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Published in: Orphanet Journal of Rare Diseases 1/2020

Open Access 01-12-2020 | Hereditary Hemorrhagic Telangiectasia | Research

Ocular lesions in hereditary hemorrhagic telangiectasia: genetics and clinical characteristics

Authors: Inés Gómez-Acebo, Sara Rodríguez Prado, Ángel De La Mora, Roberto Zarrabeitia Puente, Beatriz de la Roza Varela, Trinidad Dierssen-Sotos, Javier Llorca

Published in: Orphanet Journal of Rare Diseases | Issue 1/2020

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Abstract

Background

The aim of our study is to study the association between eye lesions in Hereditary Hemorrhagic Telangiectasia (HHT) and other signs of the disease, as well as to characterize its genetics.

Methods

A cross-sectional study was conducted of a cohort of 206 patients studied in the HHT Unit of Hospital de Sierrallana, a reference centre for Spanish patients with HHT. Odds ratios for several symptoms or characteristics of HHT and ocular lesions were estimated using logistic regression adjusting for age and sex.

Results

The ocular involvement was associated with being a carrier of a mutation for the ENG gene, that is, suffering from a type 1 HHT involvement (OR = 2.09; 95% CI [1.17–3.72]). p = 0.012). In contrast, patients with ocular lesions have less frequently mutated ACVRL1/ALK1 gene (OR = 0.52; 95% CI [0.30–3.88], p = 0.022).

Conclusions

In conclusion, half of the patients with HHT in our study have ocular involvement. These eye lesions are associated with mutations in the ENG gene and ACVRL1/ALK1 gene. Thus, the ENG gene increases the risk of ocular lesions, while being a carrier of the mutated ACVRL1/ALK1 gene decreases said risk.
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Literature
3.
go back to reference Shovlin CL, Guttmacher AE, Buscarini E, et al. Diagnostic criteria for hereditary hemorrhagic telangiectasia (Rendu-Osler-weber syndrome). Am J Med Genet. 2000;91(1):66–7.CrossRefPubMed Shovlin CL, Guttmacher AE, Buscarini E, et al. Diagnostic criteria for hereditary hemorrhagic telangiectasia (Rendu-Osler-weber syndrome). Am J Med Genet. 2000;91(1):66–7.CrossRefPubMed
4.
go back to reference Bossler AD, Richards J, George C, Godmilow L, Ganguly A. Novel mutations in ENG and ACVRL1 identified in a series of 200 individuals undergoing clinical genetic testing for hereditary hemorrhagic telangiectasia (HHT): correlation of genotype with phenotype. Hum Mutat. 2006;27(7):667–75. https://doi.org/10.1002/humu.20342.CrossRefPubMed Bossler AD, Richards J, George C, Godmilow L, Ganguly A. Novel mutations in ENG and ACVRL1 identified in a series of 200 individuals undergoing clinical genetic testing for hereditary hemorrhagic telangiectasia (HHT): correlation of genotype with phenotype. Hum Mutat. 2006;27(7):667–75. https://​doi.​org/​10.​1002/​humu.​20342.CrossRefPubMed
17.
go back to reference Vase I, Vase P. Ocular lesions in hereditary haemorrhagic telangiectasia. Acta Ophthalmol. 1979;57(6):1084–90.CrossRef Vase I, Vase P. Ocular lesions in hereditary haemorrhagic telangiectasia. Acta Ophthalmol. 1979;57(6):1084–90.CrossRef
20.
go back to reference Bergh J, Jönsson PE, Glimelius B, Nygren P, SBU-group. Swedish Council of Technology Assessment in health care. A systematic overview of chemotherapy effects in breast cancer. Acta Oncol Stockh Swed. 2001;40(2–3):253–81.CrossRef Bergh J, Jönsson PE, Glimelius B, Nygren P, SBU-group. Swedish Council of Technology Assessment in health care. A systematic overview of chemotherapy effects in breast cancer. Acta Oncol Stockh Swed. 2001;40(2–3):253–81.CrossRef
Metadata
Title
Ocular lesions in hereditary hemorrhagic telangiectasia: genetics and clinical characteristics
Authors
Inés Gómez-Acebo
Sara Rodríguez Prado
Ángel De La Mora
Roberto Zarrabeitia Puente
Beatriz de la Roza Varela
Trinidad Dierssen-Sotos
Javier Llorca
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Orphanet Journal of Rare Diseases / Issue 1/2020
Electronic ISSN: 1750-1172
DOI
https://doi.org/10.1186/s13023-020-01433-5

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