101. Familial Thoracic Aortic Aneurysms and Dissections: Identification of a Novel Locus for Stable Aneurysms with a Low Risk for Progression to Aortic Dissection
- Author
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Robert Yu, Sanjay Shete, Min Wang, Charles Minn, Anthony L. Estrera, Ellen S. Regalado, Dianna M. Milewicz, Joshua Coney, Jiumei Cao, Dongchuan Guo, Hazim J. Safi, and Van Tran-Fadulu
- Subjects
Adult ,Male ,medicine.medical_specialty ,Biology ,Article ,Aortic aneurysm ,Aneurysm ,Risk Factors ,medicine.artery ,Genetics ,medicine ,Thoracic aorta ,Humans ,Family ,Genetic Predisposition to Disease ,Family history ,Genetics (clinical) ,Chromosome 12 ,Aorta ,Genetic Association Studies ,Aged ,Aortic dissection ,Aged, 80 and over ,Chromosomes, Human, Pair 12 ,Aortic Aneurysm, Thoracic ,Genome, Human ,Sequence Analysis, DNA ,Middle Aged ,medicine.disease ,Surgery ,Pedigree ,Dissection ,Aortic Dissection ,Haplotypes ,Genetic Loci ,cardiovascular system ,Disease Progression ,Female ,Lod Score ,Cardiology and Cardiovascular Medicine - Abstract
Background— Thoracic aortic aneurysms leading to acute aortic dissections are the major diseases that affect the thoracic aorta. Approximately 20% of patients with thoracic aortic aneurysms and dissections (TAAD) have a family history of TAAD, and these patients present younger with more rapidly enlarging aneurysms than patients without a family history of aortic disease. Methods and Results— A large family with multiple members with TAAD inherited in an autosomal-dominant manner was identified. The ascending aortic aneurysms were associated with slow enlargement, a low risk of dissection, and decreased penetrance in women. Genome-wide linkage analysis was performed, and a novel locus on chromosome 12 was identified for the mutant gene causing disease in this family. Of the 12 male members who carry the disease-linked microsatellite haplotype, 9 had ascending aortic aneurysms with an average diameter of 4.7 cm at an average age of 52.4 years (range, 32 to 76 years) at the time of diagnosis; only 1 individual had progressed to acute aortic dissection, and no other members with aortic dissections were identified. Women harboring the disease-linked haplotype did not have thoracic aortic disease, including 1 aged 84 years. Sequencing of 9 genes within the critical interval at the chromosome 12 locus did not identify the mutant gene. Conclusions— Mapping a locus for ascending thoracic aortic aneurysms associated with a low risk of aortic dissection supports our hypothesis that genes leading to familial disease can be associated with less-aggressive thoracic aortic disease.
- Published
- 2010