Skip to main content
Top
Published in: Child's Nervous System 10/2020

01-10-2020 | Hamartoma | Annual issue paper

Genetics of tuberous sclerosis complex: an update

Author: Daphna Marom

Published in: Child's Nervous System | Issue 10/2020

Login to get access

Abstract

Purpose

To review the current genetic aspects of tuberous sclerosis complex.

Methods

Review of the literature.

Results

Tuberous sclerosis complex (TSC), a long known childhood-onset monogenic disorder, characterized by hamartoma formation affecting mainly the brain, heart, kidney, lung, and skin, is associated with a high morbidity burden and risk of a reduced life span. The identification of TSC1 and TSC2, as tumor suppressor genes causative of the disorder, led to the elucidation of the mammalian target of rapamycin complex 1 (mTORC1) signaling pathway and its pivotal role in the pathogenesis of hamartoma formation. This knowledge was translated into standard clinical practice with the discovery of rapamycin, and additional analogues, as inhibitors of mTORC1.

Conclusion

Next-generation sequencing was proven to be fundamental to drive research of tumorigenesis in TSC, hopefully leading to new therapeutic options in the future.
Literature
1.
go back to reference Peron A, Sing KA, Northrup H (2018) Genetics, genomics, and genotype–phenotype correlations of TSC: insights for clinical practice. Am J Med Genet 178C:281–290CrossRef Peron A, Sing KA, Northrup H (2018) Genetics, genomics, and genotype–phenotype correlations of TSC: insights for clinical practice. Am J Med Genet 178C:281–290CrossRef
2.
go back to reference Brigo F, Lattanzi S, Trink E, Nardone R, Bragazzi NL, Ruggieri M, Martiniand M, Walusinski O (2018) First descriptions of tuberous sclerosis by Désiré-Magloire Bourneville (1840–1909). Neuropathology 38:577–582CrossRef Brigo F, Lattanzi S, Trink E, Nardone R, Bragazzi NL, Ruggieri M, Martiniand M, Walusinski O (2018) First descriptions of tuberous sclerosis by Désiré-Magloire Bourneville (1840–1909). Neuropathology 38:577–582CrossRef
3.
go back to reference Northrup H, Krueger DA, on behalf of the international tuberous sclerosis complex consensus group (2013) Tuberous sclerosis complex diagnostic criteria update: recommendations of the 2012 International Tuberous Sclerosis Complex Consensus Conference. Pediatr Neurol 49:243–254CrossRef Northrup H, Krueger DA, on behalf of the international tuberous sclerosis complex consensus group (2013) Tuberous sclerosis complex diagnostic criteria update: recommendations of the 2012 International Tuberous Sclerosis Complex Consensus Conference. Pediatr Neurol 49:243–254CrossRef
4.
go back to reference Roach ES, Gomez MR, Northrup H (1998) Tuberous sclerosis complex consensus conference: revised clinical diagnostic criteria. J Child Neurol 13:624–628CrossRef Roach ES, Gomez MR, Northrup H (1998) Tuberous sclerosis complex consensus conference: revised clinical diagnostic criteria. J Child Neurol 13:624–628CrossRef
5.
go back to reference Krueger DA, Northrup H on behalf of the international tuberous sclerosis complex consensus group (2013) Tuberous sclerosis complex surveillance and management: recommendations of the 2012 International Tuberous Sclerosis Complex Consensus Conference. Pediatr Neurol 49:255–265CrossRef Krueger DA, Northrup H on behalf of the international tuberous sclerosis complex consensus group (2013) Tuberous sclerosis complex surveillance and management: recommendations of the 2012 International Tuberous Sclerosis Complex Consensus Conference. Pediatr Neurol 49:255–265CrossRef
6.
go back to reference Kingswood JC, Bissler JJ, Budde K, Hulbert J, Guay-Woodford L, Sampson JR, Sauter M, Cox J, Patel U, Elmslie F, Anderson C, Zonnenberg BA (2012) Review of the tuberous sclerosis renal guidelines from the 2012 consensus conference: current data and future study. Nephron 134:51–58CrossRef Kingswood JC, Bissler JJ, Budde K, Hulbert J, Guay-Woodford L, Sampson JR, Sauter M, Cox J, Patel U, Elmslie F, Anderson C, Zonnenberg BA (2012) Review of the tuberous sclerosis renal guidelines from the 2012 consensus conference: current data and future study. Nephron 134:51–58CrossRef
7.
go back to reference Samueli S, Abraham K, Dressler A, Groeppel G, Jonak C, Muehlebner A, Prayer D, Reitner A, Feucht M, Pädiatrisches TSC-Zentrum Wien (2015) Tuberous sclerosis complex: new criteria for diagnostic work-up and management. Wien Klin Wochenschr 127:619–630CrossRef Samueli S, Abraham K, Dressler A, Groeppel G, Jonak C, Muehlebner A, Prayer D, Reitner A, Feucht M, Pädiatrisches TSC-Zentrum Wien (2015) Tuberous sclerosis complex: new criteria for diagnostic work-up and management. Wien Klin Wochenschr 127:619–630CrossRef
8.
go back to reference Henske EP, Jozwiak S, Kingswood JC, Sampson JR, Theile EA (2016) Tuberous sclerosis complex. Nat Rev 2:1–18 Henske EP, Jozwiak S, Kingswood JC, Sampson JR, Theile EA (2016) Tuberous sclerosis complex. Nat Rev 2:1–18
9.
go back to reference McEneaney LJ, Tee AR (2019) Finding a cure for tuberous sclerosis complex: from genetics through to targeted drug therapies. Adv Genet 103:91–118CrossRef McEneaney LJ, Tee AR (2019) Finding a cure for tuberous sclerosis complex: from genetics through to targeted drug therapies. Adv Genet 103:91–118CrossRef
10.
go back to reference Cheadle JP, Reeve PR, Sampson JR, Kwiatkowski DJ (2000) Molecular genetic advances in tuberous sclerosis. Hum Genet 107:97–114CrossRef Cheadle JP, Reeve PR, Sampson JR, Kwiatkowski DJ (2000) Molecular genetic advances in tuberous sclerosis. Hum Genet 107:97–114CrossRef
11.
go back to reference Schwartz RA, Fernandez G, Kotulska K, Jozwiak J (2007) Tuberous sclerosis complex: advances in diagnosis, genetics, and management. J Am Acad Dermatol 57:189–202CrossRef Schwartz RA, Fernandez G, Kotulska K, Jozwiak J (2007) Tuberous sclerosis complex: advances in diagnosis, genetics, and management. J Am Acad Dermatol 57:189–202CrossRef
12.
go back to reference Curatolo P, Jozwiak S, Nabbout R, on behalf of the participants of the TSC Consensus Meeting for SEGA and Epilepsy Management in TSC (2012) Management of epilepsy associated with tuberous sclerosis complex (TSC): clinical recommendations. EJPN 16:582–586PubMed Curatolo P, Jozwiak S, Nabbout R, on behalf of the participants of the TSC Consensus Meeting for SEGA and Epilepsy Management in TSC (2012) Management of epilepsy associated with tuberous sclerosis complex (TSC): clinical recommendations. EJPN 16:582–586PubMed
13.
go back to reference Farach LS, Gibson WT, Sparagana SP, Nellist M, Stumpel CTR, Hietala M, Friedman E, Pearson DA, Creighton SP, Wagemans A, Segel R, Ben-Shalom E, Au KS, Northrup H (2017) TSC2 c.1864C>T variant associated with mild cases of tuberous sclerosis complex. Am J Med Genet A 173A:771–775CrossRef Farach LS, Gibson WT, Sparagana SP, Nellist M, Stumpel CTR, Hietala M, Friedman E, Pearson DA, Creighton SP, Wagemans A, Segel R, Ben-Shalom E, Au KS, Northrup H (2017) TSC2 c.1864C>T variant associated with mild cases of tuberous sclerosis complex. Am J Med Genet A 173A:771–775CrossRef
14.
go back to reference Lam HC, Nijmeh J, Henske EP (2017) New developments in the genetics and pathogenesis of tumours in tuberous sclerosis complex. J Pathol 241:219–225CrossRef Lam HC, Nijmeh J, Henske EP (2017) New developments in the genetics and pathogenesis of tumours in tuberous sclerosis complex. J Pathol 241:219–225CrossRef
15.
go back to reference Giannikou K, Lasseter KD, Grevelink JM, Tyburczy ME, Dies KA, Zhu Z, Hamieh L, Wollison BM, Thorner AR, Ruoss SJ, Thiele EA, Sahin M, Kwiatkowski DJ (2019) Low-level mosaicism in tuberous sclerosis complex: prevalence, clinical features, and risk of disease transmission. Genet Med 21:2639–2643CrossRef Giannikou K, Lasseter KD, Grevelink JM, Tyburczy ME, Dies KA, Zhu Z, Hamieh L, Wollison BM, Thorner AR, Ruoss SJ, Thiele EA, Sahin M, Kwiatkowski DJ (2019) Low-level mosaicism in tuberous sclerosis complex: prevalence, clinical features, and risk of disease transmission. Genet Med 21:2639–2643CrossRef
16.
go back to reference Richards S, Aziz N, Bale S, Bick D, Das S, Gastier-Foster J, Grody WW, Hegde M, Lyon E, Spector E, Voelkerding K, Rehm HL, on behalf of the ACMG Laboratory Quality Assurance Committee (2015) Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Genet Med 17(5):405–424CrossRef Richards S, Aziz N, Bale S, Bick D, Das S, Gastier-Foster J, Grody WW, Hegde M, Lyon E, Spector E, Voelkerding K, Rehm HL, on behalf of the ACMG Laboratory Quality Assurance Committee (2015) Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Genet Med 17(5):405–424CrossRef
17.
go back to reference French JA, Lawson JA, Yapici Z, Ikeda H, Polster T, Nabbout R, Curatolo P, de Vries PJ, Dlugos DJ, Berkowitz N, Voi M, Peyrard S, Pelov D, Franz DN (2016) Adjunctive everolimus therapy for treatment-resistant focal-onset seizures associated with tuberous sclerosis (EXIST-3): a phase 3, randomised, double-blind, placebo-controlled study. Lancet 388:2153–2163CrossRef French JA, Lawson JA, Yapici Z, Ikeda H, Polster T, Nabbout R, Curatolo P, de Vries PJ, Dlugos DJ, Berkowitz N, Voi M, Peyrard S, Pelov D, Franz DN (2016) Adjunctive everolimus therapy for treatment-resistant focal-onset seizures associated with tuberous sclerosis (EXIST-3): a phase 3, randomised, double-blind, placebo-controlled study. Lancet 388:2153–2163CrossRef
18.
go back to reference Schubert-Bast S, Rosenow F, Kleinb KM, Reif PS, Kieslich M, Strzelczyk A (2019) The role of mTOR inhibitors in preventing epileptogenesis in patients with TSC: current evidence and future perspectives. Epilepsy Behav 91:94–98CrossRef Schubert-Bast S, Rosenow F, Kleinb KM, Reif PS, Kieslich M, Strzelczyk A (2019) The role of mTOR inhibitors in preventing epileptogenesis in patients with TSC: current evidence and future perspectives. Epilepsy Behav 91:94–98CrossRef
19.
go back to reference Franz DN, Lawson JA, Yapici Z, Ikeda H, Polster T, Nabbout R, Curatolo P, de Vries PJ, Dlugos DJ, Voi M, Fan J, Vaury A, Pelov D, French JA (2018) Everolimus for treatment-refractory seizures in TSC: extension of a randomized controlled trial. Neurol Clin Pract 8(5):412–420CrossRef Franz DN, Lawson JA, Yapici Z, Ikeda H, Polster T, Nabbout R, Curatolo P, de Vries PJ, Dlugos DJ, Voi M, Fan J, Vaury A, Pelov D, French JA (2018) Everolimus for treatment-refractory seizures in TSC: extension of a randomized controlled trial. Neurol Clin Pract 8(5):412–420CrossRef
20.
go back to reference Rendtorff DN, Bjerregaard B, Frodin M, Kjaergaard S, Hove H, Skovby F, The Danish Tuberous Sclerosis Group, Brøndum-Nielsen K, Schwartz M (2005) Analysis of 65 tuberous sclerosis complex (TSC) patients by TSC2 DGGE, TSC1/TSC2 MLPA, and TSC1 long-range PCR sequencing, and report of 28 novel mutations. Hum Mutat 26(4):374–383CrossRef Rendtorff DN, Bjerregaard B, Frodin M, Kjaergaard S, Hove H, Skovby F, The Danish Tuberous Sclerosis Group, Brøndum-Nielsen K, Schwartz M (2005) Analysis of 65 tuberous sclerosis complex (TSC) patients by TSC2 DGGE, TSC1/TSC2 MLPA, and TSC1 long-range PCR sequencing, and report of 28 novel mutations. Hum Mutat 26(4):374–383CrossRef
21.
go back to reference Bénit P, Bonnefont JP, Mostefa AK, Francannet C, Munnich A, Ray PF (2001) Denaturing high-performance liquid chromatography (DHPLC)-based prenatal diagnosis for tuberous sclerosis. Prenat Diagn 21:279–283CrossRef Bénit P, Bonnefont JP, Mostefa AK, Francannet C, Munnich A, Ray PF (2001) Denaturing high-performance liquid chromatography (DHPLC)-based prenatal diagnosis for tuberous sclerosis. Prenat Diagn 21:279–283CrossRef
22.
go back to reference Treichel AM, Kwiatkowski DJ, Moss J, Darling TN (2020) A diagnostic algorithm for enhanced detection of mosaic tuberous sclerosis complex in adults. Br J Dermatol 182:218–250 Treichel AM, Kwiatkowski DJ, Moss J, Darling TN (2020) A diagnostic algorithm for enhanced detection of mosaic tuberous sclerosis complex in adults. Br J Dermatol 182:218–250
23.
go back to reference Caban C, Khan N, Hasbani DM, Crino PB (2017) Genetics of tuberous sclerosis complex: implications for clinical practice. Appl Clin Genet 10:1–8CrossRef Caban C, Khan N, Hasbani DM, Crino PB (2017) Genetics of tuberous sclerosis complex: implications for clinical practice. Appl Clin Genet 10:1–8CrossRef
Metadata
Title
Genetics of tuberous sclerosis complex: an update
Author
Daphna Marom
Publication date
01-10-2020
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 10/2020
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-020-04726-z

Other articles of this Issue 10/2020

Child's Nervous System 10/2020 Go to the issue