|Title:||Mutation genotypes of RNF213 gene from moyamoya patients in Taiwan||Authors:||MING-JEN LEE
|Issue Date:||2015||Publisher:||Elsevier||Journal Volume:||353||Start page/Pages:||161-165||Source:||Journal of the Neurological Sciences||Abstract:||
Moyamoya disease (MMD) is a disorder characterized by stenosis of bilateral internal carotid arteries with compensatory angiogenesis of the perforating blood vessels. Familial transmission in MMD is common. Recently, mutations in human RNF213 and ACTA2 genes were identified to be responsible for MMD. The present study was to determine whether Taiwanese MMD patients carried mutations in these two genes. Of the 36 MMD patients, eleven was found to have RNF213 mutations. Direct genetic sequencing identified four different RNF213 mutations in the 11 patients from 8 families: five with a p.R4810K, one with p.A1622V, one with p.V3933M, and the other one with p.R4131C. The latter three represent novel missense mutations. No mutation in ACTA2 gene was identified. Clinically, cerebral infarction was common in patients with an RNF213 mutation (9/11). In addition, four mutant patients had developmental delay (4/11) and two had mental dysfunction (2/11). The magnetic resonance angiography of asymptomatic mutant carriers demonstrated high incidence of multiple stenosis of intracranial vessels (3/6, 50%). Since 30.6% (11/36) of Taiwanese moyamoya patients carry an RNF213 mutation and intracranial arterial stenosis was found in half of the asymptomatic mutant carriers, it is suggested that the RNF213 mutation should form part of the diagnostic workup for MMD in clinical practice. ? 2015 Elsevier B.V.
|ISSN:||0022-510X||DOI:||10.1016/j.jns.2015.04.019||SDG/Keyword:||alanine; arginine; valine; MIEN1 protein, human; signal peptide; tumor protein; ACTA2 gene; adolescent; adult; amino acid sequence; artery occlusion; Article; ataxic aphasia; brain infarction; child; clinical article; controlled study; exon; female; gene; gene frequency; gene mutation; gene sequence; genetic screening; genotype; headache; hemiparesis; human; magnetic resonance angiography; male; mental disease; migraine; missense mutation; moyamoya disease; preschool child; priority journal; RNF213 gene; school child; sensory dysfunction; speech disorder; Taiwan; Taiwanese; young adult; genetic predisposition; genetics; genotype; moyamoya disease; mutation; retrospective study; Adolescent; Adult; Child; Child, Preschool; Female; Genetic Predisposition to Disease; Genotype; Humans; Intracellular Signaling Peptides and Proteins; Male; Moyamoya Disease; Mutation; Neoplasm Proteins; Retrospective Studies; Taiwan; Young Adult
|Appears in Collections:||醫學系|
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