Skip to main content
Top
Published in: Indian Journal of Gastroenterology 4/2017

01-07-2017 | Case report

Uncommon cause of cirrhosis—A case of Werner syndrome with a novel WRN mutation

Authors: S. Deepak Amalnath, Forough Sargolzaeiaval, Junko Oshima, Dipti Baskar

Published in: Indian Journal of Gastroenterology | Issue 4/2017

Login to get access

Abstract

Werner syndrome is a rare progeroid syndrome caused by the WRN gene mutation. It is characterized by a general appearance of premature aging, diabetes mellitus, and atherosclerosis, and an increased risk of malignancies. We report a patient who presented with hematemesis due to cirrhosis of liver and was subsequently diagnosed with Werner syndrome. Further genetic analysis showed a novel mutation in the WRN gene which has not previously been reported. Werner syndrome should be considered for the cases of liver cirrhosis when accompanied by the features of accelerated aging.
Literature
1.
go back to reference Oshima J, Martin GM, Hisama FM. Werner Syndrome. In: Pagon RA, Adam MP, Ardinger HH, Bird TD, Dolan CR, Fong CT, editors. GeneReviews [Internet]. Seattle (WA): University of Washington; 2016. Oshima J, Martin GM, Hisama FM. Werner Syndrome. In: Pagon RA, Adam MP, Ardinger HH, Bird TD, Dolan CR, Fong CT, editors. GeneReviews [Internet]. Seattle (WA): University of Washington; 2016.
2.
go back to reference Gray MD, Shen JC, Kamath-Loeb AS, et al. The Werner syndrome protein is a DNA helicase. Nat Genet. 1997;17:100–3.CrossRefPubMed Gray MD, Shen JC, Kamath-Loeb AS, et al. The Werner syndrome protein is a DNA helicase. Nat Genet. 1997;17:100–3.CrossRefPubMed
3.
go back to reference Saha B, Lessel D, Nampoothiri S, et al. Ethnic-specific WRN mutations in South Asian Werner syndrome patients: potential founder effect in patients with Indian or Pakistani ancestry. Mol Genet Genomic Med. 2013;1:7–14.CrossRefPubMedPubMedCentral Saha B, Lessel D, Nampoothiri S, et al. Ethnic-specific WRN mutations in South Asian Werner syndrome patients: potential founder effect in patients with Indian or Pakistani ancestry. Mol Genet Genomic Med. 2013;1:7–14.CrossRefPubMedPubMedCentral
4.
go back to reference Yokote K, Chanprasert S, Lee L, et al. WRN mutation update: mutation spectrum, patient registries, and translational prospects. Hum Mutat. 2017;38:7–15.CrossRefPubMed Yokote K, Chanprasert S, Lee L, et al. WRN mutation update: mutation spectrum, patient registries, and translational prospects. Hum Mutat. 2017;38:7–15.CrossRefPubMed
6.
go back to reference Hakeem A, Reza S, Moinuddin S, et al. Cirrhosis in Werner’s syndrome: an unusual presentation of premature aging. Med Sci Monit. 2007;13:CS61–6.PubMed Hakeem A, Reza S, Moinuddin S, et al. Cirrhosis in Werner’s syndrome: an unusual presentation of premature aging. Med Sci Monit. 2007;13:CS61–6.PubMed
7.
go back to reference Hashizume H, Sato K, Takagi H, et al. Werner syndrome as a possible cause of non-alcoholic steatohepatitis. J Clin Pathol. 2009;62:1043–5.CrossRefPubMed Hashizume H, Sato K, Takagi H, et al. Werner syndrome as a possible cause of non-alcoholic steatohepatitis. J Clin Pathol. 2009;62:1043–5.CrossRefPubMed
8.
go back to reference Sogawa M, Kasuya S, Yamamoto K, Koshika M, Oguma F, Hayashi J. Aortic valve replacement for aortic stenosis with a small aortic annulus in a patient having Werner’s syndrome and liver cirrhosis. Ann Thorac Cardiovasc Surg. 2001;7:378–80.PubMed Sogawa M, Kasuya S, Yamamoto K, Koshika M, Oguma F, Hayashi J. Aortic valve replacement for aortic stenosis with a small aortic annulus in a patient having Werner’s syndrome and liver cirrhosis. Ann Thorac Cardiovasc Surg. 2001;7:378–80.PubMed
9.
go back to reference Cogger VC, Svistounov D, Warren A, et al. Liver aging and pseudocapillarization in a Werner syndrome mouse model. J Gerontol A Biol Sci Med Sci. 2014;69:1076–86.CrossRefPubMed Cogger VC, Svistounov D, Warren A, et al. Liver aging and pseudocapillarization in a Werner syndrome mouse model. J Gerontol A Biol Sci Med Sci. 2014;69:1076–86.CrossRefPubMed
10.
go back to reference Takemoto M, Yamaga M, Furuichi Y, Yokote K. Astaxanthin improves nonalcoholic fatty liver disease in Werner syndrome with diabetes mellitus. J Am Geriatr Soc. 2015;63:1271–3.CrossRefPubMed Takemoto M, Yamaga M, Furuichi Y, Yokote K. Astaxanthin improves nonalcoholic fatty liver disease in Werner syndrome with diabetes mellitus. J Am Geriatr Soc. 2015;63:1271–3.CrossRefPubMed
Metadata
Title
Uncommon cause of cirrhosis—A case of Werner syndrome with a novel WRN mutation
Authors
S. Deepak Amalnath
Forough Sargolzaeiaval
Junko Oshima
Dipti Baskar
Publication date
01-07-2017
Publisher
Springer India
Published in
Indian Journal of Gastroenterology / Issue 4/2017
Print ISSN: 0254-8860
Electronic ISSN: 0975-0711
DOI
https://doi.org/10.1007/s12664-017-0781-1

Other articles of this Issue 4/2017

Indian Journal of Gastroenterology 4/2017 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.