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        Genomics Precision Diagnostic > Connective Tissue Disorder > Marfan Syndrome Precision Panel

        Marfan Syndrome Precision Panel

        Marfan Syndrome (MFS) is a spectrum of disorders caused by a genetic defect of the connective tissue and it is inherited in an autosomal dominant pattern. Since the connective tissue is the tissue that helps body growth as well as serving as a scaffold for cells and organs, Marfan Syndrome is a pleiotropic syndrome affecting mainly musculoskeletal, cardiac and ocular systems. 
        Overview
        Indication
        Clinical Utility
        Genes & Diseases
        Methodology
        References

        Overview

        • Marfan Syndrome (MFS) is a spectrum of disorders caused by a genetic defect of the connective tissue and it is inherited in an autosomal dominant pattern. Since the connective tissue is the tissue that helps body growth as well as serving as a scaffold for cells and organs, Marfan Syndrome is a pleiotropic syndrome affecting mainly musculoskeletal, cardiac and ocular systems. The most severe of these manifestations include aortic root dilation and dissection, which are responsible for early patient demise. Pregnancy is a time of increased cardiovascular risk for women with Marfan syndrome, so an early diagnosis is key in pregnancy management. 
        • The Igenomix Marfan Syndrome Precision Panel can be used to make an accurate and directed diagnosis as well as a differential diagnosis of connective tissue disorders due to their overlapping phenotypic features ultimately leading to a better management and prognosis of the disease. It provides a comprehensive analysis of the genes involved in this disease using next-generation sequencing (NGS) to fully understand the spectrum of relevant genes involved.

        Indication

        • The Igenomix Marfan Syndrome Precision Panel is indicated for those patients with a clinical suspicion or diagnosis with or without the following manifestations: 
          • Subluxation of lenses 
          • Cardiovascular findings: mitral valve prolapse, aortic regurgitation, mitral regurgitation, aortic dilation, dissection or aneurysm 
          • Tall and thin stature 
          • Long fingers and toes  
          • Pectus carinatum or excavatum 
          • Scoliosis 
          • Hypermobile joints 
          • Severe hindfoot valgus 

        Clinical Utility

        The clinical utility of this panel is: 

        • The genetic and molecular confirmation for an accurate clinical diagnosis of a symptomatic patient. Understanding global and molecular functions of fibrillin containing microfibrils for the development of a comprehensive theory of pathogenesis.   
        • Early initiation of treatment with a multidisciplinary team in the form of medical treatment and surveillance to prevent vascular complications and/or surgical care in case of development of vascular compromise. 
        • Risk assessment and genetic counselling of asymptomatic family members according to the mode of inheritance. 
        • Improvement of delineation of genotype-phenotype correlation due to overlapping features of connective tissue disorders. 

        Genes & Diseases

        Methodology

        References

        See scientific referrals

        Ammash, N., Sundt, T., & Connolly, H. (2008). Marfan Syndrome—Diagnosis and Management. Current Problems In Cardiology, 33(1), 7-39. doi: 10.1016/j.cpcardiol.2007.10.001 

        Dietz, H., Cutting, C., Pyeritz, R., Maslen, C., Sakai, L., & Corson, G. et al. (1991). Marfan syndrome caused by a recurrent de novo missense mutation in the fibrillin gene. Nature, 352(6333), 337-339. doi: 10.1038/352337a0 

        Yuan, S. M., & Jing, H. (2010). Marfan’s syndrome: an overview. Sao Paulo medical journal = Revista paulista de medicina, 128(6), 360–366. https://doi.org/10.1590/s1516-31802010000600009 

        Dean J. C. (2007). Marfan syndrome: clinical diagnosis and management. European journal of human genetics : EJHG, 15(7), 724–733. https://doi.org/10.1038/sj.ejhg.5201851 

        Pyeritz R. E. (2019). Marfan syndrome: improved clinical history results in expanded natural history. Genetics in medicine : official journal of the American College of Medical Genetics, 21(8), 1683–1690. https://doi.org/10.1038/s41436-018-0399-4 

        Robinson, P. N., & Godfrey, M. (2000). The molecular genetics of Marfan syndrome and related microfibrillopathies. Journal of medical genetics, 37(1), 9–25. https://doi.org/10.1136/jmg.37.1.9 

        von Kodolitsch, Y., & Robinson, P. N. (2007). Marfan syndrome: an update of genetics, medical and surgical management. Heart (British Cardiac Society), 93(6), 755–760. https://doi.org/10.1136/hrt.2006.098798 

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