2015
DOI: 10.1007/s12199-015-0498-7
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A new horizon of moyamoya disease and associated health risks explored through RNF213

Abstract: The cerebrovascular disorder moyamoya disease (MMD) was first described in 1957 in Japan, and is typically considered to be an Asian-specific disease. However, it is globally recognized as one of the major causes of childhood stroke. Although several monogenic diseases are known to be complicated by Moyamoya angiopathy, the ring finger protein 213 gene (RNF213) was identified as a susceptibility gene for MMD. RNF213 is unusual, because (1) it induces MMD with no other recognizable phenotypes, (2) the RNF213 p.… Show more

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Cited by 103 publications
(74 citation statements)
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“…Although Rnf213-knockout models inflict different angiogenesis alternations under different circumstances, 49,53 we imply that RNF213 is critical in vascularwall remodeling, which can explain the pathogeneses of both MMD and IAs. Additionally, the increased ATP hydro- 56 and Koizumi et al 66 14 variants found in the current study are marked in red, variants reported in Moteki et al 64 are marked in blue, MMD variants reported in Cecchi et al are marked in black, and MMD variants found in other studies are marked in gray. The results show that FC IA-affected individuals harbor more deleterious mutations in the AAAþ domains than other populations do.…”
Section: Aaaþ Atp Domain Variants and The Risk Of Iassupporting
confidence: 56%
See 1 more Smart Citation
“…Although Rnf213-knockout models inflict different angiogenesis alternations under different circumstances, 49,53 we imply that RNF213 is critical in vascularwall remodeling, which can explain the pathogeneses of both MMD and IAs. Additionally, the increased ATP hydro- 56 and Koizumi et al 66 14 variants found in the current study are marked in red, variants reported in Moteki et al 64 are marked in blue, MMD variants reported in Cecchi et al are marked in black, and MMD variants found in other studies are marked in gray. The results show that FC IA-affected individuals harbor more deleterious mutations in the AAAþ domains than other populations do.…”
Section: Aaaþ Atp Domain Variants and The Risk Of Iassupporting
confidence: 56%
“…41 In our IA study, we found several deleterious variants in the AAAþ domains, whereas other studies focused on MMDaffected individuals did not ( Figure 5). 56,66 We can assume that variants in different locations of RNF213 act as risk factors for different cerebrovascular disorders by affecting gene function differently. Whereas Cecchi et al 56 suggested that the C-terminal domain of RNF213 is the main risk region for MMD, we believe that exon 29, which encodes AAAþ domains, might be the risk region for IAs.…”
Section: Aaaþ Atp Domain Variants and The Risk Of Iasmentioning
confidence: 99%
“…Indeed, although heavily associated with MMA in Japan (OR4200, Po10 -100 in a meta-analysis), 9 the penetrance of MMA in p.(R4810K) carriers is estimated to be 1/150 in the Japanese population. 35 This very low penetrance, on a population basis, contrasts with the incomplete but much higher penetrance observed in a family context. One possible explanation could be that the development of MMA requires, in addition to RNF213 pathogenic variants, at least one additional genetic factor which is most likely shared in families.…”
Section: Discussionmentioning
confidence: 88%
“…RNF213 is an E3 ubiquitin-protein ligase with two AAA+ ATPase domains, which are characteristic of energy-dependent unfoldases (Koizumi et al 2016). It has been shown that RNF213 is involved in angiogenesis by promoting vessel regression (Scholz et al 2016).…”
Section: Discussionmentioning
confidence: 99%