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Home Drugs Diagnosis-and-treatment-of-supravalvular-aortic-stenosis-and-Williams-syndrome

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 Diagnosis and treatment of supravalvular aortic stenosis and Williams syndrome

Details
Inventors: Keating, Mark T.; Leppert, Mark F.; Morris, Colleen A.;
Assignee: University of Utah Research Foundation (Salt Lake City, UT)
Primary Examiner: Sisson; Bradley L.
Assistant Examiner:
Attorney, Agent or Firm: Venable, Baetjer, Howard & Civiletti, LLP

The invention relates to the identification of the molecular basis of supravalvular aortic stenosis (SVAS) and Williams syndrome. More specifically, the invention has identified that elastin causes or is involved in the pathogenesis of SVAS and Williams syndrome. Molecular variants of the elastin gene contribute to SVAS and Williams syndrome. The analysis of the elastin gene will provide an early diagnosis of subjects with SVAS and Williams syndrome. The diagnostic method comprises analyzing the DNA sequence of the elastin gene of an individual to be tested and comparing it with the DNA sequence of the native, non-variant elastin gene. In a second embodiment, the elastin gene of an individual to be tested is screened for mutations associated with SVAS or Williams syndrome. Presymptomatic diagnosis of SVAS and Williams syndrome will enable practitioners to prevent vascular obstruction using existing medical therapies like beta adrenergic blocking agents.

DETAILED DESCRIPTION OF THE INVENTION The present invention is directed to the determination that SVAS and Williams syndrome map to the elastin gene and that molecular variants of the elastin gene cause or are involved in the pathogenesis of SVAS and Williams syndrome.
The present invention is further directed to methods of screening humans for the presence of elastin gene variants associated with SVAS or Williams syndrome.
Since SVAS or Williams syndrome can now be detected earlier (i.
e.
, before symptoms appear) and more definitively, better treatment options will be available in those individuals identified as having SVAS or Williams syndrome.
Finally, the present invention has implications for the cause and treatment of common vascular disease, such as atherosclerosis.
Supravalvular aortic stenosis (SVAS) is an inherited disorder that causes hemodynamically significant narrowing of the ascending aorta and other arteries.
SVAS can be inherited as an isolated trait or as part of the Williams syndrome, a developmental disorder that also results in hypertension, mental retardation, a personality disorder and premature aging of the skin.
Two approaches have been utilized herein to identify the elastin gene as the cause of SVAS and Williams syndrome, namely linkage analysis and the identification and characterization of disease-associated gene abnormalities.
In linkage analysis, one attempts to identify co-inheritance of a phenotype (e.
g.
, SVAS) and a genotype (DNA polymorphism).
Disease-associated gene abnormalities include chromosomal rearrangements, gross and microscopic deletions or additions, and sequence differences.
These two approaches led to the identification of the elastin gene as the cause of SVAS and Williams syndrome.
SVAS was completely linked to the elastin locus on chromosome 7q11 by phenotypic and linkage analyses (details provided in the Examples) by studying two multigenerational families with SVAS.
Kindred 1773 is a Kentucky family of Irish decent and consists of 47 family members who are at risk for SVAS (FIG



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