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Article: Complex analysis of the national Hereditary angioedema cohort in Slovakia - Identification of 12 novel variants in

Markocsy, Adam / Hrubiskova, Katarina / Hrubisko, Martin / Freiberger, Tomas / Grombirikova, Hana / Dolesova, Lenka / Slivka Vavrova, Ludmila / Lohajova Behulova, Regina / Ondrusova, Martina / Banovcin, Peter / Vorcakova, Karolina / Jesenak, Milos

The World Allergy Organization journal

2024  Volume 17, Issue 3, Page(s) 100885

Abstract: Background: Hereditary angioedema (HAE) is a rare autosomal dominant genetic disease characterised by acute episodes of non-pruritic skin and submucosal swelling caused by increase in vascular permeability.: Objective: Here we present the first ... ...

Abstract Background: Hereditary angioedema (HAE) is a rare autosomal dominant genetic disease characterised by acute episodes of non-pruritic skin and submucosal swelling caused by increase in vascular permeability.
Objective: Here we present the first complex analysis of the National HAE Slovakian cohort with the detection of 12 previously un-published genetic variants in
Methods: In patients diagnosed with hereditary angioedema caused by deficiency or dysfunction of C1 inhibitor (C1-INH-HAE) based on clinical manifestation and complement measurements,
Results: The Slovakian national cohort consisted of 132 living patients with confirmed HAE. We identified 51 index cases (32 families, 19 sporadic patients/112 adults, 20 children). One hundred seventeen patients had HAE caused by deficiency of C1 inhibitor (C1-INH-HAE-1) and 15 patients had HAE caused by dysfunction of C1 inhibitor (C1-INH-HAE-2). The prevalence of HAE in Slovakia has recently been calculated to 1:41 280 which is higher than average calculated prevalence. The estimated incidence was 1:1360 000. Molecular-genetic testing of the
Conclusion: The first complex report about epidemiology and genetics of the Slovakian national HAE cohort expands the knowledge of the C1-INH-HAE genetics. Twelve novel causal variants were present in the half of the index cases. A higher percentage of inframe variants comparing to other studies was observed. Heterozygous deletion of exon 3 found in a large C1-INH-HAE-1 family probably causes the dysregulation of the splicing isoforms balance and leads to the decrease of full-length C1-INH level.
Language English
Publishing date 2024-03-07
Publishing country United States
Document type Journal Article
ZDB-ID 2581968-9
ISSN 1939-4551
ISSN 1939-4551
DOI 10.1016/j.waojou.2024.100885
Database MEDical Literature Analysis and Retrieval System OnLINE

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