2005
DOI: 10.1002/mus.20448
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Cardiac conduction alterations in a French family with amyloidosis of the finnish type with the p.Asp187Tyr mutation in the GSN gene

Abstract: Familial amyloidosis of the Finnish type (FAF) is a rare autosomal-dominant disorder caused by the accumulation of a 71-amino acid amyloidogenic fragment of mutant gelsolin, an actin-modulating protein. The main symptoms include corneal lattice dystrophy, progressive cranial and peripheral neuropathy, and skin changes. To date, only two mutations in the GSN gene have been described: the p.Asp187Asn mutation in most patients and the p.Asp187Tyr mutation in a Danish and Czech family. We report on the third famil… Show more

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Cited by 47 publications
(37 citation statements)
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References 31 publications
(41 reference statements)
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“…Since the first report of the disease, patients have been found in many countries, including the United States, Japan, Portugal, England, Germany, Spain, France, Brazil, Sweden, Denmark, the Czech Republic, and Iran. (Conceicao et al, 2003, Pihlamaa et al, 2011, Huerva et al, 2007, Stewart et al, 2000, Ikeda et al, 2007, Tanskanen et al, 2007, Chastan et al, 2006, Contegal et al, 2006, Luettmann et al, 2010, Ardalan et al, 2007, Makioka et al, 2010, Kiuru, 1998, Carrwik and Stenevi, 2009, Felix et al, 2008, Plante-Bordeneuve and Said, 2011). Many of the patients studied had no Finnish ancestors, suggesting multiple founders of the disease.…”
Section: History and Epidemiology Of Gelsolin Amyloidosismentioning
confidence: 99%
See 1 more Smart Citation
“…Since the first report of the disease, patients have been found in many countries, including the United States, Japan, Portugal, England, Germany, Spain, France, Brazil, Sweden, Denmark, the Czech Republic, and Iran. (Conceicao et al, 2003, Pihlamaa et al, 2011, Huerva et al, 2007, Stewart et al, 2000, Ikeda et al, 2007, Tanskanen et al, 2007, Chastan et al, 2006, Contegal et al, 2006, Luettmann et al, 2010, Ardalan et al, 2007, Makioka et al, 2010, Kiuru, 1998, Carrwik and Stenevi, 2009, Felix et al, 2008, Plante-Bordeneuve and Said, 2011). Many of the patients studied had no Finnish ancestors, suggesting multiple founders of the disease.…”
Section: History and Epidemiology Of Gelsolin Amyloidosismentioning
confidence: 99%
“…In fact, patients homozygous for the amyloidogenic mutation of gelsolin develop a severe nephrotic syndrome and, ultimately, end stage renal failure (Maury, 1993). Cardiac involvement, including conduction abnormalities, is also sometimes seen (Chastan et al, 2006, Kiuru et al, 1994). Ultimately, further amyloid deposition in vital organs and microvasculature can become life threatening, and the primary causes of death are typically nephrotic syndrome, pneumonia from aspiration due to bulbar muscle dysfunction, or cerebral hemorrhage likely from cerebral angiopathy (Kiuru, 1998).…”
Section: Clinical Presentations Of Familial Amyloidosis Of Finnish Typementioning
confidence: 99%
“…The most common, a G to A transition at nucleotide 654, has been detected in all Finnish patients as well as in families of other nationalities (2,7,9) . The second mutation, a G to T transversion at nucleotide 654, has been detected in 3 different families, and is related to the Danish type of familial amyloidosis, first described in 1979 by Boysen et al (2,(7)(8)(9) In this study we describe for the first time a G654T mutation in the gelsolin gene in a Brazilian family. The clinical features of this subtype are very similar to those described by Meretoja (FAF), presenting skin and neurological changes associated with lattice corneal dystrophy (2,(9)(10)(11) .…”
Section: Discussionmentioning
confidence: 99%
“…This mutation has been reported in all Finnish patients as well as in other countries. The second mutation is a 654G-T transversion resulting in a Asp187Tyr substitution and was found in only three families, of Danish, Czech and French origins, with similar clinical manifestations (1,2,(4)(5)(6)(7)(8) . We report the first case in a Brazilian family, carrying the Asp187Tyr mutation, with no known Finnish ancestors.…”
Section: Introductionmentioning
confidence: 99%
“…62 However, in rare cases, severe autonomic dysfunction can occur as was reported in a French family with cardiac sympathetic dysfunction. 63 Other organs may be involved, including the heart, kidneys, brain, and spinal cord. 64 …”
Section: Transthyretin Amyloidosismentioning
confidence: 99%