goncharova, Irina A, Shipulina, Sofia A, Sleptcov, Aleksei A, Zarubin, Aleksei A, Valiakhmetov, Nail R, Panfilov, Dmitry S, Lelik, Evgeniya V, Saushkin, Viktor V, Kozlov, Boris N, Nazarenko, Ludmila P, Nazarenko, Maria S
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container_issue 15
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container_title International journal of molecular sciences
container_volume 25
creator Goncharova, Irina A
Shipulina, Sofia A
Sleptcov, Aleksei A
Zarubin, Aleksei A
Valiakhmetov, Nail R
Panfilov, Dmitry S
Lelik, Evgeniya V
Saushkin, Viktor V
Kozlov, Boris N
Nazarenko, Ludmila P
Nazarenko, Maria S
description Nonsyndromic sporadic thoracic aortic aneurysm (nssTAA) is characterized by diverse genetic variants that may vary in different populations. Our aim was to identify clinically relevant variants in genes implicated in hereditary aneurysms in Russian patients with nssTAA. Forty-one patients with nssTAA without dissection were analyzed. Using massive parallel sequencing, we searched for variants in exons of 53 known disease-causing genes. Patients were found to have no (likely) pathogenic variants in the genes of hereditary TAA. Six variants of uncertain significance (VUSs) were identified in four (9.8%) patients. Three VUSs [ c.7841C>T (p.Ala2614Val), c.2498A>T (p.Lys833Ile), and c.4993C>T (p.Arg1665Cys)] are located in genes with "definitive" disease association (ClinGen). The remaining variants are in "potentially diagnostic" genes or genes with experimental evidence of disease association [ c.964G>A (p.Val322Met), c.953C>G (p.Pro318Arg), and c.833G>A (p.Gly278Asp)]. Russian patients with nssTAA without dissection examined in this study have ≥1 VUSs in six known genes of hereditary TAA ( , , , , , or ). Experimental studies expanded genetic testing, and clinical examination of patients and first/second-degree relatives may shift VUSs to the pathogenic (benign) category or to a new class of rare "predisposing" low-penetrance variants causing the pathology if combined with other risk factors.
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source MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Adipokines
Adult
Aged
Aneurysms
Angina pectoris
Aortic Aneurysm, Thoracic - genetics
Aortic aneurysms
Atherosclerosis
Cardiac Myosins - genetics
Cardiovascular disease
Collagen Type III - genetics
Coronary vessels
Diseases
Dissection
Ethylenediaminetetraacetic acid
Family medical history
Female
Females
Fibrillin-1 - genetics
Genes
Genetic aspects
Genetic counseling
Genetic Predisposition to Disease
Genetic screening
Genetic testing
Genetic Variation
High-Throughput Nucleotide Sequencing
Humans
Hypertension
Male
Males
Marfan syndrome
Middle Aged
Mutation
Myosin Heavy Chains - genetics
Pathology
Patients
Risk factors
Russia
Russia - epidemiology
Type 2 diabetes
title Identification of Variants of Uncertain Significance in the Genes Associated with Thoracic Aortic Disease in Russian Patients with Nonsyndromic Sporadic Subtypes of the Disorder
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