Meester-Loeys Syndrome

  • Chapter
  • First Online:
Progress in Heritable Soft Connective Tissue Diseases

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 1348))

Abstract

Meester-Loeys syndrome is an X-linked form of syndromic thoracic aortic aneurysm, characterized by the involvement of multiple organ systems. More specifically, the cardiovascular, skeletal, craniofacial, cutaneous and neurological systems are affected. Clear clinical overlap with Marfan syndrome and Loeys-Dietz syndrome is observed. Aortic dissections occur typically at young ages and are most often observed in males. Meester-Loeys syndrome is caused by loss-of-function mutations in BGN, encoding the small leucine-rich proteoglycan biglycan. Although functional consequences of these mutations remain largely elusive, increased TGF-β signaling has been observed. Novel insights will provide opportunities for preventive therapeutic interventions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
EUR 29.95
Price includes VAT (Germany)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
EUR 96.29
Price includes VAT (Germany)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
EUR 128.39
Price includes VAT (Germany)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info
Hardcover Book
EUR 171.19
Price includes VAT (Germany)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Abbreviations

BGN:

Biglycan

ECM:

Extracellular matrix

GAG:

Glycosaminoglycan

LDS:

Loeys-Dietz syndrome

MFS:

Marfan syndrome

MRLS:

Meester-Loeys syndrome

NMD:

Nonsense mediated RNA decay

SEMDX:

Spondylo-epi-metaphyseal dysplasia

TAA:

Thoracic aortic aneurysm

References

  • Barbier M, Gross MS, Aubart M et al (2014) MFAP5 loss-of-function mutations underscore the involvement of matrix alteration in the pathogenesis of familial thoracic aortic aneurysms and dissections. Am J Hum Genet 95(6):736–743

    Article  CAS  Google Scholar 

  • Bertoli-Avella AM, Gillis E, Morisaki H et al (2015) Mutations in a TGF-beta ligand, TGFB3, cause syndromic aortic aneurysms and dissections. J Am Coll Cardiol 65(13):1324–1336

    Article  CAS  Google Scholar 

  • Bianco P, Fisher LW, Young MF, Termine JD, Robey PG (1990) Expression and localization of the two small proteoglycans biglycan and decorin in develo** human skeletal and non-skeletal tissues. J Histochem Cytochem 38(11):1549–1563

    Article  CAS  Google Scholar 

  • Boileau C, Guo DC, Hanna N et al (2012) TGFB2 mutations cause familial thoracic aortic aneurysms and dissections associated with mild systemic features of Marfan syndrome. Nat Genet 44(8):916–921

    Article  CAS  Google Scholar 

  • Chen MH, Choudhury S, Hirata M, Khalsa S, Chang B, Walsh CA (2018) Thoracic aortic aneurysm in patients with loss of function Filamin a mutations: clinical characterization, genetics, and recommendations. Am J Med Genet A 176(2):337–350

    Article  CAS  Google Scholar 

  • Cho SY, Bae JS, Kim NKD et al (2016) BGN mutations in X-linked Spondyloepimetaphyseal dysplasia. Am J Hum Genet 98(6):1243–1248

    Article  CAS  Google Scholar 

  • Coady MA, Davies RR, Roberts M et al (1999) Familial patterns of thoracic aortic aneurysms. Arch Surg 134(4):361–367

    Article  CAS  Google Scholar 

  • Dietz HC, Cutting GR, Pyeritz RE et al (1991) Marfan syndrome caused by a recurrent de novo missense mutation in the fibrillin gene. Nature 352(6333):337–339

    Article  CAS  Google Scholar 

  • Douglas T, Heinemann S, Bierbaum S, Scharnweber D, Worch H (2006) Fibrillogenesis of collagen types I, II, and III with small leucine-rich proteoglycans decorin and biglycan. Biomacromolecules 7(8):2388–2393

    Article  CAS  Google Scholar 

  • Foley C, Roberts K, Tchrakian N et al (2010) Expansion of the Spectrum of FLNA mutations associated with Melnick-needles syndrome. Molecular syndromology 1(3):121–126

    Article  CAS  Google Scholar 

  • Guo DC, Pannu H, Tran-Fadulu V et al (2007) Mutations in smooth muscle alpha-actin (ACTA2) lead to thoracic aortic aneurysms and dissections. Nat Genet 39(12):1488–1493

    Article  CAS  Google Scholar 

  • Guo DC, Regalado E, Casteel DE et al (2013) Recurrent gain-of-function mutation in PRKG1 causes thoracic aortic aneurysms and acute aortic dissections. Am J Hum Genet 93(2):398–404

    Article  CAS  Google Scholar 

  • Guo DC, Regalado ES, Gong L et al (2016) LOX mutations predispose to thoracic aortic aneurysms and dissections. Circ Res 118(6):928–934

    Article  CAS  Google Scholar 

  • Halper J (2014) Proteoglycans and diseases of soft tissues. Adv Exp Med Biol 802:49–58

    Article  CAS  Google Scholar 

  • Heegaard AM, Corsi A, Danielsen CC et al (2007) Biglycan deficiency causes spontaneous aortic dissection and rupture in mice. Circulation 115(21):2731–2738

    Article  CAS  Google Scholar 

  • Hildebrand A, Romaris M, Rasmussen LM et al (1994) Interaction of the small interstitial proteoglycans biglycan, decorin and fibromodulin with transforming growth factor beta. Biochem J 302(Pt 2):527–534

    Article  CAS  Google Scholar 

  • Lindsay ME, Schepers D, Bolar NA et al (2012) Loss-of-function mutations in TGFB2 cause a syndromic presentation of thoracic aortic aneurysm. Nat Genet 44(8):922–927

    Article  CAS  Google Scholar 

  • Loeys BL, Chen J, Neptune ER et al (2005) A syndrome of altered cardiovascular, craniofacial, neurocognitive and skeletal development caused by mutations in TGFBR1 or TGFBR2. Nat Genet 37(3):275–281

    Article  CAS  Google Scholar 

  • Luyckx I, Proost D, Hendriks JMH et al (2017) Two novel MYLK nonsense mutations causing thoracic aortic aneurysms/dissections in patients without apparent family history. Clin Genet 92(4):444–446

    Article  CAS  Google Scholar 

  • MacCarrick G, Black JH, Bowdin S et al (2014) Loeys-Dietz syndrome: a primer for diagnosis and management. Genet Med 16(8):576–587

    Article  Google Scholar 

  • Meester JA, Vandeweyer G, Pintelon I et al (2017) Loss-of-function mutations in the X-linked biglycan gene cause a severe syndromic form of thoracic aortic aneurysms and dissections. Genet Med 19(4):386–395

    Article  CAS  Google Scholar 

  • Micha D, Guo DC, Hilhorst-Hofstee Y et al (2015) SMAD2 mutations are associated with arterial aneurysms and dissections. Hum Mutat 36(12):1145–1149

    Article  CAS  Google Scholar 

  • Neptune ER, Frischmeyer PA, Arking DE et al (2003) Dysregulation of TGF-beta activation contributes to pathogenesis in Marfan syndrome. Nat Genet 33(3):407–411

    Article  CAS  Google Scholar 

  • Reinboth B, Hanssen E, Cleary EG, Gibson MA (2002) Molecular interactions of biglycan and decorin with elastic fiber components: biglycan forms a ternary complex with tropoelastin and microfibril-associated glycoprotein 1. J Biol Chem 277(6):3950–3957

    Article  CAS  Google Scholar 

  • Robertson SP, Twigg SR, Sutherland-Smith AJ et al (2003) Localized mutations in the gene encoding the cytoskeletal protein filamin a cause diverse malformations in humans. Nat Genet 33(4):487–491

    Article  CAS  Google Scholar 

  • Roughley PJ, White RJ (1989) Dermatan sulphate proteoglycans of human articular cartilage. The properties of dermatan sulphate proteoglycans I and II. Biochem J 262(3):823–827

    Article  CAS  Google Scholar 

  • van de Laar IM, Oldenburg RA, Pals G et al (2011) Mutations in SMAD3 cause a syndromic form of aortic aneurysms and dissections with early-onset osteoarthritis. Nat Genet 43(2):121–126

    Article  Google Scholar 

  • Wang L, Guo DC, Cao J et al (2010) Mutations in myosin light chain kinase cause familial aortic dissections. Am J Hum Genet 87(5):701–707

    Article  CAS  Google Scholar 

  • Wiberg C, Heinegard D, Wenglen C, Timpl R, Morgelin M (2002) Biglycan organizes collagen VI into hexagonal-like networks resembling tissue structures. J Biol Chem 277(51):49120–49126

    Article  CAS  Google Scholar 

  • Yeo TK, Torok MA, Kraus HL, Evans SA, Zhou Y, Marcum JA (1995) Distribution of biglycan and its propeptide form in rat and bovine aortic tissue. J Vasc Res 32(3):175–182

    Article  CAS  Google Scholar 

  • Zhu L, Vranckx R, Khau Van Kien P et al (2006) Mutations in myosin heavy chain 11 cause a syndrome associating thoracic aortic aneurysm/aortic dissection and patent ductus arteriosus. Nat Genet 38(3):343–349

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Bart Loeys .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Meester, J.A.N., De Kinderen, P., Verstraeten, A., Loeys, B. (2021). Meester-Loeys Syndrome. In: Halper, J. (eds) Progress in Heritable Soft Connective Tissue Diseases. Advances in Experimental Medicine and Biology, vol 1348. Springer, Cham. https://doi.org/10.1007/978-3-030-80614-9_12

Download citation

Publish with us

Policies and ethics

Navigation