1. Multi-organ investigation in 16 CADASIL families from central Italy sharing the same R1006C mutation.
- Author
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Ragno M, Pianese L, Cacchiò G, Manca A, Scarcella M, Silvestri S, Di Marzio F, Caiazzo AR, Silvaggio F, Tasca G, Mirabella M, and Trojano L
- Subjects
- Adult, Aged, Aged, 80 and over, CADASIL blood, CADASIL complications, CADASIL diagnosis, Cardiovascular Abnormalities etiology, Cholesterol metabolism, Creatine Kinase blood, Disease Progression, Electromyography, Female, Gene Frequency, Genotype, Humans, Italy, Magnetic Resonance Imaging, Male, Middle Aged, Muscle, Skeletal physiopathology, Neural Conduction, Neurophysiology, Neuropsychological Tests, Phenotype, Receptor, Notch3, Tomography, X-Ray Computed, Arginine genetics, CADASIL genetics, Cysteine genetics, Family Health, Mutation genetics, Receptors, Notch genetics
- Abstract
Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) may involve many target organs with relevant variability among affected individuals. We performed a multi-organ assessment tapping nervous system, skeletal muscle and cardiovascular system in thirty-nine individuals belonging to 16 families from Central Italy sharing the same R1006C CADASIL mutation. Stroke prevalence was larger in female patients (66.7%) than in males (23.8%); high levels of CKemia were quite frequent (21.6%) and were related to a myopathy without mitochondrial alterations; several individuals had atrial septal aneurysm (10.3%). No specific relationships between common cardiovascular risk factors and clinical manifestations were found. The present systematic study thus identified several gender-related, myopathic and cardiovascular peculiarities of R1006C mutation. This kind of comprehensive approach is necessary to define clinical course, prognosis and treatment options for a multi-organ disease such as CADASIL., (Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.)
- Published
- 2012
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