2016
DOI: 10.1038/srep32544
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A new autosomal dominant eye and lung syndrome linked to mutations in TIMP3 gene

Abstract: To revisit the autosomal dominant Sorsby fundus dystrophy (SFD) as a syndromic condition including late-onset pulmonary disease. We report clinical and imaging data of ten affected individuals from 2 unrelated families with SFD and carrying heterozygous TIMP3 mutations (c.572A > G, p.Y191C, exon 5, in family 1 and c.113C > G, p.S38C, exon 1, in family 2). In family 1, all SFD patients older than 50 (two generations) had also a severe emphysema, despite no history of smoking or asthma. In the preceding generati… Show more

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Cited by 18 publications
(18 citation statements)
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“…The mutation in fibulin-3 leads to proteoglycan accumulation in the Bruch membrane and the disruption of diffusion, which can impair nutrient and oxygen movement to the retina (91). TIMP3 is also found in the ECM of the lung and kidney, and a unique Ser to Cys mutation in the N-domain of TIMP3 has been linked to a late-onset human disease affecting lungs and eyes (92). These findings suggest that TIMP3 may be important for ECM structure and function in both organs.…”
Section: Structural Roles In Ecmmentioning
confidence: 99%
“…The mutation in fibulin-3 leads to proteoglycan accumulation in the Bruch membrane and the disruption of diffusion, which can impair nutrient and oxygen movement to the retina (91). TIMP3 is also found in the ECM of the lung and kidney, and a unique Ser to Cys mutation in the N-domain of TIMP3 has been linked to a late-onset human disease affecting lungs and eyes (92). These findings suggest that TIMP3 may be important for ECM structure and function in both organs.…”
Section: Structural Roles In Ecmmentioning
confidence: 99%
“…However, recent findings described two SFD families with a history of pulmonary disease, where individuals over 50 years in one family (carrying the TIMP-3 p.Y191C mutation) were diagnosed with severe emphysema. Similarly, both members of the second family (carrying the TIMP-3 p.S38C mutation) exhibited moderate bronchiectasis [74]. This suggests that some TIMP-3 mutations may be more severe compared to others, or indeed behave very differently than has been previously thought.…”
Section: Timp-3 and Other Ecm Changes In The Aging Retinamentioning
confidence: 68%
“…A question which has arisen frequently is why do mutations in TIMP-3 drive pathology so prominently in the retina, but not in other tissues to the same extent? This was partly answered by an important finding, which showed that individuals carrying the TIMP-3 p.Y191C mutation presented with bronchiectasis and emphysema before developing SFD [74]. This discovery prompted SFD patients attending ophthalmology clinics at Southampton to be screened for any respiratory abnormalities by a specialist.…”
Section: Discussionmentioning
confidence: 99%
“…This revealed a mutation in the first exon of family 1: c.113C>G, p.(Ser38Cys) (NM_000362.4) (Figure d). This is a known pathogenic variant in the TIMP3 gene and one of only two mutations currently identified in the N‐terminal region of the protein (Meunier et al., ; Schoenberger & Agarwal, ; Warwick, Gibson, Sood, & Lotery, ) (Figure ). Segregation analysis in 60 family members showed co‐segregation with disease in 47 individuals of family 1 (Figure a).…”
Section: Resultsmentioning
confidence: 99%
“…All affected individuals are heterozygous for the c.113C>G, p.(Ser38Cys) mutation in exon 1 of the TIMP3 gene, which was previously missed in family 1 due to less sensitive screening methods (Figure ). This mutation has been associated with relatively late onset SFD leading to choroidal neovascularization, with or without pulmonary involvement (Meunier et al., ; Schoenberger & Agarwal, ; Warwick et al., ). We confirm a later onset in the families identified here, segregating the p.(Ser38Cys) mutation.…”
Section: Discussionmentioning
confidence: 99%