Hereditary hemorrhagic telangiectasia: two distinct ENG deletions in one family.

Journal Article (Journal Article)

Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disorder characterized by aberrant vascular development. Mutations in endoglin (ENG) or activin A receptor type II-like 1 (ACVRL1) account for around 90% of HHT patients, 10% of those are large deletions or duplications. We report here the first observation of two distinct, large ENG deletions segregating in one pedigree. An ENG exon 4-7 deletion was observed in a patient with HHT. This deletion was identified in several affected family members. However, some affected family members had an ENG exon 3 deletion instead. These deletions were detected by multiplex ligation-dependent probe amplification and confirmed by mRNA sequencing and an oligo-CGH array. Linkage analysis revealed that one individual with the exon 3 deletion inherited the same chromosome from his mother who has the exon 4-7 deletion. This finding has important clinical implications because it shows that targeted family-specific mutation analysis for exon deletions could have led to the misdiagnosis of some affected family members.

Full Text

Duke Authors

Cited Authors

  • Wooderchak, W; Gedge, F; McDonald, M; Krautscheid, P; Wang, X; Malkiewicz, J; Bukjiok, CJ; Lewis, T; Bayrak-Toydemir, P

Published Date

  • November 2010

Published In

Volume / Issue

  • 78 / 5

Start / End Page

  • 484 - 489

PubMed ID

  • 20412114

Pubmed Central ID

  • 20412114

Electronic International Standard Serial Number (EISSN)

  • 1399-0004

Digital Object Identifier (DOI)

  • 10.1111/j.1399-0004.2010.01418.x

Language

  • eng

Conference Location

  • Denmark