Mutations in the COL5A1 coding sequence are not common in patients with spontaneous cervical artery dissections

Background and Purpose: The dermal connective tissue of most patients with spontaneous cervical artery dissections (sCAD) contains abnormal collagen fibers. This suggests a predisposing connective tissue defect. The ultrastructural abnormalities in the skin of patients with sCAD have similarity with...

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Main Authors: Grond-Ginsbach, Caspar (Author) , Weber, Ralf (Author) , Haas, Jürgen (Author) , Orberk, Erdem (Author) , Kunz, Stefanie (Author) , Busse, Otto (Author) , Haußer-Siller, Ingrid (Author) , Brandt, Tobias (Author) , Wildemann, Brigitte (Author)
Format: Article (Journal)
Language:English
Published: September 1, 1999
In: Stroke
Year: 1999, Volume: 30, Issue: 9, Pages: 1887-1890
ISSN:1524-4628
DOI:10.1161/01.STR.30.9.1887
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1161/01.STR.30.9.1887
Verlag, lizenzpflichtig, Volltext: https://www.ahajournals.org/doi/10.1161/01.STR.30.9.1887
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Author Notes:Caspar Grond-Ginsbach, Ralf Weber, Juergen Haas, Erdem Orberk, Stefanie Kunz, Otto Busse, Ingrid Hausser, Tobias Brandt, Brigitte Wildemann

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520 |a Background and Purpose: The dermal connective tissue of most patients with spontaneous cervical artery dissections (sCAD) contains abnormal collagen fibers. This suggests a predisposing connective tissue defect. The ultrastructural abnormalities in the skin of patients with sCAD have similarity with the morphological alterations in patients with Ehlers-Danlos syndrome type II, a dominant hereditary disorder that has been correlated in some patients to mutations within the genes encoding type V collagen. The aim of this study was to assess the alpha 1 chain of type V collagen (COL5A1) as a candidate gene for sCAD. Methods: We searched for mutations in the COL5A1 gene in cDNA from cultured fibroblasts of 19 patients with sCAD using single-strand conformational polymorphism analysis and nucleotide sequence analysis of polymerase chain reaction-amplified fragments of the whole COL5A1 coding sequence. Results: We detected 1 missense mutation leading to a predicted amino acid (192D/N) substitution within the N-terminal propeptide in 2 siblings. All other patients showed regular COL5A1 sequences with some silent polymorphisms. Conclusions: Mutations in the COL5A1 gene do not appear to be a major factor in the etiology of sCAD. 
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