New roles of EDNRB and EDN3 in the pathogenesis of Hirschsprung disease

作者:Sanchez Mejias Avencia; Fernandez Raquel Maria; Lopez Alonso Manuel; Antinolo Guillermo; Borrego Salud*
来源:Genetics in Medicine, 2010, 12(1): 39-43.
DOI:10.1097/GIM.0b013e3181c371b0

摘要

Purpose: Hirschsprung disease is characterized by the absence of intramural ganglion cells in the myenteric and submucosal plexuses within distal intestine, because of a fail in the enteric nervous system formations process. Endothelin-3-endothelin receptor B signaling pathway is known to play an essential role in this process. The aim of this study was to evaluate the implication of the EDN3 and EDNRB genes in a series of patients with Hirschsprung disease from Spain and determinate their mutational spectrum. Methods: We performed the mutational screening of both genes in 196 patients with Hirschsprung disease using denaturing high-performance liquid chromatography technology. A case-control study using TaqMan Technology was also carried out to evaluate some common polymorphisms and haplotypes as susceptibility factors for Hirschsprung disease. Results: Besides several novel mutations in both genes, we found a truncating mutation in an alternative isoform of EDNRB. Interestingly, we obtained an overrepresentation of a specific EDN3 haplotype in cases versus controls. Conclusions: Our results suggest that the isoform EDNRB Delta 3 might be playing an essential role in the formation of enteric nervous system. In addition, based on the haplotype distribution, EDN3 might be considered as a common susceptibility gene for sporadic Hirschsprung disease in a low-penetrance fashion. Genet Med 2010:12(1):39-43.

  • 出版日期2010-1