Key result
Genetic testing in a 52-year-old woman with pulmonary arterial hypertension identified a novel heterozygous c.1481C>T (p.Ala494Val) mutation in the BMPR2 gene.
Case Report (n=1)
No
A novel heterozygous c.1481C>T (p.Ala494Val) mutation in the BMPR2 gene was identified in a patient with pulmonary arterial hypertension, expanding the known genetic variants associated with the disease.
Hypothesis-generating BMPR2 variant in PAH; leaves open causality and does not support changing genetic testing.
BACKGROUND: Pulmonary arterial hypertension (PAH) is a hemodynamic state that is characterized by pulmonary vasoconstriction and vascular remodeling, leading to a continuous increase in mean pulmonary arterial pressure, and eventually right heart failure. Mutations of the bone morphogenetic protein type II receptor (BMPR2) gene are the most common genetic cause of PAH. METHODS: A 52-year-old woman was admitted to Shaoxing People's Hospital after suffering from a cough for 2 months. In our hospital, the proband got a thorough medical examination and was diagnosed with PAH following genetic testing. RESULTS: Genetic test showed that the proband carried a novel heterozygous c.1481C>T (p.Ala494Val) mutation in the BMPR2 gene. The new mutation was initially discovered as a potential pathogenic variant by bioinformatics research, but it needed to be functionally verified. CONCLUSIONS: The novel mutation may be related to the development of the PAH. In addition to general examinations, clinicians must thoroughly examine molecular genetics to provide an accurate diagnosis in the clinic, particularly for rare disorders.
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Xu et al. (2021) conducted a case report in Pulmonary arterial hypertension (PAH) (n=1). BMPR2 gene mutation c.1481C>T (p.Ala494Val) was evaluated on Identification of a novel mutation in the BMPR2 gene. Genetic testing in a 52-year-old woman with pulmonary arterial hypertension identified a novel heterozygous c.1481C>T (p.Ala494Val) mutation in the BMPR2 gene.
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