KEGG   DISEASE: Loeys-Dietz syndrome
Entry
H00800                      Disease                                
Name
Loeys-Dietz syndrome
  Subgroup
Rienhoff syndrome [DS:H01385]
Description
Loeys-Dietz syndrome (LDS) is an autosomal dominant disorder characterized by arterial aneurysms and dissections, pectus excavatum, craniosynostosis, cleft palate, congenital heart disease, and thin, translucent skin. LDS results from mutations in the TGF beta receptor genes. LDS has been subdivided in LDS1 and LDS2 on the basis of the presence or the absence of craniofacial involvement, respectively. LDS3 is associated with early-onset osteoarthritis and caused by mutation in the SMAD3 gene. LDS4 and LDS5 are caused by mutation in the TGFB2 and TGFB3 gene, respectively.
Category
Congenital malformation
Brite
Human diseases in ICD-11 classification [BR:br08403]
 20 Developmental anomalies
  Multiple developmental anomalies or syndromes
   LD28  Syndromes with connective tissue involvement as a major feature
    H00800  Loeys-Dietz syndrome
Pathway-based classification of diseases [BR:br08402]
 Signal transduction
  nt06507  TGFB signaling
   H00800  Loeys-Dietz syndrome
Pathway
hsa04350  TGF-beta signaling pathway
Network
nt06507 TGFB signaling
Gene
(LDS1A/2A) TGFBR1 [HSA:7046] [KO:K04674]
(LDS1B/2B) TGFBR2 [HSA:7048] [KO:K04388]
(LDS3) SMAD3 [HSA:4088] [KO:K23605]
(LDS4) TGFB2 [HSA:7042] [KO:K13376]
(LDS5) TGFB3 [HSA:7043] [KO:K13377]
(LDS6) SMAD2 [HSA:4087] [KO:K04500]
Comment
LDS and Marfan syndrome [DS:H00653] are both genetic disorders of connective tissue and share many features.
Other DBs
ICD-11: LD28.01
ICD-10: I71.0
MeSH: D055947
OMIM: 609192 608967 610168 610380 613795 614816 615582 619656
Reference
  Authors
Kalra VB, Gilbert JW, Malhotra A
  Title
Loeys-Dietz syndrome: cardiovascular, neuroradiological and musculoskeletal imaging findings.
  Journal
Pediatr Radiol 41:1495-504 (2011)
DOI:10.1007/s00247-011-2195-z
Reference
  Authors
Milewicz DM, Guo DC, Tran-Fadulu V, Lafont AL, Papke CL, Inamoto S, Kwartler CS, Pannu H
  Title
Genetic basis of thoracic aortic aneurysms and dissections: focus on smooth muscle cell contractile dysfunction.
  Journal
Annu Rev Genomics Hum Genet 9:283-302 (2008)
DOI:10.1146/annurev.genom.8.080706.092303
Reference
PMID:19883511 (LDS1_2)
  Authors
Drera B, Ritelli M, Zoppi N, Wischmeijer A, Gnoli M, Fattori R, Calzavara-Pinton PG, Barlati S, Colombi M
  Title
Loeys-Dietz syndrome type I and type II: clinical findings and novel mutations in two Italian patients.
  Journal
Orphanet J Rare Dis 4:24 (2009)
DOI:10.1186/1750-1172-4-24
Reference
PMID:21217753 (LDS3)
  Authors
van de Laar IM, Oldenburg RA, Pals G, Roos-Hesselink JW, de Graaf BM, Verhagen JM, Hoedemaekers YM, Willemsen R, Severijnen LA, Venselaar H, Vriend G, Pattynama PM, Collee M, Majoor-Krakauer D, Poldermans D, Frohn-Mulder IM, Micha D, Timmermans J, Hilhorst-Hofstee Y, Bierma-Zeinstra SM, Willems PJ, Kros JM, Oei EH, Oostra BA, Wessels MW, Bertoli-Avella AM
  Title
Mutations in SMAD3 cause a syndromic form of aortic aneurysms and dissections with early-onset osteoarthritis.
  Journal
Nat Genet 43:121-6 (2011)
DOI:10.1038/ng.744
Reference
PMID:22772368 (LDS4)
  Authors
Lindsay ME, Schepers D, Bolar NA, Doyle JJ, Gallo E, Fert-Bober J, Kempers MJ, Fishman EK, Chen Y, Myers L, Bjeda D, Oswald G, Elias AF, Levy HP, Anderlid BM, Yang MH, Bongers EM, Timmermans J, Braverman AC, Canham N, Mortier GR, Brunner HG, Byers PH, Van Eyk J, Van Laer L, Dietz HC, Loeys BL
  Title
Loss-of-function mutations in TGFB2 cause a syndromic presentation of thoracic aortic aneurysm.
  Journal
Nat Genet 44:922-7 (2012)
DOI:10.1038/ng.2349
Reference
PMID:23824657 (LDS5)
  Authors
Rienhoff HY Jr, Yeo CY, Morissette R, Khrebtukova I, Melnick J, Luo S, Leng N, Kim YJ, Schroth G, Westwick J, Vogel H, McDonnell N, Hall JG, Whitman M
  Title
A mutation in TGFB3 associated with a syndrome of low muscle mass, growth retardation, distal arthrogryposis and clinical features overlapping with Marfan and Loeys-Dietz syndrome.
  Journal
Am J Med Genet A 161A:2040-6 (2013)
DOI:10.1002/ajmg.a.36056
Reference
PMID:29967133 (LDS6)
  Authors
Cannaerts E, Kempers M, Maugeri A, Marcelis C, Gardeitchik T, Richer J, Micha D, Beauchesne L, Timmermans J, Vermeersch P, Meyten N, Chenier S, van de Beek G, Peeters N, Alaerts M, Schepers D, Van Laer L, Verstraeten A, Loeys B
  Title
Novel pathogenic SMAD2 variants in five families with arterial aneurysm and dissection: further delineation of the phenotype.
  Journal
J Med Genet 56:220-227 (2019)
DOI:10.1136/jmedgenet-2018-105304
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