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Vascular Genetics: Presentations, Testing, and Prognostics

  • Vascular Disease (M Weinberg, Section Editor)
  • Published:
Current Treatment Options in Cardiovascular Medicine Aims and scope Submit manuscript

Abstract

Purpose of review

Numerous studies have begun to unravel the genetic basis of not only aortic disease but also other forms of commonly encountered vascular diseases. The goal of this review is to provide clinicians a reference to help identify and diagnose different types of vascular disease with a genetic underpinning.

Recent findings

Ongoing studies have identified numerous genes involved in the TGF-β signaling pathway that are also associated with thoracic aortic aneurysm and dissection, and it is possible to test for pathogenic variants in these genes in the clinical setting using commercially available genetic testing panels. Additional studies have begun to identify genetic variants associated with an increased risk of bicuspid aortic valve, abdominal aortic aneurysm, and fibromuscular dysplasia.

Summary

With increased availability of low-cost genetic testing, clinicians are now able to not only definitively diagnose some vascular syndromes but also provide information on the risk of disease in other family members, as well as provide guidance in terms of family planning. As the cost of genetic testing continues to drop with the benefit of increasing insurance coverage, genetic data will increasingly become part of clinical care for many patients with vascular disease.

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Funding

This work was supported by NIH T32 HL007575 and K12 HL133117 (AA).

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Authors and Affiliations

  1. Vanderbilt Translational and Clinical Cardiovascular Research Center, Division of Cardiovascular Medicine, Vanderbilt University Medical Center, 2525 West End Avenue Suite 300, Nashville, TN, 37203, USA

    Aaron W. Aday MD, MSc

  2. Adult Congenital and Cardiovascular Genetics Center, Division of Cardiovascular Medicine, University of Minnesota Medical Center, Minneapolis, MN, USA

    Sarah E. Kreykes MS, LGC & Christina L. Fanola MD, MSc

Authors
  1. Aaron W. Aday MD, MSc
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  2. Sarah E. Kreykes MS, LGC
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  3. Christina L. Fanola MD, MSc
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Contributions

AA was responsible for conceptualization and drafting of the manuscript. SK was responsible for editing of the manuscript. CF was responsible for conceptualization and editing of the manuscript.

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Correspondence to Aaron W. Aday MD, MSc.

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The authors declare that they have no conflicts of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Vascular Disease

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Aday, A.W., Kreykes, S.E. & Fanola, C.L. Vascular Genetics: Presentations, Testing, and Prognostics. Curr Treat Options Cardio Med 20, 103 (2018). https://doi.org/10.1007/s11936-018-0703-2

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  • DOI: https://doi.org/10.1007/s11936-018-0703-2

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