KEGG   DISEASE: Hereditary hemorrhagic telangiectasia
Entry
H00533                      Disease                                
Name
Hereditary hemorrhagic telangiectasia;
Osler disease
Description
Hereditary hemorrhagic telangiectasia (HHT), also known as Osler disease, is an autosomal dominant vascular dysplasia characterized by severe recurrent nasal and gastrointestinal bleeding and cutaneomucosal telangiectases. HHT is often associated with arteriovenous malformations in the pulmonary, hepatic, cerebral, and spinal circulations. The disease arises from defects in TGF-beta signaling. It has been reported that mutations in SMAD4 cause the combined juvenile polyposis and HHT (JPHT) syndrome.
Category
Congenital malformation
Brite
Human diseases in ICD-11 classification [BR:br08403]
 20 Developmental anomalies
  Structural developmental anomalies primarily affecting one body system
   Structural developmental anomalies of the circulatory system
    LA90  Structural developmental anomalies of the peripheral vascular system
     H00533  Hereditary hemorrhagic telangiectasia
Pathway-based classification of diseases [BR:br08402]
 Signal transduction
  nt06507  TGFB signaling
   H00533  Hereditary hemorrhagic telangiectasia
Pathway
hsa04350  TGF-beta signaling pathway
hsa04060  Cytokine-cytokine receptor interaction
Network
nt06507 TGFB signaling
Gene
(HHT1) ENG [HSA:2022] [KO:K06526]
(HHT2) ACVRL1 [HSA:94] [KO:K13594]
(HHT5) GDF2 [HSA:2658] [KO:K05503]
(JPHT) SMAD4 [HSA:4089] [KO:K04501]
Other DBs
ICD-11: LA90.00
MeSH: D013683
OMIM: 187300 600376 615506 175050
Reference
  Authors
Brouillard P, Vikkula M
  Title
Genetic causes of vascular malformations.
  Journal
Hum Mol Genet 16 Spec No. 2:R140-9 (2007)
DOI:10.1093/hmg/ddm211
Reference
  Authors
Wang QK
  Title
Update on the molecular genetics of vascular anomalies.
  Journal
Lymphat Res Biol 3:226-33 (2005)
DOI:10.1089/lrb.2005.3.226
Reference
  Authors
Shovlin CL
  Title
Hereditary haemorrhagic telangiectasia: pathophysiology, diagnosis and treatment.
  Journal
Blood Rev 24:203-19 (2010)
DOI:10.1016/j.blre.2010.07.001
Reference
  Authors
Dupuis-Girod S, Bailly S, Plauchu H
  Title
Hereditary hemorrhagic telangiectasia: from molecular biology to patient care.
  Journal
J Thromb Haemost 8:1447-56 (2010)
DOI:10.1111/j.1538-7836.2010.03860.x
Reference
PMID:7894484 (HHT1)
  Authors
McAllister KA, Grogg KM, Johnson DW, Gallione CJ, Baldwin MA, Jackson CE, Helmbold EA, Markel DS, McKinnon WC, Murrell J, et al.
  Title
Endoglin, a TGF-beta binding protein of endothelial cells, is the gene for hereditary haemorrhagic telangiectasia type 1.
  Journal
Nat Genet 8:345-51 (1994)
DOI:10.1038/ng1294-345
Reference
PMID:8640225 (HHT2)
  Authors
Johnson DW, Berg JN, Baldwin MA, Gallione CJ, Marondel I, Yoon SJ, Stenzel TT, Speer M, Pericak-Vance MA, Diamond A, Guttmacher AE, Jackson CE, Attisano L, Kucherlapati R, Porteous ME, Marchuk DA
  Title
Mutations in the activin receptor-like kinase 1 gene in hereditary haemorrhagic telangiectasia type 2.
  Journal
Nat Genet 13:189-95 (1996)
DOI:10.1038/ng0696-189
Reference
PMID:23972370 (HHT5)
  Authors
Wooderchak-Donahue WL, McDonald J, O'Fallon B, Upton PD, Li W, Roman BL, Young S, Plant P, Fulop GT, Langa C, Morrell NW, Botella LM, Bernabeu C, Stevenson DA, Runo JR, Bayrak-Toydemir P
  Title
BMP9 mutations cause a vascular-anomaly syndrome with phenotypic overlap with hereditary hemorrhagic telangiectasia.
  Journal
Am J Hum Genet 93:530-7 (2013)
DOI:10.1016/j.ajhg.2013.07.004
Reference
PMID:16613914 (JPHT)
  Authors
Gallione CJ, Richards JA, Letteboer TG, Rushlow D, Prigoda NL, Leedom TP, Ganguly A, Castells A, Ploos van Amstel JK, Westermann CJ, Pyeritz RE, Marchuk DA
  Title
SMAD4 mutations found in unselected HHT patients.
  Journal
J Med Genet 43:793-7 (2006)
DOI:10.1136/jmg.2006.041517
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