AN ORPHAN PHENOTYPE OF CARDIOGENITAL LAMINOPATHY — MALOUF SYNDROME

Recent decades significantly increased the spectrum of monogenic diseases associated with mutations in the gene of lamin A/C (LMNA), that codes the proteins group performing important functions in the nucleus. This pathology presents with diverse systemic tissue involvement. Mutations of the gene LM...

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Main Authors: T. G. Vaykhanskaya, L. N. Sivitskaya, N. G. Danilenko, T. V. Kurushko, O. G. Nizhnikova, O. G. Davydenko
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2016-11-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/817
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author T. G. Vaykhanskaya
L. N. Sivitskaya
N. G. Danilenko
T. V. Kurushko
O. G. Nizhnikova
O. G. Davydenko
author_facet T. G. Vaykhanskaya
L. N. Sivitskaya
N. G. Danilenko
T. V. Kurushko
O. G. Nizhnikova
O. G. Davydenko
author_sort T. G. Vaykhanskaya
collection DOAJ
description Recent decades significantly increased the spectrum of monogenic diseases associated with mutations in the gene of lamin A/C (LMNA), that codes the proteins group performing important functions in the nucleus. This pathology presents with diverse systemic tissue involvement. Mutations of the gene LMNA are the cause of more than ten different inherited disorders — laminopathies. In clinical practice, there are cardial phenotypes common, i. e. dilation cardiomyopathy (DCMP), skeletal-muscular dystrophies (Emery-Dreifuss dystrophy, inherited and limbleveled) and more rare forms — lipodystrophies, progeroid phenotypes (acromandibular dysplasia, Hutchinson-Gilford progeria, atypical Werner syndrome), Malouf syndrome. Malouf syndrome, known nowadays as cardiogenital syndrome, is rare inborn pathology with DCMP phenotype and ovarial dysgenesis (females) or primary testicular failure (males), with cognitive delay and variety of skeletal abnormalities (usually facial dysmorphism and marfanoid signs). The arcticle presents a clinical case of female patient with primary amenorrhea, hypogonadism, DCMP, cognitive deficiency, hypodeveloped secondary gender signs, body mass deficiency, and facial dysmorphism. Radiation, viral parotitis, autoimmunity and Turner syndrome were ruled out. Signs if bone dysplasia typical for mandibular-acral dysplasia are absent. Relatives of the 1st line are normal. With sequencing method, we searched for mutations in the gene LMNA, but there were no mutations. Results make it to suggest that pathogenetic mechanisms of Malouf syndrome are not only of “lamin” nature but of other genetic causes too. The article also points on the key issues of diagnostics and treatment, presents differential criteria and clinical signs of an orphan disease.
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institution Kabale University
issn 1560-4071
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language Russian
publishDate 2016-11-01
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spelling doaj-art-e4c08547a4484eef9e375c06ae410a5e2025-08-20T03:43:37Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202016-11-01011909410.15829/1560-4071-2016-11-90-94736AN ORPHAN PHENOTYPE OF CARDIOGENITAL LAMINOPATHY — MALOUF SYNDROMET. G. Vaykhanskaya0L. N. Sivitskaya1N. G. Danilenko2T. V. Kurushko3O. G. Nizhnikova4O. G. Davydenko5Republic Scientific-Practical Center “Cardiology”, Laboratory for medical information technologies, MinskState Scientific Institution of genetics and cytology of the National Science Academy of Belarus, Laboratory of nonchromosome inheritance, Minsk, BelarusState Scientific Institution of genetics and cytology of the National Science Academy of Belarus, Laboratory of nonchromosome inheritance, Minsk, BelarusRepublic Scientific-Practical Center “Cardiology”, Laboratory for medical information technologies, MinskRepublic Scientific-Practical Center “Cardiology”, Laboratory for medical information technologies, MinskState Scientific Institution of genetics and cytology of the National Science Academy of Belarus, Laboratory of nonchromosome inheritance, Minsk, BelarusRecent decades significantly increased the spectrum of monogenic diseases associated with mutations in the gene of lamin A/C (LMNA), that codes the proteins group performing important functions in the nucleus. This pathology presents with diverse systemic tissue involvement. Mutations of the gene LMNA are the cause of more than ten different inherited disorders — laminopathies. In clinical practice, there are cardial phenotypes common, i. e. dilation cardiomyopathy (DCMP), skeletal-muscular dystrophies (Emery-Dreifuss dystrophy, inherited and limbleveled) and more rare forms — lipodystrophies, progeroid phenotypes (acromandibular dysplasia, Hutchinson-Gilford progeria, atypical Werner syndrome), Malouf syndrome. Malouf syndrome, known nowadays as cardiogenital syndrome, is rare inborn pathology with DCMP phenotype and ovarial dysgenesis (females) or primary testicular failure (males), with cognitive delay and variety of skeletal abnormalities (usually facial dysmorphism and marfanoid signs). The arcticle presents a clinical case of female patient with primary amenorrhea, hypogonadism, DCMP, cognitive deficiency, hypodeveloped secondary gender signs, body mass deficiency, and facial dysmorphism. Radiation, viral parotitis, autoimmunity and Turner syndrome were ruled out. Signs if bone dysplasia typical for mandibular-acral dysplasia are absent. Relatives of the 1st line are normal. With sequencing method, we searched for mutations in the gene LMNA, but there were no mutations. Results make it to suggest that pathogenetic mechanisms of Malouf syndrome are not only of “lamin” nature but of other genetic causes too. The article also points on the key issues of diagnostics and treatment, presents differential criteria and clinical signs of an orphan disease.https://russjcardiol.elpub.ru/jour/article/view/817lamin gene mutations а/сdilation cardiomyopathyhypergonadotropic hypogonadism
spellingShingle T. G. Vaykhanskaya
L. N. Sivitskaya
N. G. Danilenko
T. V. Kurushko
O. G. Nizhnikova
O. G. Davydenko
AN ORPHAN PHENOTYPE OF CARDIOGENITAL LAMINOPATHY — MALOUF SYNDROME
Российский кардиологический журнал
lamin gene mutations а/с
dilation cardiomyopathy
hypergonadotropic hypogonadism
title AN ORPHAN PHENOTYPE OF CARDIOGENITAL LAMINOPATHY — MALOUF SYNDROME
title_full AN ORPHAN PHENOTYPE OF CARDIOGENITAL LAMINOPATHY — MALOUF SYNDROME
title_fullStr AN ORPHAN PHENOTYPE OF CARDIOGENITAL LAMINOPATHY — MALOUF SYNDROME
title_full_unstemmed AN ORPHAN PHENOTYPE OF CARDIOGENITAL LAMINOPATHY — MALOUF SYNDROME
title_short AN ORPHAN PHENOTYPE OF CARDIOGENITAL LAMINOPATHY — MALOUF SYNDROME
title_sort orphan phenotype of cardiogenital laminopathy malouf syndrome
topic lamin gene mutations а/с
dilation cardiomyopathy
hypergonadotropic hypogonadism
url https://russjcardiol.elpub.ru/jour/article/view/817
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