A mutation in TGFB3 associated with a syndrome of low muscle mass, growth retardation, distal arthrogryposis and clinical features overlapping with marfan and …

HY Rienhoff Jr, CY Yeo, R Morissette… - American Journal of …, 2013 - Wiley Online Library
HY Rienhoff Jr, CY Yeo, R Morissette, I Khrebtukova, J Melnick, S Luo, N Leng, YJ Kim…
American Journal of Medical Genetics Part A, 2013Wiley Online Library
The transforming growth factor β (TGF‐β) family of growth factors are key regulators of
mammalian development and their dysregulation is implicated in human disease, notably,
heritable vasculopathies including Marfan (MFS, OMIM# 154700) and Loeys–Dietz
syndromes (LDS, OMIM# 609192). We described a syndrome presenting at birth with distal
arthrogryposis, hypotonia, bifid uvula, a failure of normal post‐natal muscle development but
no evidence of vascular disease; some of these features overlap with MFS and LDS. A de …
Abstract
The transforming growth factor β (TGF‐β) family of growth factors are key regulators of mammalian development and their dysregulation is implicated in human disease, notably, heritable vasculopathies including Marfan (MFS, OMIM #154700) and Loeys–Dietz syndromes (LDS, OMIM #609192). We described a syndrome presenting at birth with distal arthrogryposis, hypotonia, bifid uvula, a failure of normal post‐natal muscle development but no evidence of vascular disease; some of these features overlap with MFS and LDS. A de novo mutation in TGFB3 was identified by exome sequencing. Several lines of evidence indicate the mutation is hypomorphic suggesting that decreased TGF‐β signaling from a loss of TGFB3 activity is likely responsible for the clinical phenotype. This is the first example of a mutation in the coding portion of TGFB3 implicated in a clinical syndrome suggesting TGFB3 is essential for both human palatogenesis and normal muscle growth. © 2013 Wiley Periodicals, Inc.
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