The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.
COL3A1haploinsufficiency results in a variety of Ehlers-Danlos syndrome type IV with delayed onset of complications and longer life expectancy
Open accessAbstract
Purpose To characterize the clinical outcome of heterozygosity for COL3A1 null mutations in Ehlers-Danlos syndrome type IV, the vascular type.Methods We identified mutations that produced premature termination codons and resulted in nonsense-mediated messenger RNA decay in 19 families. We reviewed the clinical and family histories and medical complications in 54 individuals from these families with COL3A1 null mutations.Results Compared with individuals with missense or exon-skipping mutations, we found that life span was extended, the age of first complication was delayed by almost 15 years, and major complications were limited to vascular events. The families were ascertained after a complication in a single individual, but only 28% of relatives, some of whom had reached their seventies or eighties without incidents, had a complication and only 30% had minor clinical features of Ehlers-Danlos syndrome type IV CONCLUSION: Null mutations have reduced penetrance compared with missense and splicing mutations, and the phenotype seems to be limited almost entirely to vascular events.
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In the citing paper
“Splice site mutations that lead to exon skipping have the lowest median survival.”
In the citing paper
“the nature of the specific COL3A1 mutation influences life expectancy.”
In the citing paper
“Mutations leading to premature termination of translation and nonsense-mediated mRNA decay are rare (less than 5%).”
In the citing paper
“Substitutions of bulky residues (Arg, Asp, Glu, Val) for glycine residues in the triple helical domain are usually less severe than splice site mutations, but more consequential than substitutions by smaller residues (Ala, Ser, Cys).”
In the citing paper
“Heterozygosity for COL3A1 null alleles typically produces a milder clinical phenotype with a significant delayed onset of complications [4, 9–12].”
In the citing paper
“These null mutations cause half the normal amount of COLLIII to be secreted [11,12].”
In the citing paper
“Besides, the present patients exhibited a full-blown expression of the disease with several major arterial events, in line with the limited genotype-phenotype correlation that associates this type of structural mutations with a more severe clinical phenotype [4,9–12].”
Citations
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Self-citationHomozygosity for a null allele of COL3A1 results in recessive Ehlers–Danlos syndrome
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Metadata
- Authors
- Leistritz, D. F., Pepin, M. G., Schwarze, U., & Byers, P. H.
- Affiliations
- University of Washington (US)
- Corresponding author
- Byers, Peter H.
- ORCID
- Byers, Peter H.
- Venue
- Genetics in Medicine
- Publisher
- Elsevier BV
- Published
- 2011-08
- Volume
- 13
- Issue
- 8
- Pages
- 717-722
- ISSN
- 1098-3600 (ISSN-L)
- OpenAlex
- W2076783554
- Cited by
- 141
- References
- 10
- Citations by year
- 2026: 13 · 2025: 12 · 2024: 8 · 2023: 4 · 2022: 13 · 2021: 8 · 2020: 7 · 2019: 13 · 2018: 8 · 2017: 7 · 2016: 9 · 2015: 9 · 2014: 15 · 2013: 6 · 2012: 6
- FWCI
- 5.97
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Genetics in Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Dermatological and Skeletal Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
- Keywords
- Ehlers-Danlos syndrome type IV, COL3A1, haploinsufficiency, null mutations, premature stop codon, nonsense-mediated mRNA decay, penetrance, life expectancy, vascular complications, family history (medicine)
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Aneurysm, Child, Child, Preschool, Ehlers-Danlos Syndrome, Female, Humans, Life Expectancy, Male, Middle Aged, Mutation, Sequence Analysis, DNA, Penetrance, Collagen Type III, Kaplan-Meier Estimate, Young Adult, Genetic Association Studies, Haploinsufficiency
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